臺灣臨床藥學會於2008 年接受行政院衛生署與健保局的委託，進行了二項與化學治療藥物處理相關的研究計畫。為了整合此二項研究計畫的成果，形成了台灣臨床藥學會臺灣危害性藥物處理規範小組，除了參考國際的相關規範，經過詳細的討論，形成了合乎臺灣當地國情與近期可及標準之規範。此項規範為臺灣第一個經由不同領域的專家訂定，涵蓋藥學、護理、毒理、職業安全等。其內容完整地包含了在台灣上市的危害性藥物定義、毒性分級、防護層級，以及提供實際醫療工作人員包括醫師、藥師、護理人員、清潔人員等相關工作流程。此規範亦經財團法人台灣腫瘤護理學會、行政院勞工委員會勞工安全衛生研究所同意聯合制定。此規範的建立為一個開始，期盼能使臺灣的醫療人員與環境因為有一致的標準而得到保護，病人照顧的品質與安全也因為此規範的推行，得以提升。
In 2008, Taiwan Society of Health System Pharmacist (TSHP) completed two research projects closely related to the handling of antineoplastic agents, which were sponsored by Department of Health, Executive Yuan and Bureau of National Health Insurance, respectively. In order to integrate the products from these two projects, the Task Force of Taiwan Guidelines on Handling Hazardous Drugs under TSHP was formed. After detailed and rigorous discussions, the guidelines were established in accordance with not only the well-known international guidelines, but also the local situations in Taiwan and the standards achievable within recent years. This is the first guideline regarding the handling hazardous drugs in Taiwan that is developed by broad range of expertise, including pharmacy, nursing, toxicology, and occupational safety. It covers complete information on the definition, toxic level categorization, and protective levels of hazardous drugs available in Taiwan and those procedures needed to be performed by physicians, nurses, pharmacists, and cleaning personnel. It is also approved by Oncology Nursing Society of Taiwan and the Institute of Occupational Safety and Health. With the implementation of the standardized guidelines, all health care professionals and the environment could be protected and the safety and quality of patient care could be improved.
Acknowledgements: We would like to give thanks to the financial support from the Department of Health, Executive Yuan and Bureau of National Health Insurance (Project No. DOH97-NH-1012 and 98C4202). We are also indebted to all the experts from the Task Force of Taiwan Guidelines on Handling Hazardous Drugs for reviewing the documents and providing opinions, especially the Coordinators, who are Su-Yu Chien, Gua-Tsu Chen, and Shao-Chin Chiang.
