Integrated Information Systems for Electronic Chemotherapy Medication Administration

Levy, Mia A.; Giuse, Dario A.; Eck, Carol; Holder, Gwen; Lippard, Giles; Cartwright, Julie; Rudge, Nancy K.

doi:10.1200/jop.2011.000259

Cited by 25 publications

(20 citation statements)

References 8 publications

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“…This result is congruent with the positive results of other studies that have assessed some EMR functions for cancer care, mainly in improving documentation and standardising procedures in parts of the care process, such as order entry systems, to support the chemotherapy process in medical oncology (Adelson et al, 2014;Brockstein et al, 2011;Harshberger et al, 2011;Kukreti et al, 2014;Levy et al, 2011;Meisenberg et al,2014;Pirnejad et al, 2013) and electronic checklists (record and verify software) in radiation oncology (Albuquerque et al, 2011;Chua et al, 2010;Goldwein, 2011;Kirkpatrick et al, 2013). The users' attitudes, as measured by both the survey and the interviews, were quite positive in the post-period, and the new EMR was considered better than the former system.…”

Section: Discussionsupporting

confidence: 87%

“…The literature nevertheless reports several positive results. For instance, in medical oncology, benefits have been demonstrated in terms of compliance with guidelines (Adelson et al, 2014;Levy et al, 2011;Meisenberg, Wright, & Brady-Copertino, 2014), documentation completeness Harshberger et al, 2011;Levy et al, 2011), fewer problematic orders (Adelson et al, 2014;Brockstein et al, 2011;Kukreti, Cosby, Cheung, & Lankshear, 2014;Meisenberg et al, 2014), improved multidisciplinary team communication (Levy et al, 2011), lighter workloads (Kukreti et al, 2014;Pirnejad, Gao, Reddingius, Rijnevevld, & Bal, 2013) and faster turnaround times (Pirnejad et al, 2013). In radiation oncology, benefits have also been reported in terms of better documentation (Albuquerque, Miller, & Roeske, 2011;Goldwein, 2011;Kirkpatrick et al, 2013), real-time generation of outcome data (Chua et al, 2010), standardised procedures (Albuquerque et al, 2011) and the number of times that physicians were called to the treatment unit (Albuquerque et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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A cancer care electronic medical record highly integrated into clinicians' workflow: users' attitudes pre-post implementation

2016

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The purpose was to study users' attitudes towards an electronic medical record (EMR) closely integrated into the clinicians' cancer care workflow. The EMR, implemented in an ambulatory cancer care centre, was designed as a care pathway information system providing real-time support to the coordination of shared care processes involving all the care personnel. Mixed method pre-post study design was used. The study population consisted of all care personnel. A survey measured the quality attributes of the EMR, the clinical information it produces, the perceived usefulness of the system for supporting clinical data management tasks and the perceived impacts in terms of access and quality of care. The survey shows that users' attitudes towards the EMR (response rate of 71%) measured after the go-live were positive ranging from 3.42 to 3.95 on a 5-point scale. Besides, the content analysis of 33 pre-post interviews revealed five main themes: magnitude of the changes caused by the EMR; its innovative potential; its positive benefits; an ongoing growth in users' expectancies; and the burden associated with the time required to operate the EMR. In sum, the study shows that users can largely apply innovative uses of information technologies that automate their clinical processes.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

A cancer care electronic medical record highly integrated into clinicians' workflow: users' attitudes pre-post implementation

2016

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“…A handful of studies describe the methods used for implementing a cpoe system for chemotherapy 6,14,19,28 . Harshberger et al 29 reported improved user satisfaction and better completeness of chemotherapy orders and documentation after a cpoe system was implemented to replace paper-based charts at a large multi-site teaching hospital, and Brockstein et al 30 described the impact of the cpoe implementation at the same institution on documentation, communication, operations, quality improvement, and research.…”

Section: Resultsmentioning

confidence: 99%

Toward Successful Migration to Computerized Physician Order Entry for Chemotherapy

et al. 2014

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advancing successful adoption of cpoe for chemotherapy were identified:• The need to investigate variances in workflows and practices in chemotherapy ordering and administration • The need to develop best-practice cpoe procurement and implementation guidance specifically for chemotherapy • The need to measure the effects of cpoe implementation in medical oncology ConclusionsAddressing the existing challenges in cpoe usability and adoption for chemotherapy, and accelerating successful migration to cpoe by cancer care providers requires future research focusing on workflow variations, chemotherapy-specific cpoe procurement needs, and implementation guidance needs.

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“…Among the proposed approaches to prevent medication errors, bar code technology retained our attention because of positive feedback from nuclear medicine [13] and other medical fields. Indeed, this technology has been successfully tested in drug dispensation [14], cancer care [15,16] and drug administration in neonatal units [17] and intensive care units [18]. This paper reports an approach towards improving radiopharmaceutical supply chain safety by implementing bar code technology and evaluating employee activity in terms of overtime, overheads (due to overtime, investment, supplies) and radiation overexposure.…”

Section: Introductionmentioning

confidence: 98%

Improving radiopharmaceutical supply chain safety by implementing bar code technology

Matanza

Hallouard

Rioufol

et al. 2014

Nuclear Medicine Communications

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The aim of this study was to describe and evaluate an approach for improving radiopharmaceutical supply chain safety by implementing bar code technology. We first evaluated the current situation of our radiopharmaceutical supply chain and, by means of the ALARM protocol, analysed two dispensing errors that occurred in our department. Thereafter, we implemented a bar code system to secure selected key stages of the radiopharmaceutical supply chain. Finally, we evaluated the cost of this implementation, from overtime, to overheads, to additional radiation exposure to workers. An analysis of the events that occurred revealed a lack of identification of prepared or dispensed drugs. Moreover, the evaluation of the current radiopharmaceutical supply chain showed that the dispensation and injection steps needed to be further secured. The bar code system was used to reinforce product identification at three selected key stages: at usable stock entry; at preparation-dispensation; and during administration, allowing to check conformity between the labelling of the delivered product (identity and activity) and the prescription. The extra time needed for all these steps had no impact on the number and successful conduct of examinations. The investment cost was reduced (2600 euros for new material and 30 euros a year for additional supplies) because of pre-existing computing equipment. With regard to the radiation exposure to workers there was an insignificant overexposure for hands with this new organization because of the labelling and scanning processes of radiolabelled preparation vials. Implementation of bar code technology is now an essential part of a global securing approach towards optimum patient management.

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Integrated Information Systems for Electronic Chemotherapy Medication Administration

Cited by 25 publications

References 8 publications

A cancer care electronic medical record highly integrated into clinicians' workflow: users' attitudes pre-post implementation

A cancer care electronic medical record highly integrated into clinicians' workflow: users' attitudes pre-post implementation

Toward Successful Migration to Computerized Physician Order Entry for Chemotherapy

Improving radiopharmaceutical supply chain safety by implementing bar code technology

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