Journal of Education and Health Promotion

Design, implementation, and evaluation of a CPOE system in a cancer care setting: A case study on the gastric cancer patients

. Mohammad Reza Afrash; . Shirin Kianersi; . Mohammadkarim Bahadori

Volume 13, Issue 2 , February 2023, , Pages 1-11

Abstract

BACKGROUND: Chemotherapy is a complex, multi‑disciplinary, and error‑prone process. Informationtechnology is being increasingly used in different health care settings with complex ... Read More BACKGROUND: Chemotherapy is a complex, multi‑disciplinary, and error‑prone process. Informationtechnology is being increasingly used in different health care settings with complex work proceduressuch as cancer care to enhance the quality and safety of care. In this study, we aimed to developa computerized physician order entry (CPOE) for chemotherapy prescribing in patients with gastriccancer and to evaluate the impact of CPOE on medication errors and order problems.MATERIALS AND METHODS: A multi‑disciplinary team consisting of a chemotherapy council groupand system design and implementation team was formed for chemotherapy process evaluation,requirement analysis, developing computer‑based protocols, and implementation of CPOE. A beforeand after study was conducted to evaluate the impact of CPOE on the chemotherapy process andmedication errors and problem orders. To evaluate the level of end‑user satisfaction, an ISO Norm9241/110 usability questionnaire was chosen for the evaluation.RESULTS: Before the implementation of the CPOE system, 37 medication errors (46.25%) and53 problem orders (66.25%) were recorded for 80 paper‑based chemotherapy prescriptions. Afterimplementation of the CPOE system, 7 (8.7%) medication errors and 6 (7.5%) problem orders wererecorded for 80 CPOE prescriptions. The implementation of CPOE reduced the medication error by37.55% and the problematic order by 58.75%. The results for usability evaluation indicate that theCPOE was within the first class of the ISONORM level rating; this shows that a CPOE is with veryhigh satisfaction and a very high functionality rate.CONCLUSION: Developing a CPOE system significantly improved safety and quality of thechemotherapy process in cancer care settings by reducing the medication error, deleting unnecessarysteps, improving communication and coordination between providers, and use of updatedevidence‑based medicine in direct chemotherapy orders. However, the CPOE system does notprevent all medication errors and may cause new errors. These errors can be human‑related factorsor associated with the design and implementation of the systems.

Chemotherapy administration checklist for patients receiving chemotherapy: Development and validation

. Gitika Miglani; . Ashok Kumar; . Vandna Pandey; . Puneet Pareek; . Shrikant K. Nair

Volume 12, Issue 11 , December 2022, , Pages 1-6

Abstract

BACKGROUND: With the increase in the number of new cancer cases, the number of patientsreceiving chemotherapy increases. The administration of chemotherapy is a very significant task.Unfortunately, ... Read More

An investigation of the effects of therapeutic touch plan on acute chemotherapy‑induced nausea in women with breast cancer in Isfahan, Iran, 2012–2013

. Pegah Matourypour; . Zahra Zare; . Valiolah Mehrzad; . Amir Musarezaie; . Mojtaba Dehghan; . Zohre Vanaki

Volume 5, Issue 4 , August 2015, , Pages 1-6

Abstract

Introduction: Nausea is the worst and most prevalent chemotherapy‑induced complicationexperienced by 70–80% of patients despite mediation therapy. Reduction of nausea is one ... Read More

Factors affecting quality of life and fatigue in patients with leukemia under chemotherapy

. Amir Musarezaie; . Firuz Khaledi; . Homayoon Naji Esfahani; . Tahere Momeni Ghaleghasemi

Volume 4, Issue 3 , June 2014, , Pages 1-6

Abstract

Background: The goal of treating chronic diseases, including hematologic malignancies, isto increase patients’ life span and to improve their capabilities as much as possible; ... Read More Background: The goal of treating chronic diseases, including hematologic malignancies, isto increase patients’ life span and to improve their capabilities as much as possible; so thatpatients could maintain an appropriate level of quality of life (QoL) and continue their lives. Moststudies performed to evaluate the treatment of various diseases were mostly focused on theincrease of life expectancy regardless of the QoL and treatment issues. Furthermore, fatigueis one of the most common and distressing side effects of cancer and treatments related to it,which can affect a patient’s QoL, and be followed by many problems. This study was designedand implemented with the aim to determine the factors affecting the QoL and fatigue in patientswith leukemia undergoing chemotherapy. Materials and Methods: This was a cross-sectionalcorrelation descriptive-analytical study. One hundred and fifteen patients with leukemia referredto Sayyed-Al-Shohada Hospital were enrolled in the study through convenient sampling method.To collect data, a three-part questionnaire was used: The first part was related to demographiccharacteristics and disease-related data and the second part was the fatigue check list andthe third part was the Short-Form 36 Health Survey (SF-36) related to QoL. The data wereanalyzed after collection and coding through Software SPSS version 18 and descriptive andanalytical statistics (analysis of variance test, independent t test, Pearson’s and Spearman’scorrelation coefficient) with 95% confidence interval. Results: The results showed that there wasa significant correlation between QoL in Physical Component Summary with gender (P = 0.03),educational level (P = 0.09), and marital status (P = 0.004), Also there was a significant correlationbetween QoL in Mental Component Summary with educational level (P = 0.01) and economicstatus (P = 0.02). Findings showed that there was a significant correlation between fatigueand marital status (P = 0.005). But statistically there was no significant correlation betweendemographic variables such as age, educational level, and employment status with patients’fatigue. Spearman correlation coefficient showed that there was a significant correlation betweenfatigues with pain (P = 0.005). Also findings revealed the statistically significant correlationbetween fatigues with economic status (P = 0.003). Conclusion: According to the presentresults, it seems that some demographicfactors affect QoL and significant relationshipexists between them. Fatigue in patientswith leukemia dramatically affects their QoL.Therefore, it is important for medical staff topay attention to demographics and fatiguein leukemic patients in order to improve theirQoL and help them to organize their activitiesto promote health and QoL.

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Keywords = Chemotherapy

Design, implementation, and evaluation of a CPOE system in a cancer care setting: A case study on the gastric cancer patients

Abstract

Chemotherapy administration checklist for patients receiving chemotherapy: Development and validation

Abstract

An investigation of the effects of therapeutic touch plan on acute chemotherapy‑induced nausea in women with breast cancer in Isfahan, Iran, 2012–2013

Abstract

Factors affecting quality of life and fatigue in patients with leukemia under chemotherapy

Abstract