Abstract:
:Background Dose banding (DB) is a strategy to rationalise antineoplastic production at Hospital Pharmacy Aseptic Compounding Units (ACUs) and to reduce patient's waiting time. DB allows for optimizing workflows and workloads, facilitating adoption of new technologies, and increasing safety, quality and efficiency of the compounding process. Objective To evaluate the potential impact of implementation of Logarithmic DB and to identify antineoplastic agents and preparations that fulfil criteria published and establish the number and standard doses that could be compounded in advance at the ACU. Setting University and Polytechnic third level general hospital. Method Retrospective observational study (December 2015-May 2016). Antineoplastic dose production was analysed. Investigational drugs were excluded. Three criteria were applied following bibliography reviewed to select candidates to be compounded at our ACU as standardised using logarithmic DB: (a) Antineoplastic preparations > 250 per year; (b) psychochemical stability in optimal storage conditions at least 14 days; (c) maximum five logarithmic standardised doses that include at least 60% of all individualised doses compounded for a given drug. Main outcome measure Number of antineoplastic agents, preparations and logarithmic standard doses candidates to DB. Results 15,436 antineoplastic individualised doses corresponding to 69 antineoplastic agents were analysed. At our institution applying selection criteria, 19 (27%) antineoplastic drugs (3 monoclonal antibodies, 16 cytotoxic) were potential candidates to DB. 6285 (40%) of compounded individualised dose preparations could be prepared in 84 logarithmic standard doses in advance. Conclusion Dose banding implementations could contribute to rationalise antineoplastic production and increase the ACUs compounding capacity.
journal_name
Int J Clin Pharmjournal_title
International journal of clinical pharmacyauthors
Albert-Marí A,Valero-García S,Fornés-Ferrer V,Poveda-Andrés JLdoi
10.1007/s11096-018-0714-9subject
Has Abstractpub_date
2018-10-01 00:00:00pages
1281-1291issue
5eissn
2210-7703issn
2210-7711pii
10.1007/s11096-018-0714-9journal_volume
40pub_type
杂志文章abstract::Background The direct oral anticoagulants (DOACs) offer several advantages over warfarin in the management atrial fibrillation, including the provision of fixed dosing without a requirement for regular monitoring. Recently however the subject of DOAC monitoring has been probed after several post-hoc analyses demonstra...
journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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