Authors (including presenting author) :
YK Lo (1), YP Choy(1), HC Hon(1)
Affiliation :
Department of Oncology, Princess Margaret Hospital
Introduction :
Chemotherapy incidents present substantial patient safety challenges in oncology. This initiative seeks to elevate safety measures in day chemotherapy center. By implementing strategic training, modifying systems, and improving supervision within systemic cancer therapy administration, we aim to eradicate incidents and enhance patient care quality.
Objectives :
1. Implement improved safety protocols to mitigate chemotherapy incidents. 2. Boost frontline staff knowledge and confidence through targeted training. 3. Optimize the entire chemotherapy administration process to ensure maximum safety and care efficiency.
Methodology :
Our 3S approach—Strategic Training, System Modification, and Supervisory Improvements—aims to enhance chemotherapy administration safety. 1. Strategic Training: - Creation of Comprehensive Videos: Develop detailed video demonstrations highlighting prescription verification, chemotherapy administration, and disposal techniques. - Awareness Posters: Eye-catching posters with memorable slogans are designed and distributed to promote safety awareness. -Foundation Training Inclusion: Foundational sessions with hands-on returns for newcomers are incorporated to solidify knowledge and confidence. 2. System Modification: - Pointing and Calling Strategy: Implement a systematic "pointing and calling" method enhances safety checks during chemotherapy administration. - Staff Pairing System: Pair junior staff with experienced senior staff for mentoring, ensuring effective knowledge transfer and practice reinforcement. - Optimize Administration Environment: Relocate chemotherapy administration areas to low-distraction zones to improve focus and efficiency. 3. Supervisory improvements: - On-site Spot Checks: Conduct regular on-site supervisions accompanied by spot checks to uphold safety standards. -Annual Review: Utilize a modified assessment tool for annual reviews to maintain high practice standards. - Feedback loop: Arrange regular staff surveys to address ongoing challenges.
Result & Outcome :
Results: - Achievement: 100% participation in training and improvement to safety protocol at y Day Chemotherapy Centre. - Compliance: Full compliance of newly joined nursing staff with safety protocols. - Competency: 100% success rate in post-intervention audits. - Governance: Observe a significant reduction in chemotherapy-related incidents, enhancing patient safety and staff confidence. Conclusion: The 3S approach significantly improved chemotherapy safety and staff compliance. By fostering a culture of continuous learning and innovation, we drastically reduced incidents, enhancing patient care. This framework can serve as a model for healthcare institutions aiming to improve cancer therapy administration.
