OBJECTIVE: To investigate the measures and roles of pharmaceutical care in improving the safety of chemotherapy by clinical pharmacists. METHODS: Chemotherapy drug-induced ADR medical records were collected from oncology department of our hospital during Jan.-Dec. 2013 (before intervention) and Apr. 2014-Mar. 2015 (after intervention), and then analyzed and compared in respects of chemotherapy plan, patient’ age and gender, route of administration, involved organs and systems, severe ADR, etc. RESULTS: After the formulation and implementation of pharmaceutical care for improving safe use of chemotherapy drugs, the incidence of chemotherapy drugs-induced ADR decreased from 88.48% to 72.14%; the incidence of ADR of involved digestive system, skin and its appendants decreased from 67.28% and 7.37% to 42.29% and 1.99%, respectively; the incidence of severe nausea and vomiting decreased from 27.65% to 18.91%; the constituent ratio of single agent chemotherapy and oral administration route increased from 31.80%(69/217) and 14.29%(31/217) to 44.28%(89/201) and 22.39%(45/201), respectively (P<0.05). CONCLUSIONS: Pharmaceutical care intervention measures formulated by clinical pharmacists can significantly lower the incidence of ADR, promote safe use of chemotherapy drugs and guarantee the safety of drug use.