Improving adherence to the Epic Beacon ambulatory workflow

Improving adherence to the Epic Beacon ambulatory workflow

Computerized physician order entry has been shown to significantly improve chemotherapy safety by reducing the number of prescribing errors. Epic's Beacon Oncology Information System of computerized physician order entry and electronic medication administration was implemented in Henry Ford Hea...

Full description

Saved in:
Bibliographic Details
Published in:Journal of oncology pharmacy practice Vol. 23; no. 4; pp. 273 - 277
Main Authors: Chackunkal, Ellen, Dhanapal Vogel, Vishnuprabha, Grycki, Meredith, Kostoff, Diana
Format: Journal Article
Language:English
Published: London, England SAGE Publications 01-06-2017
Sage Publications Ltd
Subjects:
Chemotherapy
Compliance
Computerized physician order entry
Data processing
Drug stores
Female
Health Personnel - education
Humans
Information systems
Male
Medical Order Entry Systems
Medical personnel
Middle Aged
Neoplasms - drug therapy
Oncology
Organizational Policy
Outpatient Clinics, Hospital - organization & administration
Pharmacists
Pharmacy Service, Hospital
Physicians
Retrospective Studies
Statistical analysis
Workflow
Epic Beacon
workflow compliance
infusion center
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Computerized physician order entry has been shown to significantly improve chemotherapy safety by reducing the number of prescribing errors. Epic's Beacon Oncology Information System of computerized physician order entry and electronic medication administration was implemented in Henry Ford Health System's ambulatory oncology infusion centers on 9 November 2013. Since that time, compliance to the infusion workflow had not been assessed. The objective of this study was to optimize the current workflow and improve the compliance to this workflow in the ambulatory oncology setting. This study was a retrospective, quasi-experimental study which analyzed the composite workflow compliance rate of patient encounters from 9 to 23 November 2014. Based on this analysis, an intervention was identified and implemented in February 2015 to improve workflow compliance. The primary endpoint was to compare the composite compliance rate to the Beacon workflow before and after a pharmacy-initiated intervention. The intervention, which was education of infusion center staff, was initiated by ambulatory-based, oncology pharmacists and implemented by a multi-disciplinary team of pharmacists and nurses. The composite compliance rate was then reassessed for patient encounters from 2 to 13 March 2015 in order to analyze the effects of the determined intervention on compliance. The initial analysis in November 2014 revealed a composite compliance rate of 38%, and data analysis after the intervention revealed a statistically significant increase in the composite compliance rate to 83% (p < 0.001). This study supports a pharmacist-initiated educational intervention can improve compliance to an ambulatory, oncology infusion workflow.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1078-1552
1477-092X
DOI:10.1177/1078155216637215