{"id":24441,"date":"2022-02-22T09:10:00","date_gmt":"2022-02-22T14:10:00","guid":{"rendered":"https:\/\/www.thinkresearch.com\/ca\/?p=24441"},"modified":"2022-04-14T15:51:55","modified_gmt":"2022-04-14T19:51:55","slug":"how-pharmacists-can-better-manage-take-home-cancer-drugs","status":"publish","type":"post","link":"https:\/\/www.thinkresearch.com\/ca\/2022\/02\/22\/how-pharmacists-can-better-manage-take-home-cancer-drugs\/","title":{"rendered":"How Pharmacists Can Better Manage Take-Home Cancer Drugs"},"content":{"rendered":"\n<p class=\"has-small-font-size\"><em>By: Carla Beaton, VP Quality Improvements &amp; Innovations, Pharmapod and Lisa Rambout, PhDHQ Queen\u2019s University<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.thinkresearch.com\/ca\/wp-content\/uploads\/sites\/6\/2022\/01\/Twitter-2-1024x744.jpg\" alt=\"Twitter icon\" class=\"wp-image-23992\" width=\"37\" height=\"27\" srcset=\"https:\/\/thinkresearch.wpenginepowered.com\/ca\/wp-content\/uploads\/sites\/6\/2022\/01\/Twitter-2-1024x744.jpg 1024w, https:\/\/thinkresearch.wpenginepowered.com\/ca\/wp-content\/uploads\/sites\/6\/2022\/01\/Twitter-2-300x218.jpg 300w, https:\/\/thinkresearch.wpenginepowered.com\/ca\/wp-content\/uploads\/sites\/6\/2022\/01\/Twitter-2-768x558.jpg 768w, https:\/\/thinkresearch.wpenginepowered.com\/ca\/wp-content\/uploads\/sites\/6\/2022\/01\/Twitter-2-1536x1116.jpg 1536w, https:\/\/thinkresearch.wpenginepowered.com\/ca\/wp-content\/uploads\/sites\/6\/2022\/01\/Twitter-2.jpg 2048w\" sizes=\"(max-width: 37px) 100vw, 37px\" \/><figcaption><a href=\"https:\/\/ctt.ac\/f9Bse\" target=\"_blank\" rel=\"noreferrer noopener\">Share this article on Twitter<\/a><\/figcaption><\/figure>\n\n\n\n<p>An estimated two in five Canadians <a href=\"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-41-no-11-2021\/canadian-cancer-statistics-2021.html\" target=\"_blank\" rel=\"noreferrer noopener\">will get cancer<\/a> in their lifetime. The number of new cancer cases in Canada is expected to increase about <a href=\"https:\/\/cancer.ca\/en\/research\/cancer-statistics\" target=\"_blank\" rel=\"noreferrer noopener\">40 percent<\/a> in the next 15 years, resulting in more patients needing treatment, more treatments being offered, and more patients living longer with multiple chronic diseases.<\/p>\n\n\n\n<p>To help ease the strain on our healthcare system, take-home cancer drugs (THCD) are becoming the norm. More than half of new cancer drugs now formulated to be taken orally or injected instead of infused in a hospital or private clinic setting.<\/p>\n\n\n\n<p>This new model &#8212; though convenient for patients &#8212; poses some potential safety risks.<\/p>\n\n\n\n<p>Previously, specialized hospital oncology pharmacists would screen medications administered in healthcare facilities for accuracy and safety &#8212; today, the majority of orders for THCD are sent directly to community pharmacies from prescribers, a shift that\u2019s caused unease among pharmacists. Data shows <a href=\"https:\/\/www.cancercareontario.ca\/sites\/ccocancercare\/files\/guidelines\/full\/1_CCO_THCD_Report_25Apr2019.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">90 percent<\/a> of publicly funded THCD in Ontario are now dispensed from community pharmacies, yet  <a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1078155220907650\" target=\"_blank\" rel=\"noreferrer noopener\">80 percent<\/a> of those pharmacists are uncomfortable with THCD.&nbsp;<\/p>\n\n\n\n<p>How can pharmacists adapt to this new normal for their practices while limiting the risk for THCD medication errors?<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-center\"><mark style=\"background-color:rgba(0, 0, 0, 0);color:#004060\" class=\"has-inline-color\"><strong>RELATED: <a href=\"https:\/\/www.thinkresearch.com\/ca\/webinars\/pharmapod-medication-errors\/\" target=\"_blank\" rel=\"noreferrer noopener\">Learn more about how to reduce medication errors and improve patient safety &#8211; watch our webinar, Mission Impossible: Can Reporting Medication Errors and Learning from Data be Easier?