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KMID : 0869620110280030288
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Journal of Korean Society of Hospital Pharmacists
2011 Volume.28 No. 3 p.288 ~ p.295
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Prevention of Medication Errors by Pharmacists’ Intervention of Chemotherapy
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Kang Min-Kyung
Yoon S.H.
Heo Young-Seol
Kim Hee-Se
Song Yung-Cheon
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Abstract
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The purpose of this study was to analyze chemotherapy-related medication errors detected by pharmacist in outpatient department and to evaluate efficacy of new alert system in chemotherapy monitoring program to prevent them. Finally, we evaluated the efficacy of pharmacists’prescription review. The study was performed at Asan Medical Cancer Center pharmacy from October 2008 to September 2010. We reviewed medication orders by using chemotherapy monitoring program and Electronic medical record (EMR), and compared the quantity and quality of reviewing medication orders and intervention after applying new alert system. During the study period, the number of medication monitoring increased from 47,928 to. 59,618. And, the frequency of pharmacists’interventions increased, especially anticancer-drug dosage related interventions increased from 31% to 46%. When we analyzed the reason of dosage errors, laboratory data related errors increased from 9% to 16%. We confirmed that pharmacists’chemotherapy monitoring and intervention improved qualitively and quatitatively after applying new alert system. And, it prevented potential harm due to medication errors.
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KEYWORD
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Medication errors, Alert system, Pharmacists’intervention
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