Traceability in the preparation and administration of cytostatic agents at the hospital de Barcelona

• Autores: Maria del Mar Montes Casas, Ana Ayestarán Altuna, Carmen Lacasa Díaz, Nuria Berdejo Faja, Katteryn Gómez Bone, Lourdes Romero Antunez, María de la Concepción Sánchez Calle, Ana Solís Morales, Silvia Pélaez Herrero, Iram Rafique Batthi
• Localización: European journal of clinical pharmacy: atención farmacéutica, ISSN 2385-409X, Vol. 22, Nº. 3, 2020, págs. 150-153
• Idioma: inglés
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• Resumen

  • Introduction: Oncology patients are especially vulnerable to medication errors. Cytostatic agents are «high risk» drugs; they may cause great damage if used inappropriately and may even be lethal.

    Methods: A gravimetry-based, technology-assisted workflow was implemented that allows traceability of preparations until their administration to patients in the day hospital, with bar code readings and gravimetric controls during compounding.

    Results: Eighty per cent of the preparations were compounded with gravimetry but only 20-40% were administered using the traceability system. Around 8% of the preparations did not pass gravimetric controls, and so validation by the pharmacist was required.

    Conclusions: The system detects errors during preparation and administration and keeps a record of all the products used. It requires a substantial investment in equipment, a good Wi-Fi network and informatics support