Chemotherapy roadmaps in pediatric oncology: A digital electronic medical record integrated solution
| Autor: | Sarah A Tucker, Mary T Field, Susan Holtzclaw, Tyler G. Ketterl, Adam J. Lamble |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Electronic medical record Antineoplastic Agents Medical Oncology Pharmacists Oncology Neoplasms medicine Pediatric oncology Humans Electronic Health Records Pharmacology (medical) Medical physics Child business GeneralLiterature_REFERENCE(e.g. dictionaries encyclopedias glossaries) |
| Zdroj: | Journal of Oncology Pharmacy Practice. 28:1722-1730 |
| ISSN: | 1477-092X 1078-1552 |
| Popis: | Background Delivery of antineoplastic regimens in the pediatric setting is facilitated by a paper roadmap. Paper roadmaps are the key safety tool required for safe ordering. Electronic medical record systems offer technological solutions for ordering antineoplastic regimens, however, do not offer a solution that integrates paper roadmaps digitally. Methods A multidisciplinary project team implemented real-time clinician scanning of paper roadmaps into the electronic medical record. Results The rate of missing roadmaps decreased from an average of 1.6 to 0.8 per week. Pharmacists gained 3 h of productivity daily. Providers spend an average of 35–45 s and a total of seven clicks each time a roadmap is scanned. Overall, the clinical systems analyst spent less than 1 h of total build time. Conclusion Implementing roadmap scanning decreased the rate of missing roadmaps, increased pharmacist productivity, and required a nominal amount of analyst and provider time. In addition, this solution allows for concurrent viewing of the roadmap files from any connected computer, facilitating an easier co-signature process for providers, pharmacists, and nurses. Practice Implications These results suggest that implementing real-time scanning of roadmaps can improve oncology care efficiency while maintaining the same safety rigor that paper roadmaps offer. |
| Databáze: | OpenAIRE |
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