Chemotherapy Safety: Reducing Errors With a Nurse-Led Time-Out Process.

BACKGROUND

Nurses represent the last line of defense in preventing the occurrence of chemotherapy errors; it is important to assess error rates and implement quality improvement initiatives to reduce nurse-initiated chemotherapy administration errors.

OBJECTIVES

The purpose of this project was to assess the rates of chemotherapy administration errors before and after a two-nurse chemotherapy time-out process was implemented and the frequency of prevented errors in the postintervention and maintenance periods.

METHODS

This retrospective quality report used pharmacy administration records and chemotherapy safety events to determine chemotherapy administration errors during three time periods.

FINDINGS

The overall rate of chemotherapy administration errors was initially low (preintervention) and similar to published reports of error rates after interventions were applied to reduce error rates. The error rate remained low at the two postintervention assessment periods.