Escoms M C, Cabañas M J, Oliveras M, Hidalgo E, Barroso C
Pharmacy Service, Hospital Materno-infantil Vall d'Hebron, Barcelona, Spain.
Pharm World Sci. 1996 Oct;18(5):178-81. doi: 10.1007/BF00820729.
We analyzed the errors occurring in the preparation circuit of cytotoxic mixtures of the Centralized Cytotoxic Preparation Unit during one year. Analysis of their evolution meant the investigation of twenty parameters susceptible to error. Each parameter was considered one error opportunity. Error has been defined either by the lack of data or mistake in the controlled parameter. In 4,734 preparations (94,680 parameters) there were 314 errors. The percentage of error per parameter in the first month of study was 0.74; at sixth was 0.34 and the last month was 0.26. Only in four months the day of maximum number of preparations coincided with the day of maximum number of errors. We conclude that the percentage of errors in the preparation process is low with a tendency to decrease and that the number of daily preparations is not the single factor that influences the production of errors.
我们分析了一年中集中细胞毒性制剂制备单元细胞毒性混合物制备电路中出现的错误。对其演变的分析意味着对20个易出错参数进行调查。每个参数被视为一个错误机会。错误被定义为数据缺失或受控参数错误。在4734次制备（94680个参数）中，有314个错误。研究第一个月每个参数的错误百分比为0.74；第六个月为0.34，最后一个月为0.26。只有四个月的最大制备天数与最大错误天数一致。我们得出结论，制备过程中的错误百分比很低且有下降趋势，并且每日制备数量不是影响错误产生的唯一因素。
