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Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders
Brian C Crandell1,2, Jill S Bates1,2, Tatjana Grgic1,2
11 Department of Pharmacy, University of North Carolina Medical Center, Chapel Hill, NC, USA.
Summary
Pharmacists can improve chemotherapy order review accuracy using checklists. The PRONTO (Patient, Regimen, Organ Function, Numbers, Toxicity, Order Verification) checklist standardizes review, aids training, and enhances patient safety in oncology pharmacy practice.
Area of Science:
- Oncology Pharmacy
- Medication Safety
- Health Informatics
Background:
- Chemotherapy order review is complex, with potential for serious errors.
- Checklists are proven tools for error reduction in high-risk industries.
- Limited evidence exists on widespread pharmacist use of checklists for chemotherapy order evaluation.
Purpose of the Study:
- To introduce and describe the PRONTO checklist for pharmacist chemotherapy order review.
- To highlight the benefits of checklist implementation in oncology pharmacy settings.
Main Methods:
- Development and application of the PRONTO (Patient, Regimen, Organ Function, Numbers, Toxicity, Order Verification) checklist.
- Implementation in diverse practice settings within two academic centers.
Main Results:
- The PRONTO checklist was successfully utilized by pharmacists.
- Demonstrated utility across various practice environments.
Conclusions:
- Checklists like PRONTO can standardize chemotherapy order review.
- Potential benefits include improved communication, training, and education for pharmacists and students.
- Enhances overall patient safety in chemotherapy administration.
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