The Impact of Independent Chemotherapy Prescribing by Advanced Practice Providers on Patient Safety and Clinician Satisfaction.

IF 1.3 4区 医学 Q3 NURSING Clinical journal of oncology nursing Pub Date : 2024-07-19 DOI:10.1188/24.CJON.397-405
Nicole LeStrange, AnnMarie Walton, Joni L Watson, Nancy T Sklarin, Julie A Thompson, Mary Lou Affronti
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Abstract

Background: Literature on advanced practice providers (APPs) prescribing chemotherapy independently, without physician cosignature, is limited.

Objectives: This project assessed safety and provider satisfaction for an existing independent APP chemotherapy prescribing privilege at a National Cancer Institute-designated comprehensive cancer center.

Methods: Rate of Reporting to Improve Safety and Quality events associated with APPs with independent chemotherapy prescribing privileges was compared to that of physicians during a three-year period. Satisfaction of APPs with independent chemotherapy prescribing privileges was evaluated.

Findings: The odds of a reported event were higher for physicians than for APPs. APP survey responses were positive for readiness, confidence, and satisfaction with independent chemotherapy prescribing privilege.

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高级执业医师独立开具化疗处方对患者安全和临床医师满意度的影响。
背景:有关进阶医疗服务提供者(APP)在没有医生联署的情况下独立开具化疗处方的文献十分有限:本项目评估了美国国家癌症研究所指定的综合癌症中心现有的独立 APP 化疗处方权的安全性和提供者满意度:方法:在三年时间内,将拥有独立化疗处方权的 APP 与医生的相关事件报告率进行比较,以提高安全性和质量。对拥有独立化疗处方权的 APP 的满意度进行了评估:结果:医生发生报告事件的几率高于 APP。APP对独立化疗处方权的准备程度、信心和满意度的调查反馈均为正面。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.
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