Chemotherapy Ordering Process

Kemp B. Cease, M.D., M.B.A.

VA Ann Arbor Healthcare System

VISN 11 Health System Board

18 June 2009

See the Big Picture

Early ‘90s

Source?

Mid ‘90s

CPRSNote

Orders Note Components

Top Warning Box Header Comment box Patient Data Hold Contingencies Preparation Premedication Antineoplastic Drugs Adjunct Medications Antiemetics Other Instructions Bottom Warning Box

Template Mangement Life Cycle

Intentionto TreatWorksheet

CPRSNote

Use of Addenda

Second Second Prescriber QA

Nursing QA

Addenda

Voiding Addendum

Next Steps:Continual Improvement

Chemotherapy Ordering Process

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Transcript of Chemotherapy Ordering Process

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