Self-Administered Premedication: Improving Taxane Chemotherapy Treatment .
BACKGROUND
Patients receiving taxane therapy are at risk for hypersensitivity reactions without appropriate premedication management. Patients must understand the importance of taking premedications as prescribed to prevent reactions. .


OBJECTIVE
The objectives of this study were to implement and evaluate a multidisciplinary practice protocol comprised of standardized nursing documentation of premedication regimens, teaching, and patient adherence to at-home premedication in an electronic health record (EHR). .


METHODS
A new process was developed to provide standardized prescriptions, a personalized instruction sheet for patients and families, and a standardized approach to document adherence and teaching in the EHR. Pre- and post-EHR audits were used twice to evaluate the practice changes. .


RESULTS
The findings of the first audit suggested improvement in all practice changes. After the first audit, reinforcement of the changes occurred within the group and with one-on-one meetings. The goal of 90% adherence was met at the second audit.
Dana-Farber Cancer Institute.
Kristin
K
Roper
Dana-Farber Cancer Institute.
Mary Lou
ML
Siefert
Dana-Farber/Brigham and Women's Cancer Center.
Frances
F
Fuller
Dana-Farber/Brigham and Women's Cancer Center.
Diane
D
Lucier
Dana-Farber Cancer Institute.
Donna L
DL
Berry
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000972:Antineoplastic Agents, Phytogenic / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy*; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000517:prevention & control*; D008875:Middle Aged; D011292:Premedication / Q000379:methods; D012651:Self Medication; D043823:Taxoids / Q000627:therapeutic use*
D000972:Antineoplastic Agents, Phytogenic; D043823:Taxoids
electronic health records; hypersensitivity reactions; premedication; taxanes