Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors

Home Healthc Nurse. 2012 Jan;30(1):28-37. doi: 10.1097/NHH.0b013e318233a75e.

Abstract

A home care patient received an unintended dose of 5-fluorouracil. This article details the agency's journey from error to the creation of a multidisciplinary collaboration to the implementation of statewide practice changes in an effort to improve patient safety.

Publication types

  • Case Reports

MeSH terms

  • Advisory Committees
  • Antimetabolites, Antineoplastic / administration & dosage
  • Antimetabolites, Antineoplastic / adverse effects
  • Fluorouracil / administration & dosage
  • Fluorouracil / adverse effects
  • Home Care Services / organization & administration
  • Home Care Services / standards*
  • Humans
  • Infusions, Intravenous / adverse effects
  • Medication Errors / prevention & control*
  • Patient Care Team / organization & administration
  • Patient Care Team / standards*
  • Patient Safety / standards
  • Safety Management / organization & administration

Substances

  • Antimetabolites, Antineoplastic
  • Fluorouracil