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Journal Article > Review
Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.
Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.
Journal Article > Study
SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors.
Sarfati L, Ranchon F, Vantard N, et al. J Clin Pharm Ther. 2015;40:55-62.
This study examined error detection in chemotherapeutic preparation, which has been associated with several high-profile adverse outcomes. Pharmacy technicians were more likely to identify errors following a simulation exercise, adding to the evidence for simulation as an effective patient safety tool. A past AHRQ WebM&M perspective discussed a widely-publicized incident involving a patient who died due to inadvertent overdose of chemotherapy and the resulting organizational changes made in the hospital.
Journal Article > Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Crandell BC, Bates JS, Grgic T. J Oncol Pharm Pract. 2018;24:609-616.
Chemotherapy orders contain many steps that pose opportunities for prescribing errors. This commentary describes a six-step checklist designed to improve the reliability of the chemotherapy order review that was used by oncology pharmacists. The authors see future applications of the checklist as a cross-training and educational cognitive aid for practitioners and students.