Revisions to the 2009 American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards: Expanding the Scope to Include Inpatient Settings

Joseph O. Jacobson

Martha Polovich

Terry R. Gilmore

Lisa Schulmeister

Peg Esper

Kristine B. LeFebvre

Michael N. Neuss

safe handling, acute care setting
ONF 2011, 39(1), 31-38. DOI: 10.1188/12.ONF.31-38

In November 2009, the American Society of Clinical Oncology (ASCO) and the Oncology Nursing Society (ONS) jointly published a set of 31 voluntary chemotherapy safety standards for adult patients with cancer, as the end result of a highly structured, multistakeholder process. The standards were explicitly created to address patient safety in the administration of parenteral and oral chemotherapeutic agents in outpatient oncology settings. In January 2011, a workgroup consisting of ASCO and ONS members was convened to review feedback received since publication of the standards, to address interim changes in practice, and to modify the standards as needed. The most significant change to the standards is to extend their scope to the inpatient setting. This change reflects the conviction that the same standards for chemotherapy administration safety should apply in all settings. The proposed set of standards has been approved by the Board of Directors for both ASCO and ONS and has been posted for public comment. Comments were used as the basis for final editing of the revised standards. The workgroup recognizes that the safety of oral chemotherapy usage, nononcology medication reconciliation, and home chemotherapy administration are not adequately addressed in the original or revised standards. A separate process, cosponsored by ASCO and ONS, will address the development of safety standards for these areas.

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    Jacobson JO: The Quality Oncology Practice Initiative (QOPI): An important tool for measuring quality and improving care, A, Soc Oncol Ed Book, 501-505, 2008
    Jacobson JO, Polovich M, McNiff KK, et al: American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. Oncol Nurs Forum 36:651-658, 2009
    Friese CR, Himes-Ferris L, Frasier MN, et al: Structures and processes of care in ambulatory oncology settings and nurse-reported exposure to chemotherapy. BMJ Quality & Safety [epub ahead of print on August 16, 2011]
    Polovich M, Clark PC: Nurses' use of hazardous drug safe handling precautions [nursing dissertation]. Georgia State University, Atlanta, GA, 2010
    Holland J, Weiss T: The new standard of quality cancer care: Integrating the psychosocial aspects in routine cancer from diagnosis through survivorship. Cancer J 14:425-428, 2008
    Jacobsen PB: Clinical practice guidelines for the psychosocial care of cancer survivors: Current status and future prospects. Cancer 115:4419-4429, 2009
    Bryant R: Contradictions in the concept of professional culpability. Health Care Anal 15:137-152, 2007
    Collins ME, Block SD, Arnold RM, et al: On the prospects for a blame-free medical culture. Soc Sci Med 69:1287-1290, 2009
    Steiner JL: Managing risk: Systems approach versus personal responsibility for hospital incidents. J Amer Acad Psychiatr Law 34:96-98, 2006
    Williamson TS: The shift of oncology inpatient care to outpatient care: The challenge of retaining expert oncology nurses. Clin J Oncol Nurs 12:186-189, 2008
    Weingart SN, Brown E, Bach PB, et al: NCCN Task Force Report: Oral chemotherapy. J Natl Compr Canc Netw 6:S1-S14, 2008 (suppl 3)
    Weingart SN, Toro J, Spencer J, et al: Medication errors involving oral chemotherapy. Cancer 116:2455-2564, 2010