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Using quality improvement frameworks to develop, implement, and evaluate a novel ambulatory oncology pharmacy

Hayley Underhill1,2, Michael LeBlanc3,4, Robyn Macfarlane5

  • 1College of Pharmacy, Dalhousie University, Halifax, NS.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|July 12, 2024
PubMed
Summary
This summary is machine-generated.

The Plan-Do-Study-Act framework successfully developed a pharmacist-led ambulatory oncology clinic for prostate cancer patients on oral therapy. This quality improvement approach supported the clinic's evaluation and sustainability.

Keywords:
PDSA cyclesambulatory carepatient care teampharmacist-led clinicpharmacy practice modelquality improvement

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Area of Science:

  • Pharmacy Practice
  • Quality Improvement
  • Oncology

Background:

  • Ambulatory oncology care requires innovative models to support patients on oral anticancer therapies.
  • Pharmacist-led interventions can enhance patient outcomes and optimize treatment management.

Purpose of the Study:

  • To apply the Plan-Do-Study-Act (PDSA) quality improvement framework.
  • To guide the development, implementation, and evaluation of a novel ambulatory oncology pharmacy practice model.

Main Methods:

  • Utilized four iterative cycles of the PDSA framework.
  • Developed a patient-facing, pharmacist-led clinic for prostate cancer patients on oral anticancer therapy.
  • Collected metrics throughout development to identify areas for process improvement.

Main Results:

  • The pharmacist-led clinic provided care to 136 patients with prostate cancer between July 2019 and January 2023, with 464 total encounters.
  • Delivered clinical interventions and counseling to patients initiating or established on oral anticancer therapy.
  • Longitudinal model of care facilitated ongoing patient support and management.

Conclusions:

  • The PDSA framework effectively supported the development, evaluation, and sustainability of a pharmacist-led ambulatory oncology clinic.
  • This model demonstrated success in managing prostate cancer patients receiving oral anticancer therapy.
  • The application of quality improvement principles is crucial for advancing pharmacy practice in oncology settings.