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KMID : 0941820100200020120
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Korean Journal of Clinical Pharmacy
2010 Volume.20 No. 2 p.120 ~ p.127
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Analysis of Chemotherapy Prescribing Errors Detected by Pharmacists
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Lee Hyun-Ju
Yang Mi-Kyung
Jo Ju-Hee
Kim Sung-Eun
Seok Hyun-Joo
Kim Hyun-Ah
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Abstract
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Objective: The purpose of this study was to identify the type and frequency of chemotherapy-related prescribing errors and assess the pharmacist intervention in preventing potential harm.
Methods: This study was performed in satellite pharmacy of oncology/hematology unit in tertiary teaching hospital from April to September, 2009. All chemotherapy prescribing errors detected by pharmacists were recorded. Frequency and characteristics of prescribing errors were analyzed. Pharmacists reviewed 28, 495 chemotherapy orders from 12,719 patients during 6-month periods.
Results: A total of 835 prescription errors (2.93%) in 734 patients (5.77%) were detected by pharmacists. Alkylating agents (37.6%) followed by antimetabolite (23.35%), and mitotic inhibitors (21.44%) were the most prevalent classes in which errors occurs. The most common types of error detected were incorrect dose (34%), incorrect solution (33%), incorrect route (9%) and omission errors (8%). Changes in chemotherapy order due to pharmacists’ intervention occurred in all error cases.
Conclusion: Pharmacists’ intervention in reviewing chemotherapy and drug orders intercepted potential harm due to prescribing errors. The current study provided strategies for reduction of medication errors.
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KEYWORD
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Chemotherapy, Prescribing errors, Pharmacists’ intervention
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