祝日有でも週20時間以上の業務必要-病棟薬剤加算で厚労省

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 厚生労働省の2012年度診療報酬改定の「疑義解釈資料その2」によると、薬剤師の病棟薬剤業務を評価する「病棟薬剤業務実施加算」(週1回100点)について、祝日がある場合でも直近1か月の業務実施時間が合算で、同加算の施設基準である「1週間につき、20時間相当以上」を満たす必要がある。
 また、後発医薬品のある先発医薬品を製品名ではなく、一般名で医師が処方した場合に算定できる「一般名処方加算」(処方せんの交付1回につき2点)について、同省が一般名処方の標準的な処方せんへの記載例としてホームページに掲載している「一般名処方マスタ」に含まれていない品目でも、同加算の算定を認めた。
 ただ、これらの品目を一般名処方する際は、「薬剤の取り違え事故が起こらないようにするなど、医療安全に十分に配慮しなければならない」とした。
 このほか、一般名の処方せんを発行した際の診療録(カルテ)の記載については、一般名か製品名のいずれかが記載されていればよいとしたものの、製品名の場合は一般名処方が行われたことを示す記録を残すよう求めた。
[PR]
by pachifu | 2012-04-24 01:31