• Korean Journal of Clinical Pharmacy
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• v.28 no.1
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• pp.51-56
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• 2018

Objective: An automated process for medication preparation and dispensing is essential to improve the quality of work. To reduce night pharmacy workload, a new automated dispensing cabinet system was implemented in a hospital emergency medical center. The purpose of this study is to verify that implementation of an automated dispensing cabinet system will influence the efficiency of night pharmacy work. Methods: To evaluate the new system implementation, a retrospective study and survey was performed in the Ewha Womans University medical center. We compared the dispensing and near-miss error rates between the automated dispensing cabinet system and a night pharmacy. The degree of satisfaction of night shift workers with the new system was surveyed. Results: This study showed significantly reduced dispensing rates of night medications (56.1% and 37.3%; p < 0.01) and near-miss night medications (0.27% and 0.17%; p<0.01). Thirty-two persons responded to the survey, and the satisfaction score for the new system was 4.0 (${\pm}0.8$). The scores were high in order of efficiency, management, and convenience. Time requirement was also reduced because of the simple step of only reviewing in the pharmacy with the new system. Conclusion: Due to system implementation, workload was reduced and time was saved for not only night shift workers but also patients receiving emergency discharge medicine. It was suggested that this will have a positive effect on pharmacist medical service and patient safety.

• Korean Journal of Clinical Pharmacy
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• v.28 no.3
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• pp.250-253
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• 2018

When stenting is applied to treat myocardial infarction, antiplatelet agents are administered to prevent thrombosis, which increases the risk of bleeding. Patients with myocardial infarction are also more likely to have osteoarthritis simultaneously, because both diseases occur frequently in elderly patients. Patients with osteoarthritis often use analgesics, especially nonsteroidal anti-inflammatory drugs (NSAIDs); hence, patients with both diseases use analgesics and antiplatelet agents simultaneously. The risk of bleeding increases with the use of antiplatelet agents and this is further increased when NSAIDs are added. We would like to report a case that reflects this situation. A 60-year-old man underwent stenting after ST-elevation myocardial infarction, and was treated with aspirin and clopidogrel. This patient also received a pelubiprofen prescription from another physician to treat osteoarthritis. After the patient took pelubiprofen twice, he found a bruise on his wrist and reported it to the pharmacist. It is unlikely that this is rare in community pharmacies, so pharmacists should pay careful attention to the concomitant administration of analgesics to patients receiving antiplatelet agents and should provide appropriate education to patients.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.13
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• pp.5305-5309
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• 2014

Background: This study aimed to assess the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. Materials and Methods: This was a single-center, cross-sectional study. A face-to-face interview guided by a structured questionnaire with cancer patients admitted to receive repeated cycles of chemotherapy was conducted. Information collected included chemotherapy-related side effects after last chemotherapy experience, the most worrisome side effects, the side effects overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. Results: Of 99 patients recruited, 90 participated in this survey (response rate: 90.9%). The majority were in the age range of 45-64 years (73.3%) and female (93.3%). Seventy-five (83.3%) and seventy-one (78.9%) experienced nausea and vomiting, respectively. Both symptoms were selected as two of the most worrisome side effects (16.7% vs. 33.3%). Other common and worrisome side effects were hair loss and loss of appetite. Symptoms caused by peripheral neuropathies were perceived as the major symptoms being overlooked (6.7%). Most patients demanded information about side effects (60.0%) and they would like to receive as much information as possible (86.7%). Oral conversation (83.3%) remained as the preferred method and the clinical pharmacist was preferred by 46.7% of patients as the educator in this aspect. Conclusions: The high prevalence of chemotherapy-related side effects among local patients is of concern. Findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists to help in side effect management in Malaysia.

