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Standardizing Oral Anticancer Medication Initiation to Improve Clinician Compliance with National Guidelines
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Dissertation
Standardizing Oral Anticancer Medication Initiation to Improve Clinician Compliance with National Guidelines
2025
Overview
Standardizing Oral Anticancer Medication Initiation to Improve Clinician Compliance with National Guidelines (Under the direction of Tracy Vernon-Platt) The aim of this quality improvement project was to standardize the process for initiating oral anticancer medications (OAMs) to align with American Society of Clinical Oncology (ASCO) and Oncology Nursing Society (ONS) guidelines. A quality improvement team was created in accordance with the Iowa Model for Evidence Based Practice. A review of the literature was completed to find effective interventions for initiating OAMs. Next, an anticipatory checklist and standardized EHR documentation tool were created to guide patient education, documentation, and follow up in the initiation of OAMs. These tools were piloted with breast cancer patients of one oncologist at Duke Women’s Cancer Care Raleigh over an 8-week implementation period.By implementing an anticipatory checklist and standardized EHR documentation tool, the QI team improved documentation of ASCO/ONS-mandated topics for 86% of patients initiating an OAM. Comprehensive education using the checklist helped to reduce the patient-initiated phone calls and EHR system messages by 35%. Anticipatory checklists and EHR documentation tools are effective methods for standardizing the process of initiating OAMs. Standardized tools like these should be incorporated into health system policies for OAMs to ensure quality care and patient safety.
Publisher
ProQuest Dissertations & Theses
Subject
ISBN
9798315711704
