Quality & Safety

Oral Oncolytics: Using Remote Technology to Improve Access, Operational Efficiency, and Satisfaction

Abbey Kaler

Victoria McClosky

Akshara S. Raghavendra

Debasish Tripathy

oral oncolytics, remote patient monitoring, patient safety, quality improvement
CJON 2022, 26(3), 308-312. DOI: 10.1188/22.CJON.308-312

Oncology care management via oral oncolytic therapy requires frequent laboratory monitoring for potential toxicities. A lag in these processes can result in treatment delays and care team dissatisfaction. A nurse-led quality improvement project was implemented to streamline processes, clearly define job tasks, and introduce a remote patient-reported symptom monitoring application to improve patient safety, access, operational productivity, and care team satisfaction. Project results included eliminating paper fax distribution, a 97% decrease in time required to process faxed remote laboratory results, and a 78% reduction in mouse clicks to complete laboratory orders and patient correspondence.


  • Frontline oncology nurses can identify ineffi­ciencies and participate in process redesign to minimize waste and maximize productivity within the care team.
  • Interprofessional care teams can use technology to optimize patient access and adherence to oral oncolytic therapy.
  • New approaches to facilitate remote monitoring applications can enhance productivity, create a culture of safety, and foster continuous quality improvement.
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