Successful Implementation of a Multidisciplinary Chemotherapy Efficiency Initiative at a Community Hospital

Amanda Parkes, Maliha Nusrat, Pamela Maree Di Tomasso, La Toya Davis, Sunny Ogbonnaya, Martina Iwuorie, Shilpa Patel, Thega Grace Abraham, Rita Mack, Nishin Anil Bhadkamkar, Hilary Ma, Arlene Nazario, Lois M Ramondetta, Aron Salomon Rosenstock, Alyssa G Rieber

Research output: Contribution to journalArticle

Abstract

PURPOSE: Long wait times at chemotherapy infusion centers adversely affect patients' perception of quality of care and result in patient dissatisfaction. We conducted a quality improvement initiative at a busy community hospital to improve infusion center efficiency and reduce patient wait time, while maintaining patient safety and avoiding chemotherapy waste. METHODS: We used a coordinated and collaborative effort between providers, infusion center nurses, and pharmacists to ensure completion of orders, review of laboratory data, and prepreparation of chemotherapy 1 day ahead of each patient's scheduled infusion center appointment. Monthly Plan-Do-Study-Act cycles were conducted for 6 months beyond the pilot month to refine and sustain the intervention. RESULTS: The average patient cycle time, measured as time from patient check-in to check-out from the infusion chair, decreased from 252 minutes to 173 minutes in the last 4 months evaluated (30% decrease) after the intervention. Similarly, the average chemotherapy turnaround time, measured as time from chemotherapy request by nursing to pharmacy delivery, improved from 90 minutes to 27 minutes after the intervention (70% decrease). Infusion center capacity was unaffected by the intervention. The cost of wasted chemotherapy was minimal after the first postintervention month. Surveys revealed extremely high patient and employee satisfaction with the new system. CONCLUSION: A strategy involving prepreparation of chemotherapy on the day before the scheduled infusion is feasible to implement at a busy community hospital infusion center and is associated with significant improvement in infusion center efficiency as well as patient and employee satisfaction.

Original languageEnglish (US)
Pages (from-to)e576-e582
JournalJournal of oncology practice
Volume15
Issue number6
DOIs
StatePublished - Jun 1 2019

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Community Hospital
Drug Therapy
Patient Satisfaction
Quality of Health Care
Patient Safety
Quality Improvement
Pharmacists
Appointments and Schedules
Nursing
Nurses
Costs and Cost Analysis

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)
  • Health Policy

Cite this

Successful Implementation of a Multidisciplinary Chemotherapy Efficiency Initiative at a Community Hospital. / Parkes, Amanda; Nusrat, Maliha; Di Tomasso, Pamela Maree; Davis, La Toya; Ogbonnaya, Sunny; Iwuorie, Martina; Patel, Shilpa; Abraham, Thega Grace; Mack, Rita; Bhadkamkar, Nishin Anil; Ma, Hilary; Nazario, Arlene; Ramondetta, Lois M; Rosenstock, Aron Salomon; Rieber, Alyssa G.

In: Journal of oncology practice, Vol. 15, No. 6, 01.06.2019, p. e576-e582.

Research output: Contribution to journalArticle

Parkes, A, Nusrat, M, Di Tomasso, PM, Davis, LT, Ogbonnaya, S, Iwuorie, M, Patel, S, Abraham, TG, Mack, R, Bhadkamkar, NA, Ma, H, Nazario, A, Ramondetta, LM, Rosenstock, AS & Rieber, AG 2019, 'Successful Implementation of a Multidisciplinary Chemotherapy Efficiency Initiative at a Community Hospital', Journal of oncology practice, vol. 15, no. 6, pp. e576-e582. https://doi.org/10.1200/JOP.18.00541
Parkes, Amanda ; Nusrat, Maliha ; Di Tomasso, Pamela Maree ; Davis, La Toya ; Ogbonnaya, Sunny ; Iwuorie, Martina ; Patel, Shilpa ; Abraham, Thega Grace ; Mack, Rita ; Bhadkamkar, Nishin Anil ; Ma, Hilary ; Nazario, Arlene ; Ramondetta, Lois M ; Rosenstock, Aron Salomon ; Rieber, Alyssa G. / Successful Implementation of a Multidisciplinary Chemotherapy Efficiency Initiative at a Community Hospital. In: Journal of oncology practice. 2019 ; Vol. 15, No. 6. pp. e576-e582.
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AU - Ogbonnaya, Sunny

AU - Iwuorie, Martina

AU - Patel, Shilpa

AU - Abraham, Thega Grace

AU - Mack, Rita

AU - Bhadkamkar, Nishin Anil

AU - Ma, Hilary

AU - Nazario, Arlene

AU - Ramondetta, Lois M

AU - Rosenstock, Aron Salomon

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