title: Medication use review process and information systems utilized for oncology chemotherapy quality improvement.
abstract: Fatal chemotherapy overdoses at prestigious institutions have prompted extensive reviews of policies and procedures in medical centers throughout the country. Improving medication use systems for chemotherapy requires a comprehensive multidisciplinary approach. A process to develop a medical center policy on chemotherapy based on the medication use model adopted by the Joint Commission on Accreditation of Healthcare Organizations will be discussed. This will include the prescribing, preparing, dispensing, administering, and monitoring process as well as quality improvement systems. Pharmacy information systems enhancements that safeguard patients are also discussed including maximum dose checks and specific dosing algorithms for bone marrow transplant patients.
authors.affiliation: Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Bourret
authors.forename: R F
authors.initials: RF
authors.lastname: Demers
authors.forename: D
authors.initials: D
authors.lastname: Wordell
authors.forename: M
authors.initials: M
authors.lastname: Irani
authors.forename: J
authors.initials: J
authors.lastname: Baker
authors.forename: C
authors.initials: C
authors.lastname: Evangelista
mesh_terms: D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D016303:Clinical Pharmacy Information Systems; D016903:Drug Monitoring; D017723:Drug Utilization Review / Q000458:organization & administration*; D005568:Forms and Records Control; D006785:Hospitals, University; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008499:Medical Records; D008508:Medication Errors; D008510:Medication Systems, Hospital / Q000592:standards*; D015143:Philadelphia; D012107:Research Design; D017749:Total Quality Management