2013 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards Including Standards for the Safe Administration and Management of Oral Chemotherapy

Abstract

In 2009, ASCO and the Oncology Nursing Society (ONS) published standards for the safe use of parenteral chemotherapy in the outpatient setting, including issues of practitioner orders, preparation, and administration of medication. In 2011, these were updated to include inpatient facilities. In December 2011, a multistakeholder workgroup met to address the issues associated with orally administered antineoplastics, under the leadership of ASCO and ONS. The workgroup participants developed recommended standards, which were presented for public comment. Public comments informed final edits, and the final standards were reviewed and approved by the ASCO and ONS Boards of Directors. Significant newly identified recommendations include those associated with drug prescription and the necessity of ascertaining that prescriptions are filled. In addition, the importance of patient and family education regarding administration schedules, exception procedures, disposal of unused oral medication, and aspects of continuity of care across settings were identified. This article presents the newly developed standards.

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“…A panel led by Esther Green discussed various strategies using electronic tools and other resources to support improved education and monitoring of patients receiving oral chemotherapy 1 . The panelists included a family physician with knowledge about the development of a patient care collaboration tool, a patient education manager, and a patient who shared his experience receiving chemotherapy treatment.…”

“…He described the development and release of the asco chemotherapy safety standards as an example of a standards development initiative. Since the initial release of the asco chemotherapy safety standards, two updates have incorporated inpatient care 4 and oral chemotherapy 1 . Similarly, Jacobson presented a relevant example of a large-scale quality improvement initiative, the Quality Oncology Practice Initiative certification program.…”

Nursing : 7 key cancer trends

“…Based on the Massachusetts Claims Analysis, in 2010, 16.1% of these patients received oral chemotherapy, it is estimated that this will soon reach 25 %, as about a quarter of approximately 400 new drugs in the development process will be taken orally. Therefore, it is necessary to expand ASCO (American Society of Clinical Oncology) and ONS (Oncology Nursing Society) standards of management of chemotherapy to include oral agents [9].…”

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“…To promote safe administration of chemotherapy American Society of Clinical Oncology (ASCO) and oncology nursing society developed a set of standards involving, preparation, and administration in 2009, using an integrated process encompass multistakholder contribution and opinions of public Neuss MN et al; (2013) [43]. Finally it is important to enable safe provision of chemotherapy administration because it can help in identification and stratification of anticipated risks and enable the key factors of patient safety to be considered in a structured and consistent way Al Nasser(2014 ) [44].…”