Evaluation of anti‐emetic use in chemotherapy‐induced nausea and vomiting in a third‐world country (Lebanon)

Zeitoun, Abeer; Nassif, Jeanette G.

doi:10.1111/j.1365-2753.2011.01770.x

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…It is also worth noting that many of the supportive care agents are not covered by the National Social Security Fund (NSSF) leaving the patients with added financial restrains. Similarly, Zeitoun et al documented the inadequate adherence to NCCN guidelines for anti-emetics use in 15 different Lebanese hospitals with approximately 40% of enrolled patients receiving inappropriate anti-emetic regimens (Zeitoun and Nassif, 2013).…”

Section: Lessons Learnedmentioning

confidence: 99%

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

Saad¹,

Njeim²,

Sakr³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

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Section: Lessons Learnedmentioning

confidence: 99%

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

Saad¹,

Njeim²,

Sakr³

et al. 2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

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Assessment of the utilization pattern of chemotherapy agents in patients with head and neck cancer in an oncology hospital

Khadela

Vyas

2020

Drugs Ther Perspect

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Assessment of postoperative pain management practices in Cameroon, Ivory Coast and Senegal: A multi-national survey

et al. 2021

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Inadequately controlled postoperative pain impacts patients’ functional recovery and may affect the quality of life after surgery. Our multinational, cross-sectional study conducted online between November 2017 and January 2018 surveyed anaesthetists’ conformity with established postoperative pain control guidelines and looked at pain assessment, dissemination of information to patients, staff training and creation and use of treatment protocols. Of the 170 respondents, only six applied postoperative pain management recommendations. The proportion of respondents who reported regular staff training; the regular provision of pre-operative information to patients; the existence and use of written protocols; and the number conducting at least one pain assessment a day was not just suboptimal, but embarrassingly low.

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Evaluation of anti‐emetic use in chemotherapy‐induced nausea and vomiting in a third‐world country (Lebanon)

Cited by 6 publications

References 17 publications

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

Assessment of the utilization pattern of chemotherapy agents in patients with head and neck cancer in an oncology hospital

Assessment of postoperative pain management practices in Cameroon, Ivory Coast and Senegal: A multi-national survey

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