BMJ 1996;312:707 (16 March)

Letters

Computerised prescribing of chemotherapy reduces errors

EDITOR,--S M Cotter advocates computerised prescribing as a useful addition to a clinical pharmacy service.1 In 1993 we introduced a computerised prescribing system for cytotoxic chemotherapy in order to improve patients' care, rationalise prescribing, and increase the quality, clarity, and safety of prescriptions. Other advantages include improved compliance with protocols, ease of access to clinical data, a decrease in prescribing time, a reduction in errors of transcription, and help with audit.2 3 4

At any time up to 50 research and standard chemotherapy protocols are available in our unit. Chemotherapy regimens are often complex, yet compliance is essential for patients' safety and to maintain good clinical practice. Most prescribing for chemotherapy is done by senior house officers undertaking the medical oncology attachment on a general medicine rotation. They do not normally have previous experience in oncology and are not expected to know all the intricacies of chemotherapy regimens. Pressures to reduce junior . . . [Full text of this article]


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