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Search results for "Medical Oncology"
ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.
This article discusses a case of data entry error in an electronic prescribing system, explains the contributing factors, and provides recommendations to prevent such errors.
Journal Article > Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.
Battis B, Clifford L, Huq M, Pejoro E, Mambourg S. J Oncol Pharm Pract. 2017;23:582-590.
Oral chemotherapy regimens are complex and may lead to severe adverse drug events. In this pilot study, nearly half of patients enrolled in a pharmacist-run oral chemotherapy monitoring clinic experienced a medication-related problem. This finding is consistent with prior studies that demonstrated pharmacist oversight improves safety of oral chemotherapy.
Journal Article > Review
Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use.
Kukreti V, Cosby R, Cheung A, Lankshear S; ST Computerized Prescriber Order Entry Guideline Development Group. Curr Oncol. 2014;21:e604-e612.
Medication error rates are extremely high among patients receiving outpatient chemotherapy. This systematic review found a paucity of studies on the effectiveness of computerized provider order entry (CPOE) in improving the safety of chemotherapy, but concluded that the limited evidence supports wider use of CPOE in this setting.
Journal Article > Study
Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis.
Elsaid K, Truong T, Monckeberg M, McCarthy H, Butera J, Collins C. Int J Qual Health Care. 2013;25:656-663.
Chemotherapy is a notoriously high-risk medication. A chemotherapy medication prescribing error was responsible for one of the most infamous patient safety cases, the tragic death of Boston Globe reporter Betsy Lehman. Computerized provider order entry is thought to reduce prescribing errors, but it has not specifically been studied for chemotherapy. In this study, implementation of standardized templates for chemotherapy ordering was associated with a significant reduction in prescribing errors as well as administration errors. While this study is promising, a recent AHRQ WebM&M commentary illustrates that even standardized ordering protocols cannot entirely prevent chemotherapy errors.
Cases & Commentaries
- Web M&M
Tom Bookwalter, PharmD; June 2004
A woman given is found cyanotic on morning rounds. Her methemoglobinemia is determined to be from a roughly 7-fold overdose of dapsone.