Quality & Safety

SmartPhrase: Development of an Electronic Health Record System to Promote Chemotherapy and Immunotherapy Safety

Mary Jo Sarver

Monica McManus

Amy Allen

Bethany Johnson

Dennielle Padgett

chemotherapy, immunotherapy, patient-centered care, electronic health record
CJON 2021, 25(1), 85-88. DOI: 10.1188/21.CJON.85-88

A collaborative interprofessional team of healthcare providers from a regional comprehensive community cancer program established standardized chemotherapy and immunotherapy preadministration documentation in the electronic health record. This quality improvement project facilitated adherence to administration considerations defined within Oncology Nursing Society chemotherapy and immunotherapy guidelines and established organizational accreditation goals. The goal was to foster safe and seamless patient-centered care.


  • Interprofessional healthcare providers can utilize teamwork and collaboration to create standardized, evidence-based processes to optimize chemotherapy and immunotherapy documentation. 
  • A centralized location in the electronic health record to document tolerance, dose adjustments, and ongoing maintenance across all stages of cancer treatment increases quality of care. 
  • Chemotherapy and immunotherapy preadministration SmartPhrases, or notes, support patient-centered care and rapid access for review of deviations and patient tolerance of treatment regimens.
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