Pharmacist's role in spotting chemotherapy medication errors.
Journal name: World Journal of Pharmaceutical Research
Original article title: Role of the pharmacist indetecting chemotherapy medication errors in medical city department
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Original source:
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Hanan Sabah Ahmed Al-Jumaili, High Dip., Saba Sabah Ahmed Al-Jumaili, Phd., Ahmad Shihab Ahmad Al-Gburi, C. A. B. CM.
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Role of the pharmacist indetecting chemotherapy medication errors in medical city department
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20199-15407
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Medication errors in the context of chemotherapy are a significant concern in hematology due to the high toxicity and narrow therapeutic indices of the drugs involved. The primary responsibility for preventing these errors falls on healthcare providers, particularly pharmacists who play a crucial role in ensuring the safe preparation and administration of chemotherapy agents. This study evaluates the impact of clinical pharmacists in detecting and reducing chemotherapy medication errors at the Hematology Center, Medical City Department, in Baghdad, Iraq, by comparing error rates over two distinct periods.
Importance of Pharmacists in Error Detection
One of the key findings of the study highlights the critical role of clinical pharmacists in identifying prescription errors, particularly with hazardous drugs. The study demonstrated that a structured approach involving pharmacists significantly reduced documented medication errors. Over a retrospective analysis of two 24-month periods, a notable reduction of 18.6834% in errors was observed. This reduction was largely attributed to improved communication strategies, enhanced protocols for chemotherapy preparation, and the implementation of standardized guidelines to assist in error prevention.
Strategies for Error Prevention
The study underscores various strategies essential for minimizing medication errors during chemotherapy preparation. These include the utilization of computerized prescribing systems, specialized chemotherapy equipment, and improved education for healthcare staff. By adopting advanced technologies and ensuring robust training protocols, healthcare facilities can effectively decrease the risk of medication errors. Furthermore, establishing clear guidelines and mandatory double-checking by technicians and clinical pharmacists also emerged as vital components in error management processes in pharmacies.
Role of Monitoring and Education
Another significant finding relates to the necessity of continuous monitoring and education as a part of the chemotherapy medication administration process. Patients must be informed about their medications, including names, administration routes, and potential side effects. Moreover, fostering a culture of safety and open communication among healthcare professionals is crucial for reporting and addressing medication errors. Institutional commitment to patient safety protocols, along with thorough education for all healthcare staff involved in chemotherapy delivery, plays an integral role in maintaining a high standard of care.
Conclusion
In conclusion, the study provides compelling evidence that the involvement of clinical pharmacists in detecting and preventing chemotherapy medication errors can greatly enhance patient safety outcomes. The analysis indicates that as strategies and systems become more advanced, the percentage of medication errors can be significantly minimized. Continuous efforts to establish standardized practices, enhance education, and utilize technology are recommended to further mitigate risks associated with chemotherapy administration. This collaborative approach among pharmacists, physicians, and nursing staff not only fosters a culture of safety but also serves as a model for improving medication management in healthcare settings.
FAQ section (important questions/answers):
What is the primary role of pharmacists in chemotherapy?
Pharmacists play a crucial role in detecting chemotherapy medication errors, ensuring the accuracy of drug prescriptions, and monitoring potential adverse effects. They help safeguard against mistakes that could have serious consequences for patient health.
What are common chemotherapy medication errors discussed in the study?
Common errors include incorrect dosing, wrong drug administration routes, and confusion between similar-sounding drug names, such as Vincristine and Vinblastine, which can lead to severe patient harm or death.
How can computerized systems help reduce medication errors?
Computerized prescribing systems can significantly minimize human error by automating dosage calculations and ensuring that the correct protocols are followed, thus providing alerts for potential mistakes before they occur.
What were the results of the retrospective study on medication errors?
The study found a significant reduction in documented medication errors, dropping from 25.71% in the first 24 months to 7.03% in the latter 24 months, indicating improved safety measures and practices.
What strategies were recommended to prevent chemotherapy errors?
Recommended strategies include implementing computerized prescriber order entry, establishing clear guidelines, training staff consistently, and using proper labeling and packaging to reduce the risk of confusion among hazardous drugs.
Why is monitoring patients essential after chemotherapy administration?
Monitoring patients for adverse reactions post-administration is vital for early detection of potential side effects due to medication errors, ensuring timely intervention and improving overall patient safety.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Pharmacist's role in spotting chemotherapy medication errors.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Drug:
Drugs are substances that alter bodily functions and are used in healthcare to treat illnesses or improve health outcomes. In the context of this study, drugs refer to chemotherapy agents that must be accurately prescribed, prepared, and administered to mitigate the risk of medication errors and ensure patient safety.
2) Chemotherapy:
Chemotherapy refers to the use of drugs to treat cancer. It works by targeting rapidly dividing cells, which include both cancer cells and some healthy cells. The process of administering chemotherapy must be precisely managed to avoid errors, as medication errors during chemotherapy can lead to severe patient harm or ineffective treatment.
3) Table:
Tables in research articles present organized data, enabling a clear comparison of results over time. In this study, tables are used to display the number of prescriptions, doses, and medication errors, allowing for straightforward analysis of the effectiveness of interventions aimed at reducing chemotherapy medication errors.
4) Death:
Death, in the context of medication errors, refers to the ultimate consequence of a significant medical error, particularly in chemotherapy where mistakes can lead to fatal outcomes. The study emphasizes the need for strict protocols to avoid dosing errors that could result in patient death during cancer treatment.
5) Calculation:
Calculation involves determining dosages and medication regimens based on specific patient parameters. Accurate calculation is critical in chemotherapy preparation, as dosing errors can have serious health implications. The study highlighted the importance of double-checking calculations to reduce the risk of errors associated with chemotherapy drugs.