<\/a><\/strong><\/mark><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Recommendations to Enhance Safety<\/strong><\/h2>\n\n\n\n<p>To improve pharmacist confidence and patient safety with take-home cancer drugs, <a href=\"https:\/\/www.cancercareontario.ca\/en\" target=\"_blank\" rel=\"noreferrer noopener\">Cancer Care Ontario<\/a> recommends the following steps:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Oncology Training<\/strong><\/h3>\n\n\n\n<p>Healthcare providers involved in prescribing, dispensing, patient education and\/or monitoring of take-home cancer drugs should have specific and standardized training in oncology care. It\u2019s also recommended that at least one oncology health professional &#8212; preferably a pharmacist with oncology training &#8212; verify the prescription following a set of standardized steps and document the verification was completed before it is sent to the dispensing pharmacy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Computerized Orders<\/strong><\/h3>\n\n\n\n<p>Computerized prescriber orders for intravenous cancer drugs have shown to save millions in healthcare costs by preventing hospitalizations, deaths, or adverse events. Equivalent standards for THCD should also be implemented.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Clear Care Plan<\/strong><\/h3>\n\n\n\n<p>To facilitate an integrated care approach, a communication plan should be developed to ensure that patients and\/or caregivers and all members of the cancer care team across the treatment continuum have access to the same information. Numerous factors, including complex treatments, literacy, lack of understanding, and cognitive issues in patients can increase the risk of medication errors occurring that could cause harm. To prevent avoidable errors, pharmacists must be sure patients and\/or caregivers have a clear understanding of their care plan.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Proper Guidance<\/strong><\/h3>\n\n\n\n<p>Patients and\/or care providers should also be given clear guidance for proper medication storage, handling, disposal, side effects, potential interactions, and strategies for maintaining medication adherence.<\/p>\n\n\n\n<p>Pharmacists can use standardized tools, including the Multinational Association for Supportive Care in Cancer (MASCC) <a href=\"https:\/\/www.mascc.org\/MOATT\" target=\"_blank\" rel=\"noreferrer noopener\">Oral Agent Teaching Tool<\/a> (MOATT) to access frameworks for effective patient education and communication strategies.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Close the Care Gap<\/strong><\/h2>\n\n\n\n<p>Transitions in care and medication delivery always pose potential safety risks. For the THCD model to work &#8212; and for pharmacists to feel comfortable &#8212; it is imperative that acute care sites and community pharmacies communicate all patient safety events to each other.<\/p>\n\n\n\n<p>Incident management platforms such as <a href=\"https:\/\/www.pharmapodhq.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pharmapod<\/a> make it easy for pharmacy and healthcare professionals to report and track medication incidents and monitor trends and causes behind the errors to improve their practice over time.<\/p>\n\n\n\n<p>The intuitive cloud-based platform analyzes collected data and disseminates the learnings back to users, preventing the recurrence of patient harm. <a href=\"https:\/\/pharmapod-demo.youcanbook.me\/?utm_source=website&amp;utm_medium=homepage&amp;utm_campaign=Book%20A%20Demo\" target=\"_blank\" rel=\"noreferrer noopener\">Book a custom demo today<\/a> to learn more.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Pharmapod is a member of the Think Research family of companies. <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Take-home cancer drugs are becoming the norm in Ontario. Here&#8217;s how pharmacists can limit the risk of medication errors. <\/p>\n","protected":false},"author":3,"featured_media":24442,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[29],"tags":[],"class_list":["post-24441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How Pharmacists Can Better Manage Take-Home Cancer Drugs - Think Research Canada<\/title>\n<meta name=\"description\" content=\"Take-home cancer drugs are becoming the norm in Ontario. 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