The "Protocol Impact Query System,"¥ a Tool for Patient and Resource Utilization in Oncology Clinical Research Trials

2.50
Hdl Handle:
http://hdl.handle.net/10755/164839
Category:
Abstract
Type:
Presentation
Title:
The "Protocol Impact Query System,"¥ a Tool for Patient and Resource Utilization in Oncology Clinical Research Trials
Author(s):
Ward, Jean; Castro,Kathleen; Jones, Antoinette
Author Details:
Jean Ward, RN, BSN ,OCN, Clinical Manager, National Institutes of Health, Bethesda, Maryland, USA, email: WardJL@mail.nih.gov; Kathleen Castro, RN, MS, AOCN; Antoinette Jones, LCDR, BSN, RN
Abstract:
Clinical/Evidence Based Practice: The Joint Commission's new National Patient Safety Goal reads; "Implement a standardized approach to hand off communication." In a research environment, this may be challenging. It is essential that detailed and precise communications exist between the research team and the clinical research nurse (CRN) to maintain patient safety and protocol integrity. A system that allows for real-time communication and feedback is necessary to achieve research objectives. Our purpose is to describe the "Protocol Impact Query System (PIQS)" we created to standardize communication between the research team and oncology CRN. The oncology ambulatory infusion center would frequently be notified of a new clinical trial only days before the first patient received treatment. This lack of planning and communication lead to frustration and demands on staffing and resource allocation that we were not prepared to meet. To ensure patient safety and protocol integrity the PIQS was developed. The PIQS assesses and mobilizes resources to implement new clinical trials approved by the Institutional Review Board (IRB). The PIQS process is as follows: 1) An ambulatory oncology CRN is notified a protocol has received IRB approval 2) The research nurse completes an impact query form outlining the patient population, phase of study and treatment schema, 3) CRN leadership review the protocol query form and determine that the population being treated is appropriate for the ambulatory setting, which includes having appropriate equipment and staffing resources, 4) Potential barriers to protocol implementation are identified, 5) An education session is scheduled for nursing staff including an opportunity to ask and respond to questions. Once completed, the first research participant receives treatment. To date 98% of our research teams utilize the PIQS to implement their trials. The query system serves as a prompt to highlight specifics aspects of the protocol requiring additional clarification, training regarding trial equipment, procedures, schema and staff skill mix. Ongoing feedback is received from the research team at weekly intervals to determine if a change to the system is required. We have found that implementation of a standardized communication system is an effective means of meeting national patient safety goals.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe "Protocol Impact Query System,"¥ a Tool for Patient and Resource Utilization in Oncology Clinical Research Trialsen_GB
dc.contributor.authorWard, Jeanen_US
dc.contributor.authorCastro,Kathleenen_US
dc.contributor.authorJones, Antoinetteen_US
dc.author.detailsJean Ward, RN, BSN ,OCN, Clinical Manager, National Institutes of Health, Bethesda, Maryland, USA, email: WardJL@mail.nih.gov; Kathleen Castro, RN, MS, AOCN; Antoinette Jones, LCDR, BSN, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164839-
dc.description.abstractClinical/Evidence Based Practice: The Joint Commission's new National Patient Safety Goal reads; "Implement a standardized approach to hand off communication." In a research environment, this may be challenging. It is essential that detailed and precise communications exist between the research team and the clinical research nurse (CRN) to maintain patient safety and protocol integrity. A system that allows for real-time communication and feedback is necessary to achieve research objectives. Our purpose is to describe the "Protocol Impact Query System (PIQS)" we created to standardize communication between the research team and oncology CRN. The oncology ambulatory infusion center would frequently be notified of a new clinical trial only days before the first patient received treatment. This lack of planning and communication lead to frustration and demands on staffing and resource allocation that we were not prepared to meet. To ensure patient safety and protocol integrity the PIQS was developed. The PIQS assesses and mobilizes resources to implement new clinical trials approved by the Institutional Review Board (IRB). The PIQS process is as follows: 1) An ambulatory oncology CRN is notified a protocol has received IRB approval 2) The research nurse completes an impact query form outlining the patient population, phase of study and treatment schema, 3) CRN leadership review the protocol query form and determine that the population being treated is appropriate for the ambulatory setting, which includes having appropriate equipment and staffing resources, 4) Potential barriers to protocol implementation are identified, 5) An education session is scheduled for nursing staff including an opportunity to ask and respond to questions. Once completed, the first research participant receives treatment. To date 98% of our research teams utilize the PIQS to implement their trials. The query system serves as a prompt to highlight specifics aspects of the protocol requiring additional clarification, training regarding trial equipment, procedures, schema and staff skill mix. Ongoing feedback is received from the research team at weekly intervals to determine if a change to the system is required. We have found that implementation of a standardized communication system is an effective means of meeting national patient safety goals.en_GB
dc.date.available2011-10-27T12:07:56Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:56Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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