약사의 항암제 처방감사를 통한 약물오류 예방
Prevention of Medication Errors by Pharmacists’ Intervention of Chemotherapy
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초록
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.
Abstract
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.
참고문헌 (6)
- Cohen M.R, "Medication Errors, 2nd ed" (2007), American Pharmaceutical Association
- Anna Markert, "Chemotherapy safety andsevere adverse events in cancer patients:Strategies to efficiently avoid chemotherapyerrors in in- and outpatient treatment", Int. J. Cancer, 124, pp.722~728 (2009)
- M.S.Kim, "Efficacy of new inspection systemof Anticancer Drug prescription", 한국의료QA학회지, 14(2), pp.125~132 (2008)
- 이현주, "약사에 의해 탐지된 항암제 처방오류 분석", 한국임상약학회지, 20(2), pp.120~127 (2010), 한국임상약학회
- Melanie B, "Implementing a performanceevaluation system in a correctional managedcare pharmacy", Am J Health Pharm, 59, pp.1097~1104 (2002)