Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs

Objective: To describe the prescribing errors involving antineoplastics and others drugs in a centre for the preparation of injectable drugs at a university hospital. Method: A retrospective descriptive study was carried out based on the records of a drug preparation center with prescribing errors...

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Autores principales: Luciana SANTOS, Thalita JACOBY, Sandro NESS, Gérson GUERRA, Carlos A. WAYHS
Formato: article
Lenguaje:EN
PT
Publicado: Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
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Acceso en línea:https://doaj.org/article/fa1be64eb82144fcb4e8c23a984c8fad
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spelling oai:doaj.org-article:fa1be64eb82144fcb4e8c23a984c8fad2021-11-28T02:45:09ZPrescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs10.30968/rbfhss.2020.111.03352179-59242316-7750https://doaj.org/article/fa1be64eb82144fcb4e8c23a984c8fad2020-07-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/335https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To describe the prescribing errors involving antineoplastics and others drugs in a centre for the preparation of injectable drugs at a university hospital. Method: A retrospective descriptive study was carried out based on the records of a drug preparation center with prescribing errors identified in the pharmaceutical validation phase prior to drug preparation in the period from 2016 to 2017.Results: A total of 1516 prescriptions/month were evaluated and 562 prescribing errors were identified and the prescription error rate involving medications was 1.5%. Of the drugs most involved in errors are cisplatin (37.5%), etoposide (14.1%), carboplatin (8.9%), cyclophosphamide (5.7%) and oxaliplatin (4.1%). Most of the errors were related to the diluents associated with the preparations, either in the absence of this information or in the prescription of volumes outside the concentration range required by the preparation of the drug with 56% and 22.6% respectively. In 94.3% of the prescriptions identified with errors, pharmaceutical interventions were necessary for its correction before preparation with adhesion in 99.6% of the cases. Conclusion: Although prescribing errors are described in the literature, the study presents the fragility of the prescriber system, even when it is computerized, and the importance of organized barriers or processes to avoid errors of prescription and manipulation in a centre for the preparation of injectable drugs Luciana SANTOSThalita JACOBYSandro NESSGérson GUERRACarlos A. WAYHSSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 11, Iss 1 (2020)
institution DOAJ
collection DOAJ
language EN
PT
topic Public aspects of medicine
RA1-1270
Pharmacy and materia medica
RS1-441
Therapeutics. Pharmacology
RM1-950
spellingShingle Public aspects of medicine
RA1-1270
Pharmacy and materia medica
RS1-441
Therapeutics. Pharmacology
RM1-950
Luciana SANTOS
Thalita JACOBY
Sandro NESS
Gérson GUERRA
Carlos A. WAYHS
Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
description Objective: To describe the prescribing errors involving antineoplastics and others drugs in a centre for the preparation of injectable drugs at a university hospital. Method: A retrospective descriptive study was carried out based on the records of a drug preparation center with prescribing errors identified in the pharmaceutical validation phase prior to drug preparation in the period from 2016 to 2017.Results: A total of 1516 prescriptions/month were evaluated and 562 prescribing errors were identified and the prescription error rate involving medications was 1.5%. Of the drugs most involved in errors are cisplatin (37.5%), etoposide (14.1%), carboplatin (8.9%), cyclophosphamide (5.7%) and oxaliplatin (4.1%). Most of the errors were related to the diluents associated with the preparations, either in the absence of this information or in the prescription of volumes outside the concentration range required by the preparation of the drug with 56% and 22.6% respectively. In 94.3% of the prescriptions identified with errors, pharmaceutical interventions were necessary for its correction before preparation with adhesion in 99.6% of the cases. Conclusion: Although prescribing errors are described in the literature, the study presents the fragility of the prescriber system, even when it is computerized, and the importance of organized barriers or processes to avoid errors of prescription and manipulation in a centre for the preparation of injectable drugs
format article
author Luciana SANTOS
Thalita JACOBY
Sandro NESS
Gérson GUERRA
Carlos A. WAYHS
author_facet Luciana SANTOS
Thalita JACOBY
Sandro NESS
Gérson GUERRA
Carlos A. WAYHS
author_sort Luciana SANTOS
title Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
title_short Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
title_full Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
title_fullStr Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
title_full_unstemmed Prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
title_sort prescribing errors involving antineoplastics and others drug centre of preparation of injectable drugs
publisher Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate 2020
url https://doaj.org/article/fa1be64eb82144fcb4e8c23a984c8fad
work_keys_str_mv AT lucianasantos prescribingerrorsinvolvingantineoplasticsandothersdrugcentreofpreparationofinjectabledrugs
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AT sandroness prescribingerrorsinvolvingantineoplasticsandothersdrugcentreofpreparationofinjectabledrugs
AT gersonguerra prescribingerrorsinvolvingantineoplasticsandothersdrugcentreofpreparationofinjectabledrugs
AT carlosawayhs prescribingerrorsinvolvingantineoplasticsandothersdrugcentreofpreparationofinjectabledrugs
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