A MULTIDISCIPLINARY APPROACH TO SAFE CHEMOTHERAPY ADMINISTRATION - OVERSIGHT IN AN NCI-DESIGNATED CANCER CENTER

2.50
Hdl Handle:
http://hdl.handle.net/10755/165067
Category:
Abstract
Type:
Presentation
Title:
A MULTIDISCIPLINARY APPROACH TO SAFE CHEMOTHERAPY ADMINISTRATION - OVERSIGHT IN AN NCI-DESIGNATED CANCER CENTER
Author(s):
Miano, Wendy
Author Details:
Wendy Miano, DNP MSN RN AOCN, Director, Ireland Cancer Center, Cleveland, Ohio, USA, email: wendy.miano@uhhospitals.org
Abstract:
Patient safety is an intrinsic value at University Hospitals Case Medical Center (UHCMC). The Institute for Safe Medications Practices (ISMP) provided an onsite proactive risk assessment at UHCMC in April 2006. The Ireland Cancer Center at UHCMC comprises cross services and multiple settings in ambulatory and inpatient services for children and adults. ISMPÆs recommendations has encompassed pediatric and adult chemotherapy practices and processes, with an emphasis on communication. A multidisciplinary task force made up of oncology services providers was convened with medical and nursing leadership. ISMP recommended a workable process to communicate appropriate oncology patient information (chemotherapy protocols, treatment date(s), and response to treatment), both Inpatient Unit to ICC Ambulatory Unit and ICC Ambulatory Unit to Inpatient Unit In the absence of an integrated electronic health record, a manual procedure for communicating and documenting inpatient chemotherapy (adult and pediatric) in the Ireland Cancer Center (ICC) Ambulatory Unit medical record has been implemented. To address communication of ICC ambulatory chemotherapy given to the inpatient setting, an information technology consultant is developing a æChemotherapy and Oncologic Agents Administration ReportÆ (tied to current Clinical Physician Order Entry computer system). An audit specific to increasing communication of inpatient chemotherapy to ICC Ambulatory Unit has been conducted. Given the two-fold process in adult practice, inpatient chemotherapy MD orders filed in ICC medical record reflected a 90% successful compliance. Documentation of inpatient chemotherapy given on the ICC chemotherapy flow sheet reflected 70% successful compliance. The pediatric inpatient chemotherapy given documented in ICC Ambulatory medical record was 70% compliant in first chart audit. Pediatric nursing staff education and reinforcement of documentation contributed to a 90% successful compliance in the second audit. Ongoing staff education and audits will continue with a benchmark of 90% successful compliance. Instilling a culture of patient safety across disciplines as it relates to overall oversight of chemotherapy administration is our primary focus. Communication of chemotherapy and oncologic agents given in both ambulatory and inpatient settings represents a complex challenge. ICCÆs Oncologic Services Medication Quality and Safety Task Force will continue to champion initiatives specific to patient safety, quality, and improved communication across services.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleA MULTIDISCIPLINARY APPROACH TO SAFE CHEMOTHERAPY ADMINISTRATION - OVERSIGHT IN AN NCI-DESIGNATED CANCER CENTERen_GB
dc.contributor.authorMiano, Wendyen_US
dc.author.detailsWendy Miano, DNP MSN RN AOCN, Director, Ireland Cancer Center, Cleveland, Ohio, USA, email: wendy.miano@uhhospitals.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/165067-
dc.description.abstractPatient safety is an intrinsic value at University Hospitals Case Medical Center (UHCMC). The Institute for Safe Medications Practices (ISMP) provided an onsite proactive risk assessment at UHCMC in April 2006. The Ireland Cancer Center at UHCMC comprises cross services and multiple settings in ambulatory and inpatient services for children and adults. ISMPÆs recommendations has encompassed pediatric and adult chemotherapy practices and processes, with an emphasis on communication. A multidisciplinary task force made up of oncology services providers was convened with medical and nursing leadership. ISMP recommended a workable process to communicate appropriate oncology patient information (chemotherapy protocols, treatment date(s), and response to treatment), both Inpatient Unit to ICC Ambulatory Unit and ICC Ambulatory Unit to Inpatient Unit In the absence of an integrated electronic health record, a manual procedure for communicating and documenting inpatient chemotherapy (adult and pediatric) in the Ireland Cancer Center (ICC) Ambulatory Unit medical record has been implemented. To address communication of ICC ambulatory chemotherapy given to the inpatient setting, an information technology consultant is developing a æChemotherapy and Oncologic Agents Administration ReportÆ (tied to current Clinical Physician Order Entry computer system). An audit specific to increasing communication of inpatient chemotherapy to ICC Ambulatory Unit has been conducted. Given the two-fold process in adult practice, inpatient chemotherapy MD orders filed in ICC medical record reflected a 90% successful compliance. Documentation of inpatient chemotherapy given on the ICC chemotherapy flow sheet reflected 70% successful compliance. The pediatric inpatient chemotherapy given documented in ICC Ambulatory medical record was 70% compliant in first chart audit. Pediatric nursing staff education and reinforcement of documentation contributed to a 90% successful compliance in the second audit. Ongoing staff education and audits will continue with a benchmark of 90% successful compliance. Instilling a culture of patient safety across disciplines as it relates to overall oversight of chemotherapy administration is our primary focus. Communication of chemotherapy and oncologic agents given in both ambulatory and inpatient settings represents a complex challenge. ICCÆs Oncologic Services Medication Quality and Safety Task Force will continue to champion initiatives specific to patient safety, quality, and improved communication across services.en_GB
dc.date.available2011-10-27T12:11:56Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:56Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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