Adherence to a Standardized Chemotherapy Order form for Colorectal Cancer in a Referral Teaching Hospital, Mashhad, Iran

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KOOSHYAR MOHAMAD MEHDI; Maruzi Anoosheh; FANIPAKDEL AZAR; ELYASI SEPIDEH; TAGHIZADEH KERMANI ALI; AKBARZADEH MAHDI; ALEDAVOOD SEYED AMIR

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Journal: Iranian Journal of Pharmaceutical Research Year:2019 | Volume:18 | Issue:1 Page(s): 488-495

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Title

Adherence to a Standardized Chemotherapy Order form for Colorectal Cancer in a Referral Teaching Hospital, Mashhad, Iran

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Keywords

Colorectal cancer

Chemotherapy

Medication error

Standard form

Teaching hospital

Abstract

Using standardized forms for prescription and administration of medications is one of the main solutions for reducing Medication errors in the Chemotherapy process. Considering the high prevalence and mortality rate of Colorectal cancer, in this study we tried to design and validate a standard printed form and evaluate oncologists’ and nurses’ adherence to this form. This cross-sectional study was performed in Omid hospital, Mashhad, Iran from January 2015 to October 2015. A Chemotherapy form including various demographic and clinical parameters and approved Chemotherapy regimens for Colorectal cancer was designed by the clinical pharmacist and validated by clinical oncologists working in this center. All eligible patients admitted in this center during this period of time were included in the study. Adherence of the oncologists and nurses to this form and probable Medication errors were identified by the pharmacy student. Sixty-seven patients with Colorectal cancer and a total of 251 Chemotherapy courses were evaluated. All patients received regimens compatible with developed form but in 206 courses (98. 56%) of Chemotherapy dosing error happened and in most of cases patients received lower than calculated dose (37. 8%). Three errors occurred in administration step by nurses which they infused the medication in shorter than recommended duration. In general, oncologists’ adherence with developed form for Chemotherapy of Colorectal cancer was relatively high, except in dose calculation. Avoiding from rounding the calculated medications’ doses and precise calculation of patients’ body surface area can prevent most of Medication errors and reduce risk of adverse drug reaction occurrence.

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APA: Copy

KOOSHYAR, MOHAMAD MEHDI, Maruzi, Anoosheh, FANIPAKDEL, AZAR, ELYASI, SEPIDEH, TAGHIZADEH KERMANI, ALI, AKBARZADEH, MAHDI, & ALEDAVOOD, SEYED AMIR. (2019). Adherence to a Standardized Chemotherapy Order form for Colorectal Cancer in a Referral Teaching Hospital, Mashhad, Iran. IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH (IJPR), 18(1), 488-495. SID. https://sid.ir/paper/289230/en

Vancouver: Copy

KOOSHYAR MOHAMAD MEHDI, Maruzi Anoosheh, FANIPAKDEL AZAR, ELYASI SEPIDEH, TAGHIZADEH KERMANI ALI, AKBARZADEH MAHDI, ALEDAVOOD SEYED AMIR. Adherence to a Standardized Chemotherapy Order form for Colorectal Cancer in a Referral Teaching Hospital, Mashhad, Iran. IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH (IJPR)[Internet]. 2019;18(1):488-495. Available from: https://sid.ir/paper/289230/en

IEEE: Copy

MOHAMAD MEHDI KOOSHYAR, Anoosheh Maruzi, AZAR FANIPAKDEL, SEPIDEH ELYASI, ALI TAGHIZADEH KERMANI, MAHDI AKBARZADEH, and SEYED AMIR ALEDAVOOD, “Adherence to a Standardized Chemotherapy Order form for Colorectal Cancer in a Referral Teaching Hospital, Mashhad, Iran,” IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH (IJPR), vol. 18, no. 1, pp. 488–495, 2019, [Online]. Available: https://sid.ir/paper/289230/en

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