Prescription errors with chemotherapy

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dc.contributor.author Saad, Aline
dc.contributor.author Der-Nigoghossiam, Caroline A.
dc.contributor.author Njeim, Rachel
dc.contributor.author Sakr, Riwa
dc.contributor.author Salameh, Pascale
dc.contributor.author Massoud, Marcel
dc.date.accessioned 2017-12-19T12:14:26Z
dc.date.available 2017-12-19T12:14:26Z
dc.date.copyright 2016 en_US
dc.identifier.issn 1513-7368 en_US
dc.identifier.uri http://hdl.handle.net/10725/6840
dc.description.abstract Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter’s 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians’ compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation and demonstrates their role in promoting quality improvement of cancer care. en_US
dc.language.iso en en_US
dc.title Prescription errors with chemotherapy en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle quality improvement through standardized order templates en_US
dc.author.school SOP en_US
dc.author.idnumber 200703818 en_US
dc.author.department Pharmacy Practice Department en_US
dc.description.embargo N/A en_US
dc.relation.journal Asian Pacific Journal of Cancer Prevention en_US
dc.journal.volume 17 en_US
dc.identifier.doi http://dx.doi.org/10.7314/APJCP.2016.17 en_US
dc.identifier.ctation Saad, A., Der-Nigoghossian, C. A., Njeim, R., Sakr, R., Salameh, P., & Massoud, M. (2016). Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates. Asian Pacific Journal of Cancer Prevention, 17(4), 2329-2336. en_US
dc.author.email aline.saad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.researchgate.net/profile/Pascale_Salameh/publication/303587045_Prescription_Errors_with_Chemotherapy_Quality_Improvement_through_Standardized_Order_Templates/links/577b4c2708aece6c20fbdfd8.pdf en_US
dc.author.affiliation Lebanese American University en_US

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