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Improving Patient Safety With Error Identification in Chemotherapy Orders by Verification Nurses
Abigail Baldwin1, Elizabeth S Rodriguez2
1Memorial Sloan Kettering Cancer Center.
Clinical Journal of Oncology Nursing
|January 23, 2016
Summary
A verification nurse (VN) role helps identify chemotherapy prescribing errors, preventing administration mistakes. This nursing intervention improves patient safety in outpatient cancer care.
Area of Science:
- Oncology Nursing
- Patient Safety
- Medication Error Prevention
Background:
- Medication errors in chemotherapy administration are not well-documented.
- Prescribing errors are a significant factor in chemotherapy administration mistakes.
- A verification nurse (VN) role can mitigate these errors.
Purpose of the Study:
- To describe the role and process of a verification nurse (VN) in chemotherapy order review.
- To highlight the impact of VN on patient safety in outpatient infusion settings.
Main Methods:
- Retrospective review and analysis of chemotherapy near-miss events from 2009-2014.
- Utilized the Reporting to Improve Safety and Quality system for data collection.
Main Results:
- Analyzed 4,282 chemotherapy-related events.
- Most events were near-misses identified during the prescribing stage.
- The VN role successfully identified prescribing errors before administration.
Conclusions:
- The verification nurse (VN) model is effective in identifying and preventing chemotherapy prescribing errors.
- Implementing a VN role enhances patient safety in outpatient chemotherapy administration.
- Further research can explore the broader impact of nursing-led verification processes.
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