새로운 항암제 처방 감사 시스템 도입을 통한 의료의 질 향상

김민선; 김윤경; 이연주; 최윤자; 신혜영; 송영천

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자료유형: 학술저널

저자정보: 김민선 (서울아산병원 약제팀) 김윤경 (서울아산병원 약제팀) 이연주 (서울아산병원 약제팀) 최윤자 (서울아산병원 약제팀) 신혜영 (서울아산병원 약제팀) 송영천 (서울아산병원 약제팀)

저널정보: 한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제14권 제2호

발행연도: 2008.1

수록면: 125 - 132 (8page)

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Background : The number of outpatient injected anticancer drug is increasing. and the pathway of prescribing, compounding, and injecting anticancer drug is processed very rapidly in out-patient department. Moreover, Dose of anticancer drug is often changed depending on side effect of patients. So we need more effective inspection of anticancer drug prescriptions. The purpose of this study was to analyze the prescription errors for anticancer drugs in Out-Patient Department and to suggest system to prevent them. Method : The study took place at Asan Medical Center from July to September 2007. The pharmacists performed inspection of anticancer drug prescriptions before compounding and injecting. We used protocol-based anticancer drug order program and Electronic Medical Record (EMR). Result : During the study period, we analyzed 4683 prescriptions for out-patient. And we detected 55 medication errors (1.2%). Most common errors included dosage above or below the correct ones (56.3%), followed by incorrect treatment duration. Because most of dosing errors were in the range of usual dosage, it was hard to detect them. So when inspecting the prescription, we considered the medical records of individual patients. As a result, we could raise the efficiency of intervention. Therefore inspection using EMR could possibly reduce the number of anticancer drug errors. Conclusion : we are preventing the medication errors on stability and dosage above or below the maximum therapeutic dose according to the previous inspection system. However most of dosing errors were in the range of usual dosage according to the result of this study. Because of there was interpatient variability of dosage depending adverse effect. For improvement of quality assurance, we suggest inspection system based on patient's medical history.

#medication errors #anticancer drug

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김민선

소속기관 서울아산병원 약제팀

주요연구분야 의약학 > 기초의학 > 예방의학·직업환경의학 의약학 > 약학

논문수 2 이용수 11

김윤경

소속기관 제일의료재단 제일병원 소아청소년과, 2병동