Originally published as JCO Early Release 10.1200/JCO.2009.25.1264 on September 28 2009

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American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards

From the North Shore Cancer Center, Salem, MA; Duke Oncology Network, Durham, NC; American Society of Clinical Oncology, Alexandria, VA; and Oncology Nursing Society, Pittsburgh, PA.

Corresponding author: Kristen K. McNiff, MPH, American Society of Clinical Oncology, 2318 Mill Rd, Ste 800, Alexandria, VA 22314; e-mail: kristen.mcniff{at}asco.org.

Standardization of care can reduce the risk of errors, increase efficiency, and provide a framework for best practice. In 2008, the American Society of Clinical Oncology (ASCO) and the Oncology Nursing Society (ONS) invited a broad range of stakeholders to create a set of standards for the administration of chemotherapy to adult patients in the outpatient setting. At the close of a full-day structured workshop, 64 draft standards were proposed. After a formal process of electronic voting and conference calls, 29 draft standards were eliminated, resulting in a final list of 35 draft measures. The proposed set of standards was posted for 6 weeks of open public comment. Three hundred twenty-two comments were reviewed by the Steering Group and used as the basis for final editing to a final set of standards. The final list includes 31 standards encompassing seven domains, which include the following: review of clinical information and selection of a treatment regimen; treatment planning and informed consent; ordering of treatment; drug preparation; assessment of treatment compliance; administration and monitoring; and assessment of response and toxicity monitoring. Adherence to ASCO and ONS standards for safe chemotherapy administration should be a goal of all providers of adult cancer care.

Supported by the American Society of Clinical Oncology and the Oncology Nursing Society.

Authors' disclosures of potential conflicts of interest and author contributions are found at the end of this article.

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