A checking system for contraindications using a prescription, injection and disease name ordering system and its evaluation

It is important to administer appropriate agents to inpatients and outpatie nts with various conditions. In addition to the preparation and guidance fo r taking drugs, we should always consider the patient's basic information i ncluding age, history of allergy, name of disease, and history of examinati on. In particular, information on contraindications may have serious effect s on patients, and must be checked most strictly. However, it is impossible to do routine work after obtaining all information such as the patient's b asic information that are serially changing, drug history frequently revise d, and a large volume of information on medication. In this study, we devel oped a prescription surveillance system. This system facilitates real-time checking of the names of diseases that correspond to contraindications as a rule, drug interactions, and administration to elderly patients and pregna nt women on attached documents for medicines, utilizing prescription orders , injection orders, and disease name orders. This system facilitates effici ent and accurate checking even in the following cases: when a prescription involves another department; when several prescriptions on different prescr iption dates occur; when a combination of an oral agent and an injection is contraindicated; or when an agent that can not be administered due to the patient's disease is prescribed. Therefore, all pharmacists can detect pres criptions involving agents that are contraindicated regardless of job skill . Pharmacists may contribute to higher quality medical practice.