■論説
臨床現場における薬剤師の役割（15）―手術室および周術期における薬剤師業務
坪田 涼, 梅田 将光, 伊勢 雄也
日本医科大学付属病院薬剤部
The Role of the Pharmacist in Clinical Settings (15): The Evolving Role of Pharmacists in the Operating Room and the Perioperative Period
Ryo Tsubota, Masamitsu Umeda and Yuya Ise
Department of Pharmaceutical Service, Nippon Medical School Hospital
Pharmacists perform a wide range of duties, including comprehensive medication management, prescription auditing, drug-drug interaction screening, and clinical consultation. In recent years, the scope of their activities has expanded from the dispensing room to other areas of the hospital, and an increasing number of hospitals now assign full-time pharmacists to operating rooms. This trend was initially driven by a shortage of anesthesiologists, which necessitated the involvement of other healthcare professionals in operating room management. In this setting, pharmacists use their expertise to ensure the safe and accurate handling of high-risk medications, including medical narcotics, toxic drugs, and psychotropic drugs. They also oversee perioperative pharmaceutical care in accordance with established guidelines. Following Japan's medical fee revision in 2022, which introduced specific billing for perioperative medication management services, pharmacists' involvement in this area can be expected to increase further.
日医大医会誌 2026; 22(3), 221-228
Key words
operating room management, drug management, perioperative medication management
Correspondence to
Ryo Tsubota, Department of Pharmaceutical Service, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：r-tsubota@nms.ac.jp
受付：2025年11月4日 受理：2026年3月3日 |
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