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The Impact of Independent Chemotherapy Prescribing by Advanced Practice Providers on Patient Safety and Clinician
Nicole LeStrange1, AnnMarie Walton2, Joni L Watson2
1Memorial Sloan Kettering Cancer Center.
Background:
Literature on advanced practice providers (APPs) prescribing chemotherapy independently, without physician cosignature, is limited.
Objectives:
This project assessed safety and provider satisfaction for an existing independent APP chemotherapy prescribing privilege at a National Cancer Institute-designated comprehensive cancer center.
Methods:
Rate of Reporting to Improve Safety and Quality events associated with APPs with independent chemotherapy prescribing privileges was compared to that of physicians during a three-year period. Satisfaction of APPs with independent chemotherapy prescribing privileges was evaluated.
Findings:
The odds of a reported event were higher for physicians than for APPs. APP survey responses were positive for readiness, confidence, and satisfaction with independent chemotherapy prescribing privilege.
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