Adherence to a Standardized Order Form for Gastric Cancer in a Referral Chemotherapy Teaching Hospital, Mashhad, Iran
- سال انتشار: 1396
- محل انتشار: مجله سرطان خاورمیانه، دوره: 8، شماره: 4
- کد COI اختصاصی: JR_MISJ-8-4_003
- زبان مقاله: انگلیسی
- تعداد مشاهده: 118
نویسندگان
Department of Clinical Pharmacy, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Hematology and Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Clinical Pharmacy, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
Cancer Research Center, Faculty of Medicine, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Cancer Research Center, Faculty of Medicine, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Background: Standardized forms for prescription and medication administration are one solution to reduce medication errors in the chemotherapy process. Gastric cancer is the most common cancer in Iran. In this study, we have attempted to design and validate a standard printed chemotherapy form and evaluate adherence by oncologists and nurses to this form.Methods: We performed this cross-sectional study in a Mashhad, Iran teaching hospital from August ۲۰۱۵ until January ۲۰۱۶. A clinical pharmacist designed the chemotherapy form that included various demographic and clinical parameters and approved chemotherapy regimens for gastric cancer. Clinical oncologists that worked in this center validated the form. We included all eligible patients. A pharmacy student identified adherence by the oncologists and nurses to this form and probable medication errors. Results are mean ± standard deviation or number (percentages) for nominal variables. Data analysis was performed using the SPSS ۱۶.۰ statistical package.Results: We evaluated ۵۴ patients and a total of ۲۴۹ chemotherapy courses. In ۱۴۶ (۵۸.۶۳%) chemotherapy sessions, the administered regimens lacked compatibility with the standard form. Approximately ۶۶% of recorded errors occurred in the prescription phase and the remainder during the administration phase. The most common errors included improper dose (۶۱%) and wrong infusion time (۳۴%). We observed that ۳۷ dose calculation errors occurred in ۳۲ chemotherapy sessions.Conclusions: In general, adherence by oncologists and nurses with the developed form for chemotherapy treatment of gastric cancer was not acceptable. These findings indicated the necessity for a standardized order sheet to simplify the chemotherapy process for the clinicians, and reduce prescription and administration errors.کلیدواژه ها
اطلاعات بیشتر در مورد COI
COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.
کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.