Quality and Safety Improvement in Cancer Chemotherapy Using the Plan-Do-Check-Act Cycle
Journal Title: IJAR-Indian Journal of Applied Research - Year 2015, Vol 5, Issue 12
Abstract
The Plan-Do-Check-Act (PDCA) cycle has been effectively used to improve medical safety management. We selected six general items and two drug-specific items, all with a high risk in the chemotherapy process, and then checked the listed items for the patients who were administered antineoplastic agents. A risk assessment was implemented for each item to minimize the severe consequences of chemotherapy management errors. The first cycle of PDCA made it clear that full examination of hepatitis B virus (HBV) infection status was performed in only 30-40% of patients receiving anticancer drugs. Therefore, we disseminated the information of the risk of HBV reactivation induced by chemotherapy and changed the electronic medical records system to facilitate hepatitis B status testing. Application of the PDCA cycle successfully increased the check rate of HBs-Ab and HBc-Ab up to over 90 % in cancer patients before the commencement of chemotherapy.
Authors and Affiliations
Satoshi Hibi, Megumi Kabeya, Yuko Shirokawa, Kenji Ina, Hiroki Inoue, Shu Yuasa
Keywords
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