Abstract
The second Systemic Treatment Safety Symposium, which took place February 21, 2014, in Toronto, aimed to identify opportunities for improving the delivery of systemic cancer treatment in Ontario based on regional needs, while providing a venue for collaboration and knowledgesharing. The agenda included a series of panel sessions followed by discussions, presentations of regional improvement projects and results, and breakout sessions. Based on the discussion that took place at the symposium, a provincial goal of zero handwritten or verbal oral chemotherapy orders by June 30, 2015, has now been established, and regions will be provided with funding for safe prescribing initiatives to support achievement of that aim. Building on the lessons learned from the 2014 System Treatment Safety Symposium, a common measurement strategy will be identified, and Cancer Care Ontario (cco) will also support the work by identifying the recommended key elements of a safe oral chemotherapy prescription. Additionally, cco will identify areas for improving systemic treatment computerized prescriber order entry systems to better enable prescribing of oral agents within such systems. Among the most prominent of the lessons learned during the symposium was the importance of having a focused topic (such as oral chemotherapy) while maintaining a province-wide scope. Another significant takeaway was that attendees appreciate the opportunity to hear from colleagues across the province about the work underway in various regions. Future safety symposia will also explore opportunities for enhanced engagement with participants through greater use of technology.
Highlights
Cancer Care Ontario is the government agency responsible for the planning and quality improvement of Ontario’s cancer system
Because the use of oral chemotherapy is increasing, with an estimated 25% of new anticancer drugs expected to be oral medications[2] and the annual growth rate in oral anticancer drugs predicted to be 30%–35%2, those quality concerns became the focus of the 2014 System Treatment Safety Symposium
Based on the discussion that took place at the 2014 Systemic Treatment Safety Symposium, a provincial goal of zero handwritten or verbal oral chemotherapy orders by June 30, 2015, has been established, and regions will be provided with funding for safe prescribing initiatives to support achievement of that aim
Summary
Cancer Care Ontario (cco) is the government agency responsible for the planning and quality improvement of Ontario’s cancer system. For the purpose of cancer care delivery, Ontario is divided into 14 regions, within which systemic treatment (chemotherapy and hormonal therapy) is currently delivered in 77 facilities. An important goal for cco is to use guideline development and collaborative implementation to improve the safe delivery of cancer treatment across the province. To support the goal of safe delivery of care through collaboration, cco holds systemic treatment safety symposia that bring together providers and knowledge experts from across the province. Results of the regional efforts were presented at the 2014 Systemic Treatment Safety Symposium. The second Systemic Treatment Safety Symposium aimed to identify opportunities for provincial improvements based on regional needs and to provide a venue for collaboration and knowledge sharing. The agenda included a series of panel sessions followed by discussions, presentations of regional improvement projects and results, and breakout sessions
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