Eczac\u0131 yokken eczane \u00e7al\u0131\u015fabiliyorsa, ilk soru basit: Bu sistemde eczac\u0131 ne i\u015fe yar\u0131yor?
\nEczac\u0131 karar verici mi, yoksa sadece i\u015flemi tamamlayan biri mi? E\u011fer karar vermiyorsa, eczac\u0131l\u0131k neden hala sa\u011fl\u0131k mesle\u011fi olarak tan\u0131mlan\u0131yor?<\/p>\n
Daha kritik soru \u015fu: Eczac\u0131 yokken verilen ilac\u0131n sorumlulu\u011fu kime ait?
\nYanl\u0131\u015f kullan\u0131mda, doz hatas\u0131nda, ila\u00e7 etkile\u015fiminde kimi muhatap alaca\u011f\u0131z? Yaz\u0131l\u0131m\u0131 m\u0131, barkodu mu, sistemi mi? Yoksa kimseyi mi?
\nSorumlunun belirsiz oldu\u011fu yerde g\u00fcven olur mu? Sa\u011fl\u0131k b\u00f6yle y\u00fcr\u00fcr m\u00fc?<\/p>\n
Yurt d\u0131\u015f\u0131na bak\u0131ld\u0131\u011f\u0131nda tablo net. Almanya\u2019da, Fransa\u2019da, \u0130ngiltere\u2019de eczac\u0131 yokken eczaneden ila\u00e7 \u00e7\u0131kmaz. \u00c7\u00fcnk\u00fc oralarda sistem, eczac\u0131n\u0131n akl\u0131na ihtiya\u00e7 duyacak \u015fekilde kuruludur. Eczac\u0131 s\u00fcreci onaylar, gerekti\u011finde durdurur, hekimi geri arar, hastay\u0131 y\u00f6nlendirir. Eczac\u0131 yoksa s\u00fcre\u00e7 aksar. Bu bir ar\u0131za de\u011fil, bilin\u00e7li bir tercihtir: Ak\u0131l olmadan sistem \u00e7al\u0131\u015fmas\u0131n diye.<\/p>\n
Bizde ise sistem ak\u0131ls\u0131z da \u00e7al\u0131\u015facak \u015fekilde tasarlanm\u0131\u015ft\u0131r.
\n\u0130\u015f aksamas\u0131n yeter.
\nSorgulama olmas\u0131n yeter.
\n\u0130\u015flem tamamlans\u0131n yeter.<\/p>\n
Peki o zaman \u015funu sormak gerekiyor:
\nBiz sa\u011fl\u0131k sistemi mi i\u015fletiyoruz, yoksa ila\u00e7 da\u011f\u0131t\u0131m mekanizmas\u0131 m\u0131?<\/p>\n
Madem eczac\u0131 olmadan da sistem y\u00fcr\u00fcyebiliyor, neden y\u0131llarca farmakoloji okutuluyor? Neden etkile\u015fim, doz, klinik bilgi \u00f6\u011fretiliyor? E\u011fer bu bilgiye ger\u00e7ekten ihtiya\u00e7 yoksa, sorun eczac\u0131da de\u011fil; sistemin kurgusundad\u0131r. E\u011fitim ba\u015fka, pratik ba\u015fka bir yere evrilmi\u015f demektir.<\/p>\n
Eczac\u0131s\u0131z eczac\u0131l\u0131\u011f\u0131n normalle\u015fmesi tesad\u00fcf de\u011fildir. \u00c7\u00fcnk\u00fc eczac\u0131 devredeyse soru sorar. \u0130tiraz eder. \u201cBu do\u011fru de\u011fil\u201d der. Gerekti\u011finde i\u015flemi durdurur. Sistemler genelde bunu sevmez. Ak\u0131l yava\u015flat\u0131r, i\u015flem h\u0131z ister. O y\u00fczden ak\u0131l devreden \u00e7\u0131kar\u0131l\u0131r, h\u0131z kutsan\u0131r.<\/p>\n
Ama sa\u011fl\u0131k, h\u0131zla de\u011fil ak\u0131l ile y\u00fcr\u00fcr.
\nH\u0131z hatay\u0131 b\u00fcy\u00fct\u00fcr, ak\u0131l hatay\u0131 durdurur.<\/p>\n
Ve son soru \u015fudur:
\nBug\u00fcn eczac\u0131n\u0131n akl\u0131n\u0131 sistemin d\u0131\u015f\u0131na itiyorsak, yar\u0131n i\u015fler yolunda gitmedi\u011finde kime d\u00f6nece\u011fiz?<\/p>\n
Bir ila\u00e7 etkile\u015fimi hastaya zarar verdi\u011finde, beklenmeyen bir yan etki \u00e7\u0131kt\u0131\u011f\u0131nda, otomatik sistemler yetmedi\u011finde kim dur diyecek?<\/p>\n
E\u011fer bug\u00fcn \u201ceczac\u0131ya gerek yok\u201d deniyorsa, yar\u0131n ger\u00e7ekten ihtiya\u00e7 duyuldu\u011funda orada bir mesleki ak\u0131l kalm\u0131\u015f olacak m\u0131?<\/p>\n
Sa\u011fl\u0131k akl\u0131, i\u015fler kolayken de\u011fil; i\u015fler bozuldu\u011funda laz\u0131md\u0131r.
\nAma bug\u00fcn bu akl\u0131 sistemden \u00e7\u0131kar\u0131rsak,
\nyar\u0131n arad\u0131\u011f\u0131m\u0131zda bulamay\u0131z.<\/p>\n
Ve o zaman sorun \u015furada olmaz:
\n\u201cNiye hata oldu?\u201d
\nSorun \u015furada olur:
\n\u201cHata olurken kimse neden durduramad\u0131?\u201d<\/p>","protected":false},"excerpt":{"rendered":"
Madem eczac\u0131 olmadan da sistem y\u00fcr\u00fcyebiliyor, neden y\u0131llarca farmakoloji okutuluyor?<\/p>","protected":false},"author":23,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[286],"tags":[],"class_list":{"0":"post-280613","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-yazarlar"},"_links":{"self":[{"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/posts\/280613","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/comments?post=280613"}],"version-history":[{"count":2,"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/posts\/280613\/revisions"}],"predecessor-version":[{"id":280615,"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/posts\/280613\/revisions\/280615"}],"wp:attachment":[{"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/media?parent=280613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/categories?post=280613"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/halkweb.com.tr\/en\/wp-json\/wp\/v2\/tags?post=280613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}