[Preventive measures for drug addiction in the middle scale hospital--our challenge for ideal drug management system in the operating rooms].
BACKGROUND
Drug addiction of doctors has become social problems recently due to inappropriate drug management system in the operating theater. It goes without saying that we must behave ourselves as doctors. In addition, current drug management system should be improved and all drugs stocked in the operating theater should be counted by pharmacists after surgery.


METHODS
Kansai Denryoku Hospital with four hundred beds started new drug management system in December 2005. Drug sets for each surgical patient in the cart are delivered from the pharmacy every morning. A drug set is carried to the each operating room by an anesthesiologist or a nurse and they write down administered drugs in the document after surgery. Pharmacists collect the drug cart the following morning and check each drug set and document in the pharmacy.


RESULTS
All drugs can not be carried out from the operating theater without permission, and anesthesiologists and nurses do not have to spend too much time on drug management. Extra one hour is needed for pharmacists to check the drug set in the pharmacy.


CONCLUSIONS
We consider that our new drug management system can substitute a satellite pharmacy, which is recognized currently as ideal drug management system in the operating theater, in the middle scale hospitals without enough pharmacists assigned exclusively to the operating theater.
Nakasuji
Masato
M
Department of Anesthesiology, Kansai Denryoku Hospital, Osaka 553-0003.
Tanaka
Masuji
M
Imanaka
Norie
N
Kawashima
Hiroko
H
Asada
Akira
A
D004335:Drug and Narcotic Control / Q000379:methods*; D006276:Health Facility Size; D006745:Hospital Bed Capacity, 300 to 499; D006761:Hospitals; D006801:Humans; D007445:Inventories, Hospital / Q000379:methods*; D008505:Medical Staff, Hospital; D009873:Operating Rooms; D017751:Safety Management / Q000379:methods*; D019966:Substance-Related Disorders / Q000517:prevention & control*