Isobe Soichiro, Amano Hiroshi
Ministry of Health, Labour and Welfare, Kasumigaseki, Chiyoda, Tokyo.
Yakushigaku Zasshi. 2002;37(1):47-52.
On June 10, 1921, a fatal drug administration case occurred in Yokohama. A nontitled dispenser of drugs with little knowledge about drugs working in a hospital dispensary gave a patient a capsule of strychnine nitrate instead of one containing strychnine hydrochloride. This patient died 20 minutes later. A pharmacist revealed the case to the public. Pharmacists insisted that this unfortunate event occurred because of a current hospital system handling both medicine and drug dispensation. Therefore they argued that the responsibilities of doctors and of drug dispensaries must immediately be separated out of respect for the lives of patients. Pharmacists publicized the importance of separating drug dispensaries from the medical practice through newspapers, magazines, and public lectures. We are quite doubtful about this appeal to the public being effective. We question how many people could understand what the pharmacists were saying under such the era when people were not much educated. It became a great fear to doctors that pharmacists appealed the necessity of the separation of drug dispensaries from medical practice directly to the public.
1921年6月10日，横滨发生了一起致命的药物给药事件。一名在医院药房工作、对药物知识了解甚少的无职称药剂师给一名患者服用了硝酸士的宁胶囊，而非盐酸士的宁胶囊。该患者20分钟后死亡。一名药剂师将此事公之于众。药剂师们坚称，这起不幸事件的发生是由于当前医院同时负责药品和药剂调配的系统。因此，他们认为，出于对患者生命的尊重，医生和药房的职责必须立即分开。药剂师们通过报纸、杂志和公开讲座宣传将药房与医疗业务分开的重要性。我们非常怀疑这种向公众的呼吁是否会有效。我们质疑在那个人们受教育程度不高的时代，有多少人能理解药剂师们所说的话。药剂师们直接向公众呼吁将药房与医疗业务分开，这让医生们深感担忧。
