Implementation of electronic prescription order to optimize a drug dispensing
Keywords:
prescrição eletrônica, segurança do paciente, uso de medicamentosAbstract
Objective: To describe the pharmaceutical care implementation results in patients using capecitabine for metastatic breast cancer treatment, in a public hospital in the South of Brazil.
Methods: The study was design as a observational cohort of patients diagnosed with metastatic breast cancer and treated with capecitabine during the period from September 2012 to April 2013. The pharmaceutical care model comprised interviews, analysis of drug related problems (DRP), case management (including pharmaceutical interventions, as required) and follow-up assessment.
Results: Thirty one patients were included in this study, whereas during this period 11 patients discontinued capecitabine. The patients underwent on average 13.7 (± 16.6) cycles of treatment (minimum 2 and maximum 92), when 158 interviews were performed (5 ± 2.4 / patient) and were identified 289 DRP. Of these, 82.7% represented adverse drug reactions (ADR). We identified 35 different kinds of ADR, of which the most frequent were hand-foot syndrome (42.2%), followed by nausea (8.8%) and skin hyperpigmentation (7.1%). Regarding ADR severity, 82.8% were classified as grade 1, 16.3% as grade 2 and 0.8% as grade 3. Several pharmaceutical interventions were performed (n=197), with the acceptance rate of 80.3%.
Conclusion: The model proposed in this study was effective in identifying PRM, allowing pharmaceutical interventions and preventive management, mostly accepted. However, it must be reinforced the need for further studies with appropriate design to establish an adequate safety profile of capecitabine.
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