6) Study (Studying):
A study in this context refers to a systematic investigation that aims to understand medication errors in chemotherapy and evaluate the effectiveness of pharmacist interventions in detecting and reducing these errors. The results of the study help inform future practices and protocols in oncology settings.
7) Writing:
Writing refers to the documentation process involved in prescribing and preparing medications. Accurate writing of prescriptions is crucial to avoid misinterpretation and errors. Poor handwriting can lead to mistakes, especially in high-stakes settings like chemotherapy, underscoring the importance of legibility and clarity in medication orders.
8) Quality:
Quality in healthcare refers to the standard of care provided to patients, including safety, efficacy, and satisfaction with treatment. In this study, quality is linked to reducing medication errors through the implementation of standardized procedures and guidelines, ultimately aiming to enhance patient safety during chemotherapy.
9) Education:
Education encompasses the training and information provided to healthcare professionals, patients, and their families regarding medication use and risks. Continuous education about chemotherapy drugs, their side effects, and administration procedures is vital for reducing errors and ensuring a better understanding of treatment among patients.
10) Measurement:
Measurement involves quantifying patient parameters and medication dosages accurately. In this study, precise measurement is essential to ensure that chemotherapy drugs are administered correctly, as incorrect dosing can lead to adverse effects. The study highlights the impact of accurate measurement in preventing errors during drug preparation.
11) Discussion:
Discussion refers to the analysis and interpretation of study results. It provides insights into the causes of medication errors in chemotherapy and explores potential solutions. It is crucial for identifying areas that require improvement in clinical practices and establishing effective strategies to enhance patient safety in healthcare.
12) Container:
A container refers to the packaging used to hold and administer medication. In chemotherapy, containers must be clearly labeled with critical information such as drug name, dosage, and administration route to avoid errors. Proper usage of containers ensures the safe handling and delivery of hazardous drugs.
13) Toxicity:
Toxicity refers to the degree to which a substance can harm living organisms. In chemotherapy, understanding drug toxicity is essential for tailoring treatment plans that minimize harm while effectively targeting cancer cells. The study underscores the need for careful handling and preparation of toxic drugs to prevent adverse effects on patients.
14) Training:
Training denotes the education and experience provided to healthcare staff about safe medication practices, particularly regarding chemotherapy preparation and administration. Ongoing training is critical for pharmacists and technicians to reinforce safe handling of hazardous drugs and enhance their ability to detect errors before they affect patients.
15) Allergy:
Allergy refers to an adverse immune response to specific substances, including medications. Awareness of patient allergies is crucial in preventing adverse drug reactions during chemotherapy. Identifying and documenting antibiotics and other drug allergies helps healthcare providers avoid prescribing or administering medications that could trigger harmful reactions.
16) Deafness:
Deafness relates to impairment of the auditory function, which can be a serious adverse effect of certain chemotherapy drugs, particularly cisplatin and carboplatin. Recognizing the potential for drug-induced deafness is essential in treatment planning, as it necessitates careful monitoring and informed consent regarding the risks of chemotherapy.
17) Disease:
Disease refers to a pathological condition that disrupts normal physiological functions. In this study, the focus is on cancer as the primary disease being treated with chemotherapy. Understanding the specifics of the disease is vital for tailoring effective treatment regimens and minimizing medication errors during therapy.
18) Dealing:
Dealing involves managing the complexities and risks associated with chemotherapy medication preparation and administration. Effective dealing with potential issues, such as errors or adverse reactions, requires a collaborative approach among healthcare professionals to enhance patient safety and provide high-quality care throughout the treatment process.
19) Surface:
Surface refers to the body's surface area, a crucial metric used to calculate appropriate drug dosing in chemotherapy. Accurate determination of a patient's body surface area ensures that chemotherapy agents are administered effectively and safely, minimizing the risk of toxicity and maximizing therapeutic outcomes.
20) Family:
Family denotes the support system surrounding patients who undergo chemotherapy. Educating families about treatment, potential side effects, and the importance of medication safety fosters a supportive environment that aids patient understanding and compliance, ultimately enhancing the overall treatment experience and outcomes.
21) Reason:
Reason refers to the underlying cause for medication errors identified in this study. Understanding the reasons behind errors helps in developing targeted interventions aimed at mitigating those issues, promoting safer medication practices, and ultimately leading to improved patient safety within chemotherapy administration.
22) Medium:
Medium in this context refers to the methods and systems used to deliver and manage chemotherapy treatment. The choice of medium affects drug concentration, efficacy, and potential errors during preparation. Establishing a reliable medium through standardized protocols is essential in preventing medication administration errors.
23) Powder:
Powder refers to a form of medication that requires reconstitution with a diluent before administration. In chemotherapy, the accuracy of handling powdered drugs is critical, as improper reconstitution can lead to incorrect dosages, increasing the risk of medication errors and potentially severe patient harm.
24) Hand:
Hand involvement refers to the physical actions taken by healthcare professionals during medication preparation and administration. Hand errors in chemotherapy, often related to miscalculations or misinterpretations of prescriptions, can lead to serious consequences, highlighting the need for thorough training and double-checking procedures in pharmacy practice.
25) Life:
Life indicates the ultimate goal of healthcare: to preserve and improve patient well-being. In chemotherapy, ensuring the safe administration of drugs directly impacts patient survival and quality of life. Efforts to reduce medication errors contribute to better outcomes and the overall effectiveness of cancer treatment.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Pharmacist's role in spotting chemotherapy medication errors.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Education and training, Clinical pharmacist, Risk reduction strategies, Medication error, Incident reporting, Standard guideline.