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可注射抗癌药物的高级处方:在欧洲综合癌症中心使用风险矩阵方法进行安全性评估
Alexandre Acramel1,2, Sandy Blondeel-Gomes3, Mathilde Dupré1
1Département de Pharmacie, Institut Curie, PSL Research University, Paris, France.
British journal of clinical pharmacology
|February 25, 2024
概括
随着风险管理,先进的对肠道抗癌药物的处方是安全的. 关键风险包括错过剂量调整,重复处方和异常生物学数据,临床医生可以有效管理这些风险.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 在成年人白天瘤护理中,先进的对肠道抗癌药物的处方是常见的.
- 在这种环境中确保患者安全需要严格的风险评估.
研究的目的:
- 评估在先进处方的门抗癌药物的潜在失败.
- 识别和分析高人数的成人白天瘤护理单位的风险.
主要方法:
- 使用风险矩阵方法进行先验描述性分析.
- 识别故障模式,效应和原因.
- 赋予严重程度和发生分数以确定关键性和剩余关键性指数.
主要成果:
- 确定了14种故障模式和61种故障场景.
- 9个情况 (15%) 具有最大的关键性指数;34个情况 (55%) 具有微不足道的关键性.
- 只有三个关键情况 (5%) 需要过程干预:错过剂量调整,多次处方和异常生物学数据.
结论:
- 当与有效的风险管理相结合时,先进的注射抗癌药物处方是安全的.
- 主要确定的风险包括剂量调整错误,处方重复,以及未能考虑异常生物学数据.
- 临床医生和药剂师的意识对于管理已识别的风险至关重要.
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