조혈모세포 이식에서 사용되는 항암 전산 프로그램의 이용 현황 분석

Abstract

In bone marrow transplantation, there are a lot of margins of error because recipients need intensive care and many kinds of medication and checkup. For progression of patients caring process, Seoul Asan Medical Center induced Order Communication System in 1998. This study understands status of utility of OCS and analyzes the cause that OCS doesn’t use in some parts. Ten adult bone marrow transplant recipients who received the conditioning regimen ‘BUCY’ and ‘BUFLUATG’from May in 2004 were included in this analysis. We evaluated the orders from D-8 to D-21 and classified causes that isn’t used OCS. In total 9,673 cases, 3,940(41.6%) cases were orders that are used OCS. Among this cases, orders of 1,060 cases are in the bone marrow transplantation protocol. The causes are PRN(29%), fever(12%), unusual electrolyte(9%) and so on. There isn’t meaningful difference between the two conditioning regimen. The results from this study indicate that OCS is used properly in an aspect most of reasons that isn’t used OCS is unpredictable like patients conditions. But, dose modification for accuracy of medication is able to settle through improvement of automatic calculation program.