Development, Implementation, and Evaluation of an Oral Anticancer Management Program

Published:December 12, 2022DOI:


      • The use of oral anticancer agents is rapidly increasing.
      • Most oral anticancer medication errors occur during prescribing, dispensing, and monitoring.
      • Error mitigation strategies include the use of order templates, dual-nurse dose verification, and adherence monitoring.
      • An oral anticancer management program was successfully implemented.


      Oral anticancer (OA) agents have become more frequently used for patients diagnosed with cancer. Errors with OA agents can lead to costly and harmful adverse drug reactions and inferior efficacy; however, a standard procedure for prescribing and monitoring OA agents has not been established. An interdisciplinary team of clinicians identified the need for improved safety features in prescribing and monitoring patients prescribed OA agents. The goal of this collaborative project was to develop, implement, and evaluate a standardized program to improve safety for patients newly prescribed OA agents.


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      Andrea Moran, DNP, NP is affiliated with UConn Health, and is the Lead Hematology/Oncology APRN at Neag Comprehensive Cancer Center in Farmington, CT, and can be contacted at [email protected]


      Joy Elwell, DNP, FNP-BC, CNE, is the DNP program director at the University of Connecticut School of Nursing in Storrs, CT.


      Lisa Holle, PharmD, BCOP, is a clinical professor with the University of Connecticut School of Pharmacy in Storrs, CT.


      Karen Hook, MD, is a Hematologist with UConn Health, Neag Comprehensive Cancer Center in Farmington, CT.