薬局におけるインシデント事例の集計・分析結果

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10 7

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12 1.6 9

13 10 this page is blank

14

15

16 mg T

17 Cap

18 Cap Cap Cap Cap Cap

19 mg IU T

20 g g g 1.0g g

21 45 0.5g 46 g 7.5g mg mg 200mg % ml 2.5ml ml 51 ml 2.5ml ml 50ml -18-

22 /2 1/ /2 1/2 1/

23 100mg 97% g % 0.3g 3.0g g 1.0g g g g

24 g mg mg 40 1g 400mg mg 0.1% 2.5g 14 35g 3.5g 10% 1200mg g 1200mg 12g mg DS 12.0g 1.2g g g 0.8g % 0.4g 0.2g mg 12 60mg 4 12 mg -21-

25 13 0.1% g 0.045g mg g 0.005g 0.045g % 400mg 50% 1g 500mg 200mg 0.8g 2.0g -22-

26 DS 20% 400mg g 18 50% 50mg/g mg/g mg/g 100mg/g 200mg/g 400mg/g 100mg/g ml 95ml 23 g 0.5g 0.5g 0.75g 1.0g g -23-

27 g g g 6.50g g 1.3g 1.3g 1.0g 26 g 1.5g 0.5g 0.67g 0.33g 0.5g0.67g1.0g 27 g g g 1g 1g 1g -24-

28 29 100mg 6ml 94 ml ml 10% 100mg 1ml 100mg 100mg/1ml g 1.5g 1.5g 2.0g 1.5g 1.5g 31 10g 5g 10g 10g % 1.5g 0.1% 3.0g mg 100mg % g g 0.3g g 2.4g -25-

29 37 20g g 5g g g g g 5g g 1.5g 1.5g 1.5g 1.5g 1.5g 43 DS -26-

30 DS0.7g g 1.95g % 0.002% 1.5% g 0.2g 0.2g 0.2g 0.2g g -27-

31 49 1% 0.1g 0.1g g 3.0g 2.1g 3.0g % g 1.5g 1.5g 0.5g g N g 100 g g g mg day 400mg day mg/g 110mg 100mg/g 100mg 100mg

32 56 57 DS 0.2%

33 100mg 97% 10% 97% g

34 % 0.5% 0.1% mg

35 mg 20mg 20mg 20mg mg mg mg 20mg 20mg mg 0.05mg mg 20mg 30mg 20mg g 0.5 g 0.5 g 0.5 g -32-

36 15 5 1/ mg

37 mg g 50 g 50 g CR 20 CR CR 20 CR mg 90mg S S 1.5g 90mg

38 27 20mg 20mg 40mg 20mg 20mg mg mg 100mg 50mg 29 mg 5mg 10mg 30 1mg 5mg mg 2.17mg -35-

39 5mg 2.5mg % 1.0% % 2% 2% 0.5% g 1.0g

40 DS 10% DSW 20% D 10 D 20 2% 10% g 1g g 1.5g % 1%

41 g 50 g D mg/1g DS 1mg/1g

42 L g 0.67g 1.0g % 1% g 0.75g 1.0g % 0.5% % 10% % 1% % 0.1%

43 mg mg 1.0mg 2.0mg D % 3% 5% 10% 0.5% 1% 0.25% 0.5% G 0.5% 1%

44 2.17mg 4.33mg % 0.1% % 0.5% 0.1% 0.01% N N g 30g 2g 5g 5g 30g 5g 30g

45 Tarivid otic solution Tarivid ophthalmic solution / 10% 50g g

46 mg 5mg 100mg mg 10mg -43-

47 / mg

48 Cap 10mg 20mg 10mg 20mg mg 330mg

49 farom flomox mg mg 200mg 40mg 40mg mg 100mg 200mg 200 g mg 4mg -46-

50 0.4mg 0.4mg 2mg 2mg mg 200mg mg 0.25mg

51 -48-

52 mg mg mg 330mg mg 100mg

53 mg 50mg mg g

54 Sup % 27 50mg 20mg 20mg 50mg

55 mg mg 1/2 5mg 1/ mg

56 K 0.1 C % % -53-

57 mg 0.025% g 1.0g DS 0.5% 12.5% DS -54-

58 DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS

59 44 0.5g 0.5g IU

60 48 Cap mg 1mg mg 100mg

61

62 100mg 250mg

63 0.5g NSAID

64 Al Mg 21 50mg

65 mg

66 mg 18mg 24mg 12mg g

67 6.0g 10 10% 100 1% mg 1% 10mg 1% 0.2g 2g 15mg 1.5mg -64-

68 10 1.0g 0.1g 50% 2.0g 50% 0.2g 0.9mg 2.9mg g g Cap Cap 30 Cap

69 g 0.065g kg DS1.2g DS 0.5mg kg 0.75mg kg % g mg 2/ mg Cap Cap

70 23 12ml g 10 12ml 12ml % mg 0.5% g 15.5kg 25 5ml g g g g -67-

71 g g R 300 R

72 35 6mg K

73 g g 0.4 g 1.2 g g 0.12 g 0.12 g

74 mg % 0.5% 50 g g

75 T T

76 ml ml ml ml ml ml g 1g g TD 4.5g 4.5g 13.5g -73-

77 65 750mg day day 66 12ml 12ml ml VG 5g g g -74-

78 g 1.5g -75-

79

80

81 mg 25mg /

82 mg

83 mg mg

84 ml 20ml 10ml

85

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87 79 81mg -84-

88 10 Rp Rp Rp Rp

89

90

91 or -88-

92

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94 -91-

95

96 -93-

97

98 %

99 11 12,,,, enter D Cap Cap -96-

100 mg 2 31 Cap Cap

101 g 0.1g 0.015g 0.15g 34 1mg 0.5mg 1% 100 Cap 35 Cap

102

103 /4 3/

104

105

106 DS0.7g g 7.5g 12g 10 2ml 2ml Cap mg mg 1/ mg 2/

107 16 5mg

108 mg0.5 20mg0.5 20mg0.5 10mg

109

110 ,

111

112 -111 -

113 -112 -

114 -113 -

115 -114 -

116 loss prevention

117 p

118

119 1.2g 1.2g 0.12g g 6.0g g 0.06g 14 10ml

120 mg 100mg

121 1000g g

122

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