O2-12-1 - The 10 years achievement of the ambulatory chemotherapy center in Anjo Kosei hospital

Abstract

The ambulatory chemotherapy center was established in August 2006 in Anjo Kosei hospital. Not only ambulatory chemotherapy but counseling for the patients of cancer were performed. The oncologists and nurses, pharmacists cooperate to manage the center. The security measures and management structure were improved largely during 10 years to correspond to the great increase of the ambulatory chemotherapy. We compiled and reported the achievement and improvement of the ambulatory center for 10 years in Anjo Kosei hospital. All the chemotherapeutics prescribed in Anjo Kosei hospital are compounded in the center by the pharmacists. On average 752 cases visited the center in a month in 2016. The number increases from 3700 cases in 2007 to 6700 cases in 2015, it reaches 1.8 times increase in 10 years. All the chemotherapy is planned only based on the registered protocol through the discussion of the cancer board. The planned protocols are checked by the attending doctor, and another oncologists and pharmacists in the center as triple security measures. All the chemotherapeutics are prescribed after authentication of the patients on the electric chart to avoid the false recognition. The patient instruction by the pharmacists and confirmation of the adverse reactions by the nurses in the middle of the chemotherapy. We hold the conference weekly to investigate the new or severe cases planned chemotherapy, oncologists and nurses, and pharmacists attend the conference. The average staying time of the same protocol is not extended regardless of the increase of the ambulatory chemotherapy. We constructed the management structure in cooperation with several occupations not only oncologists. So we could increase the cases performed chemotherapy in safety. We are going to continue the improvement of not only ambulance but all chemotherapy in Anjo Kosei hospital.