• Herbal Formula Science
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• v.24 no.1
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• pp.1-16
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• 2016

Objectives This study was conducted to investigate the management status of extramural herbal dispensary facility, which could serve as a foundation for further research and policy establishment.Method According to herbal dispensary data collected by Ministry of Health and Welfare, 78 sites were confirmed among 1,160 sites which checked extramural herbal dispensary facility. We carried out a survey on them. The survey consisted of 42 questions including general provisions, personnel management, spaces and facilities, equipment and utensils, procedure requirement for production and/or processing.Results From their responses, hygiene was regarded generally admittable. In personnel management, some answers that herbal medicines were prepared not by Korean medicine doctor or pharmacist, but by general worker. On preparation method, dosage frequency and volume were different among preparation facilities. Regarding facility management, prescription inspection was substantially carried out in many extramural preparation facilities, however, some of them was not.Conclusion There was a need for regulation of detailed management including facility, preparation, personnel management, etc., of extramural preparation facility. Furthermore, There was also a need for standardization of procedure on decoction, water management, medicinal herbs management, etc.

• Journal of Fisheries and Marine Sciences Education
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• v.26 no.1
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• pp.10-21
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• 2014

The aquatic disease inspector is not classified as an occupation in the current Korean Standard Classification of Occupations(KSCO). Therefore, the roll of the aquatic disease inspector in the medical treatment and the prevention against the aquatic organism disease is underestimated. The aquatic disease inspector is in a more disadvantageous position than the pharmacist and the veterinarian. The purpose of this study is to approve the aquatic disease inspector as an occupation in KSCO. The important contents of this study are as follows. In the first place, this study looks around the general requirements of classifying the occupations in KSCO. The aquatic disease inspector satisfies the most general requirements. But, because of the similarities of job between the aquatic disease inspector and the veterinarian, the aquatic disease inspector do not satisfy the requirement for 'the principle of exclusiveness'. In the second place, this study looks around the classification system of KSCO. The classification system of KSCO is consists of multi steps. This study makes the plan for the appropriate occupation classification of the aquatic disease inspector. In the third place, this study looks for the legal methods to classify the aquatic disease inspector as an occupation in KSCO. In order to classify the aquatic disease inspector as an occupation in KSCO, many regulations of the laws about the aquatic disease inspector and the veterinarian are to be amended and the number of the aquatic disease inspectors is to be increased by the innovative measures.

• Health Policy and Management
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• v.15 no.3
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• pp.40-59
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• 2005

The objective of this paper is to examine what impact the newly introduced Purchasing Price Reimbursement System, where insurance drugs are reimbursed at the prices as they were purchased by medical care providers under the maximum allowable cap, has upon the health insurer's financing situation. The impact of the Purchasing Price Reimbursement System is considered to be confined mainly to the inpatient department among three drug reimbursement fields such as inpatient department, out-patient department and pharmacy. Hypothesis was set and tested in this study for each of three components of inpatient drug reimbursement in health insurance, i.e. average price level, composition of drugs and their overall volume. Drug price level calculated in this study from 403 selected reimbursement drugs according to the Laspayres methodology revealed faster decline under the new Purchasing Price Reimbursement System than previously by $1.53\%$ on the annual average basis. However, additional 1.4 percent financial burden in the ratio of the total inpatient reimbursement was owed by the health insurer. This was analysed to be a combined result of both 2.0-3.1 percent of reduced reimbursement due to drug price decline and 3.4-4.5 percent of additional reimbursement due to drug volume increase. These results suggest that recalling the Purchasing Price Reimbursement System would not have so much impact upon the health insurer's financial situation given that the current compulsory separation between doctor's prescribing and pharmacist's dispensing is irrevocable.

• YAKHAK HOEJI
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• v.60 no.3
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• pp.154-162
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• 2016

Extracurricular activities are voluntary participations that students engage in outside of classrooms. This study aimed to determine Korean pharmacy students' degree of involvement in extracurricular activities, motivations behind participation, and influences from those engagements. The study was performed as a voluntary online survey to pharmacy students in four pharmacy schools in Korea and a total of 188 students participated. Sixty-one percent and 34% of students reported that they were involved in at least one extracurricular activities in-school, and out-of-school, respectively. Areas with most involvements were arts/music/sports (73%), followed by volunteer activities (31%). Thirty two percent responded that they have been involved in research internships, followed by 15% and 10% in pharmaceutical company and community pharmacy internships, respectively. For motivations behind involvement, students indicated that their involvement was for hobby (72%) and networking (38%). In conclusion, while Korean pharmacy students actively engage in extracurricular activities, the range of activities was limited in scope, and most students were involved in extracurricular activities as hobbies rather than for career exploration. Opportunities for student involvement in various pharmacy professional organizations and internships in the pharmacy work setting would provide valuable experiences for pharmacy students in their professional development as a pharmacist.

