Standards for the safe administration of chemotherapy in oncological patients 2015 – 2020: A systematic review [Estándares para la administración segura de quimioterapia en pacientes oncológicos 2015 – 2020: Revisión Sistemática

Yuly Susan Quispe Condor,Johanna Elizabeth Rodríguez Zambrano,Olga Georgina Bedoya Ticlavilca,Liz Edenia García Saavedra,Mary Baneza Espinoza Acuña

doi:10.32829/ghmj.v5i2.155

Abstract

Cancer is currently a public health problem. It should be noted that most patients require treatment with chemotherapy and radiotherapy among other procedures to recover their health. The aim of this study was to analyze the development of scientific evidence on standards for the safe administration of chemotherapy in cancer patients. Methodology: a descriptive systematic review was performed with the search of databases in Pub Med and Scopus selected articles from 2015 - 2020 in English and Spanish languages. The results indicate that the safe administration of chemotherapy in oncology patients requires nurses to use updated standardized protocols and care guidelines with continuous training, as well as to carry out preventive actions of monitoring, control and follow-up for compliance with the protocols. It is concluded that adverse events should be socialized among nurses to assume improvement plans and strategies to raise the quality of the services provided by the nursing professional, as well as to avoid errors and complications of malpractice in the administration of chemotherapy.

Highlights

The World Health Organization indicates that every 7 to 10 cases are attributed to noncommunicable diseases among them is cancer (WHO, 2019)
To err is human determined that there are many factors that cause the occurrence of errors during the patient's hospital stay among them, the lack of systematization of information, the increased complexity of treatments and the lack of training in staff (Otero et al, 2018), patient safety tries to reduce the incidence of adverse events ranging between 4% and 17%, of which 50% of these cases are avoidable
The procedure consisted of 4 phases, taking as a reference the consort diagram, the sequence followed was as follows: a) the need for review on standards for the safe administration of chemotherapy in oncology patients was identified, the search for information from the Scopus and Pubmed databases was performed, giving a total of 1385 articles, which were similar to the topic to be investigated in the study, it was verified that they are not duplicated and that they have full text, b) Pre-selection phase, in this stage the screening of the identified articles was carried out, finding 300 articles, CINCADER

Summary

Introduction

The World Health Organization indicates that every 7 to 10 cases are attributed to noncommunicable diseases among them is cancer (WHO, 2019). Errors in the administration of chemotherapy can have serious consequences due to the fact that the therapeutic margin of antineoplastic drugs is very narrow for patients, since the therapeutic dose is often dictated by the limit of acceptable toxicity, so that even small increases in the dose can have serious toxic consequences (Carreño-Dueñas, et al, 2014) In this sense, to err is human determined that there are many factors that cause the occurrence of errors during the patient's hospital stay among them, the lack of systematization of information, the increased complexity of treatments and the lack of training in staff (Otero et al, 2018), patient safety tries to reduce the incidence of adverse events ranging between 4% and 17%, of which 50% of these cases are avoidable.

Objectives

Methods

Conclusion