AMIA Annu Symp Proc - Linked orders improve safety in scheduling and administration of chemotherapeutic agents.

Tópicos

{ system(1050) medic(1026) inform(1018) }
{ medic(1828) order(1363) alert(1069) }
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{ activ(1452) weight(1219) physic(1104) }
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{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The pharmacologic treatment for cancer must adhere to complex, finely orchestrated treatment plans, including not only chemotherapy medications, but pre/post-hydration, anti-emetics, anti-anxiety, and other medications that are given before, during and after chemotherapy doses. The treatment plans specify the medications and dictate precise dosing, frequency, and timing. This is a challenge to most Computerized Physician Order Entry (CPOE), Pharmacy and Electronic Medication Administration record (eMAR) Systems. Medications are scheduled on specific dates, referred to as chemo days, from the onset of the treatment, and precisely timed on the designated chemo day. For patients enrolled in research protocols, the adherence to the defined schedule takes on additional import, since variation is a violation of the protocol. If the oncologist determines that medications must be administered outside the defined constraints, the patient must be un-enrolled from the protocol and the course of therapy is re-written. Pharmacy and eMAR systems utilized in processing chemotherapy medications must be able to support the intricate relationships between each drug defined in the treatment plans.

Resumo Limpo

pharmacolog treatment cancer must adher complex fine orchestr treatment plan includ chemotherapi medic preposthydr antiemet antianxieti medic given chemotherapi dose treatment plan specifi medic dictat precis dose frequenc time challeng computer physician order entri cpoe pharmaci electron medic administr record emar system medic schedul specif date refer chemo day onset treatment precis time design chemo day patient enrol research protocol adher defin schedul take addit import sinc variat violat protocol oncologist determin medic must administ outsid defin constraint patient must unenrol protocol cours therapi rewritten pharmaci emar system util process chemotherapi medic must abl support intric relationship drug defin treatment plan

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