Ambulatory and outpatient centers constantly are challenged with administrating cancer treatments in an efficient and safe way. With the advent of numerous novel cancer medications known to cause hypersensitivity reactions, nurses have become experts in managing these emergencies. However, patients rarely exhibit severe infusion reactions or cardiopulmonary arrest. Outpatient nurse knowledge and comfort with grade 4, life-threatening emergencies requiring cardiopulmonary resuscitative measures often is low because of infrequent occurrence. That is largely a result of nurses' ability to immediately identify the need for emergency intervention, thus preventing the sequelae of patient deterioration that could lead to cardiopulmonary arrest. This article describes how the authors' institution developed methods to improve emergency care by bridging the gap between knowledge and experience of handling life-threatening emergencies.
Adams, D.A., Dobbs, J., Greene, M., MacGillis, P.A., & Stockhausen, P.A. (2002). A model to enhance staff response in cardiopulmonary arrest. <i>Journal of Nursing Care Quality, 17</i>(1), 43-50.
Dorney, P. (2011). Code blue: Chaos or control, an educational initiative. <i>Journal for Nurses in Staff Development, 27</i>, 242-244.
Five Million Lives Campaign. (2008). <i>Getting started kit: Rapid response teams.</i> Cambridge, MA: Institute for Healthcare Improvement.
Gobel, B.H. (2005). Chemotherapy-induced hypersensitivity reactions. <i>Oncology Nursing Forum, 32</i>, 1027-1035.
Gobel, B.H. (2007). Hypersensitivity reactions to biological drugs. <i>Seminars in Oncology Nursing, 23</i>, 191-200.
Institute for Healthcare Improvement. (2011). Science of improvement: How to improve. Retrieved from <a target="_blank" href='http://bit.ly/1gClVr2'>http://bit.ly/1gClVr2</a>
Joint Commission. (2013). <i>Hospital accreditation standards, PC.02.01.19.</i> Oakbrook Terrace, IL: Author.
LaVelle, B., & McLaughlin, J. (2008). Simulation-based education improves patient safety in ambulatory care. In K. Henriksen, J.B. Battles, M.A. Keyes, & M.L. Grady (Eds.), <i>Advances in patient safety: New directions and alternative approaches</i> (Vol. 3). Rockville, MD: Agency for Healthcare Research and Quality.
Peberdy, M.A., Boze, C.M., & Ornato, J.P. (2002). Strategy for developing a hospital affiliated ambulatory care medical emergency response team: Is it worth a nickel to try to save a life? <i>Critical Pathways in Cardiology, 1</i>, 209-217.
Ralston, M.E., & Zaritsky, A.L. (2009). New opportunity to improve pediatric emergency preparedness: Pediatric emergency assessment, recognition, and stabilization course. <i>Pediatrics, 123</i>, 577-580.
Ruesseler, M., Weinlich, M., Müller, M.P., Byhahn, C., Marzi, I., & Walcher, F. (2012). Republished: Simulation training improves ability to manage medical emergencies. <i>Postgraduate Medical Journal, 88</i>, 312-316. doi:10.1136/pgmj-2009-074518rep
Schiavone, R. (2009). Emergency response in outpatient oncology care: Improving patient safety. <i>Clinical Journal of Oncology Nursing, 13</i>, 440-442. doi:10.1188/09.CJON.440-442
Sempowski, I.P., & Brison, R.J. (2002). Dealing with office emergencies: Stepwise approach for family physicians. <i>Canadian Family Physician, 48</i>, 1464-1472.
Sherman, M., & Romfh, P. (2003). Improving clinical emergency response in an outpatient setting. <i>AACN ViewPoint, 25</i>(5), 1, 17-19.
Toback, S.L. (2007). Medical emergency preparedness in office practice. <i>American Family Physician, 75</i>, 1679-1684.
Toback, S.L., Fiedor, M., Kilpela, B., & Reis, E.C. (2006). Impact of a pediatric primary care office-based mock code program on physician and staff confidence to perform life-saving skills. <i>Pediatric Emergency Care, 22</i>, 415-422.