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It is important for the clinical pharmacist to maintain the safety and efficacy of drug therapy for individual patients. In order to improve prescribing and help patients to understand their medication better, we began checking prescriptions and providing medicines to patients individually in the oncology surgery ward of our hospital in January 2003. Before preparing medications, we investigated the compliance of each patient through counseling, checked their prescriptions, and pointed out prescription errors to physicians. On the following day, after filling the prescriptions, we handed them to individual patients and explained the medication to each patient. Half a year after introducing this system, we calculated pharmacist prescription intervention rates and analyzed the results. We found a 49% error rate in prescriptions and pointed out the errors to physicians, 93% of which they acknowledged. To evaluate our system, we conducted a questionnaire survey of the doctors and nurses in the oncology surgery ward on the provision of medication by clinical pharmacists. We obtained a 95% response rate and the results were very satisfactory. The checking of prescriptions by clinical pharmacists in this ward reduced inappropriate ordering of medicines, as well as the time taken for us to dispense them and that taken for nurses to distribute the medicines and instruct patients on how to take them. Providing medicines directly to patients enabled us to practice patient counseling more closely and helped ensure that they were taken properly.

Checking of Prescriptions and Provision of Medicines to Individual Patients by Clinical Pharmacists and Evaluation of this System