Vioral Anna N, Kennihan Heather K
West Penn Allegheny Health System, Pittsburgh, PA, USA.
Clin J Oncol Nurs. 2012 Dec;16(6):E226-30. doi: 10.1188/12.CJON.E226-E230.
Chemotherapy involves an intricate, high-risk, multidisciplinary process of prescribing, dispensing, and administering complex multimedication regimens with narrow therapeutic indices. Chemotherapeutic agents also require safe-handling precautions for patients and healthcare providers. In addition, a number of chemotherapy and targeted therapies have expanded to nononcology populations. This complexity demands standardization of chemotherapy practice for all healthcare providers to ensure safe outcomes. This article describes one organization's multidisciplinary effort to standardize chemotherapy practice according to the American Society of Clinical Oncology and Oncology Nursing Society's 31 safety standards for chemotherapy administration. The article also describes how the organization integrated and developed standards of practice using interdisciplinary approaches. The educational processes used during implementation and the lessons learned are discussed to assist healthcare providers involved in standardizing chemotherapy administration. The article equips healthcare professionals with a multidisciplinary process for high-quality clinical standards of practice that may reduce errors and ensure safety.
化疗涉及一个复杂、高风险的多学科过程,包括开具、调配和施用具有狭窄治疗指数的复杂多药治疗方案。化疗药物还需要对患者和医护人员采取安全处理预防措施。此外,一些化疗和靶向治疗已扩展至非肿瘤患者群体。这种复杂性要求所有医护人员的化疗实践标准化,以确保安全的治疗结果。本文描述了一个组织为按照美国临床肿瘤学会和肿瘤护理学会的31项化疗给药安全标准对化疗实践进行标准化所做的多学科努力。本文还描述了该组织如何采用跨学科方法整合并制定实践标准。讨论了实施过程中使用的教育流程以及吸取的经验教训,以帮助参与化疗给药标准化的医护人员。本文为医护专业人员提供了一个多学科流程,以实现高质量的临床实践标准,从而减少差错并确保安全。