Mc. Escoms et al., ERRORS EVOLUTION AND ANALYSIS IN ANTINEOPLASTIC DRUG PREPARATION DURING ONE-YEAR, Pharmacy world & science, 18(5), 1996, pp. 178-181
We analyzed the errors occurring in the preparation circuit of cytotox
ic mixtures of the Centralized Cytotoxic Preparation Unit during one y
ear. Analysis of their evolution meant the investigation of twenty par
ameters susceptible to error. Each parameter was considered one error
opportunity. Error has been defined either by the lack of data or mist
ake in the controlled parameter, in 4,734 preparations (94,680 paramet
ers) there were 314 errors. The percentage of error per parameter in t
he first month of study was 0.74; at sixth was 0.34 and the las month
was 0.26. Only in four months the day of maximum number of preparation
s coincided with the day of maximum number of errors. We conclude that
the percentage of errors in the preparation process is low with a ten
dency to decrease and that the number of daily preparations is not the
single factor that influences the production of errors.