• Journal of the East Asian Society of Dietary Life
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• v.15 no.6
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• pp.633-643
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• 2005

The purpose of study was to investigate nutritional supplements intake of elementary school students aged 7 to 12 years in Incheon The subjects were 631 mothers of schoolchildren and cross sectional study was conducted by a self-administered questionnaire. Nutritional supplements were taken by $42.3\%$ of the surveyed elementary school students. Among nutritional supplements they toot vitamin and mineral accounted for $47.3\%$, herbs and chinese medicine $39.3\%$ and dietary supplements $10.7\%.$ Among reasons for taking nutritional supplements, help for growth, health promotion, supply for deficient nutrients and prevention or treatment of disease were in order. As for the reasons for not taking nutritional supplements, most of the subjects answered that meals are enough in getting nutrients for children Mother of elementary school students usually Dew the health claim of the nutritional supplements before taking the Also they usually got the information of the nutritional supplements 1mm doctors or pharmacist and bought the nutritional supplements at drugstores, oriental medicine clinic and on-line shop in order. As for the effect of nutritional supplements, $43.7\%$ of the subjeces answered as 'effective' and $81.7\%$ of the mother of elementary school students who took nutritional supplements answered positively that they would continue to have their children take it Among the reasons they would continue to have their children take it help for growth ranked the first. therefore, these results my provide basic informations on nutritional supplements used by the elementary school students in Incheon.

• Korean Journal of Clinical Pharmacy
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• v.10 no.1
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• pp.30-37
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• 2000

Adverse drug reactions (ADR) may result in increased hospital admissions, morbidity and mortality, adding extra cost to healthcare expenditures. Thus, it is critical to activate ADR monitoring and reporting program in tertiary hospitals in developing countries such as Korea. This study was performed to identify the types of ADR being reported in a tertiary hospital, Samsung Medical Center, and to find out the ways to improve current ADR monitoring system. Of 464 ADR reports submitted to the pharmacy department during the 6-month survey period, $97.8\%$ of the reports were from out patient and $48.5\%$ were from patients aged between 50 and 60. The medical department with the highest frequency in ADR reporting was Internal Medicines $(35.6\%)$. The most common ADR manifestations were gastrointestinal complaints $(43.4\%)\;and\;75\%$ of the reported cases were mild in their severity. The most common drugs suspected of causing ADR were CNS drugs which accounted for $32.8\%$. In terms of causality assessment, $85.1\%$ of the reports were probable cases by WHO causality assessment criteria. In regards to sources of report, $75.6\%$ of ADR were reported by physicians and $24.4\%$ by nurses. There were no ADR reported by pharmacists. In conclusion, there is an urgent need to improve ADR monitoring system for inpatient and to motivate pharmacist involvement in ADR monitoring and reporting in Korea.

• Korean Journal of Clinical Pharmacy
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• v.18 no.1
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• pp.50-59
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• 2008

Objective: The aim for this article was to evaluate and to clarify the current opinions of the registered pharmacists concerning their recognition and adoption rates about introducing the preceptorship into the clinical pharmacy internship and clerkship. Methods: A 25-question-questionnaire was developed and pilot tested. For 40 days of survey by both on-line and on site, 90 over 240 (37.5%) registered pharmacists responded and the data were analyzed with comparison to the groups working in community and hospital pharmacies. Results: The overall answers were affirmative and the respondents were very interested in the application of the clinical preceptorship to the pharmacy educational and to their clinical settings. Moreover, the qualification level and the implementation methods were proposed in detail. Conclusion: Although ninety pharmacists showed their views differently, most of the respondents regarded the preceptorship as an adequate training system for the pharmacy students as well as junior pharmacists at the time of initiation of the new 6-year pharmacy education system in Korea.