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Clin J Oncol Nurs ; 21(2 Suppl): 41-44, 2017 04 01.
Article in English | MEDLINE | ID: mdl-28315559

ABSTRACT

BACKGROUND: Emerging immunotherapies are associated with numerous toxicities. Although traditional health records allow nurses to document system-based assessments, few offer immunotherapy-based documentation templates to assess and grade toxicities.
. OBJECTIVES: The aim of this article is to present the development of a standardized template for documenting genetically modified cellular product-related toxicities in an electronic health record (EHR).
. METHODS: Through interprofessional collaboration, a documentation template for genetically modified cellular product-related toxicities was developed in an EHR, allowing for standardized documentation, data reporting, and tracking of immune-related toxicities. 
. FINDINGS: The documentation template has enhanced the quality and safety of practice at the authors' institution and provides a framework for other nursing units when initiating immunotherapy care.
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Subject(s)
Cell- and Tissue-Based Therapy/adverse effects , Documentation/standards , Electronic Health Records/standards , Immunotherapy , Neoplasms/immunology , Neoplasms/therapy , Patient Care/standards , Adult , Aged , Aged, 80 and over , Education, Nursing, Continuing/organization & administration , Female , Humans , Male , Middle Aged , Nursing Records/standards
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