Does circle priming improve smart infusion pump and electronic health record interoperability for chemotherapy in a pediatric hematology/oncology setting?

Abstract

Introduction The objective of this project was to assess the percentage of interoperability compliance within our pediatric hematology/oncology patient care areas for intravenous chemotherapy medications before and after the implementation of circle priming. Methods We conducted a retrospective quality improvement project at an inpatient pediatric hematology/oncology floor and outpatient pediatric infusion center before and after implementation of circle priming. Results There was a statistically significant increase in percent interoperability compliance for the inpatient pediatric hematology/oncology floor from 4.1% prior to implementation of circle priming to 35.6% after (odds ratio 13.1 (95% CI, 3.96−43.1), p < 0.001), as well as for the outpatient pediatric infusion center from 18.5% to 47.3%, respectively (odds ratio 3.9 (95% CI, 2.7−5.9), p < 0.001). Conclusion Implementation of circle priming has significantly increased the percentage of interoperability compliance for intravenous chemotherapy medications in our pediatric hematology/oncology patient care areas.

Carboplatin desensitization – simplified 4-step 2-bag method

“…Ideally, for uninterrupted drug exposure, the intravenous tubing used to prime the desensitization admixture bags should be primed with drug-containing solution from the admixture, which differs from standard practice for hazardous medications. 20 Agedal et al (2023) 21 describe a method of circle priming that maintains a closed system and primes intravenous tubing with drug-containing solution from the admixture bag. System management of priming admixtures for chemotherapy desensitization procedures should be established by interdisciplinary stakeholders involved in the delivery of care.…”