Journal Club

Oral Chemotherapy Laboratory Monitoring and Follow-Up: A Review of the Literature

Cynthia Huff

Nimisha Thakkar

Cheryl Westlake

oral chemotherapy, safety standards, laboratory monitoring
CJON 2022, 26(5), 487-494. DOI: 10.1188/22.CJON.487-494

Background: There are many inefficiencies related to oral chemotherapy (OC) laboratory monitoring and follow-up in the ambulatory clinic setting. Patients with cancer prescribed OC have a higher risk of adverse events when there is inconsistent laboratory test result reporting and follow-up from their oncology provider.

Objectives: The aim of this article is to improve OC laboratory monitoring by identifying potential barriers and opportunities for reliable communication between patients and providers in the outpatient clinical setting.

Methods: A literature review found 76 articles, of which 15 were selected for review. Six themes were synthesized and discussed.

Findings: Healthcare systems use technology, standard pathways, and clear patient–provider communication following laboratory testing to ensure patient safety. Implementing and testing evidence-based solutions and structured frameworks to identify gaps in outpatient laboratory monitoring and follow-up can improve patient satisfaction and safety during OC treatment.

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