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Improving IV Insulin Administration in a Community Hospital
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Conversion from paper to electronic acute care chemotherapy orders.

Gerald Offei-Nkansah1, Lindsey B Amerine2

  • 1University of North Carolina Medical Center, Chapel Hill, NC.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|July 24, 2020
PubMed
Summary

UNC Medical Center safely transitioned inpatient paper chemotherapy orders to an electronic health record (EHR) system. This pharmacist-led, multidisciplinary approach ensured accuracy and minimal patient care disruption.

Keywords:
cancer hospitalclinical pharmacyclinical pharmacy servicecomputerized medical recorddrug therapyelectronic health recordelectronic medical recordhospitalinformation systemsoncology servicepharmacy service

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Area of Science:

  • Health Informatics
  • Oncology Pharmacy Practice
  • Electronic Health Records

Background:

  • UNC Medical Center implemented an electronic health record (EHR) system in 2014.
  • This transition necessitated the conversion of paper-based chemotherapy orders to an electronic format.

Purpose of the Study:

  • To describe the process of converting inpatient paper chemotherapy orders to the new EHR system.
  • To ensure a safe and effective transition of chemotherapy order management.

Main Methods:

  • A collaborative, interdisciplinary approach involving oncology pharmacists and physicians.
  • Chemotherapy orders for inpatients were reviewed, transcribed, and independently verified by pharmacists.
  • Nurse review and reconciliation with the medication administration record ensured safe implementation.

Main Results:

  • The conversion was pharmacist-led, multidisciplinary, safe, and accurate.
  • The transition was completed ahead of the EHR go-live date.
  • Advance planning and communication minimized patient care interruptions.

Conclusions:

  • The pharmacist-led conversion to electronic chemotherapy orders was successful.
  • Physician and pharmacist engagement was crucial for a smooth transition.
  • Electronic management of chemotherapy orders offers provider benefits like remote access and consolidated tracking.