Table 2.

Operational Action Plan for Optimizing Chemotherapy Administration Workflow

Theme	Operational Action	Responsible Team
Patient Flow Optimization	Establish two distinct patient paths: Fast Track (lab results within 48 hours) and Normal Track (requiring updated labs).	Nursing Staff, Admission/Discharge Team (ADT), Clinical Nurse Specialists (CNS)
	Prioritize assessment and order confirmation for fast-track patients.	Nursing Staff, Physicians
	Replace physician round-based evaluations with a clinic-based evaluation process.	Physicians, CNS
Enhancing Coordination and Communication	CNS to distribute and ensure adherence to the fast-track patient list.	Clinical Nurse Specialists (CNS), DCU Team
	ADT collaborates with nursing staff and DCU to verify lab readiness and patient prioritization.	ADT, Nursing Staff, DCU Team
	Designate specific patient locations based on treatment paths for workflow efficiency.	DCU Team, Nursing Staff
	Standardize urgent CT scan and PFT handling to prevent unnecessary delays.	Physicians, Radiology, Nursing Staff
Optimizing Pharmacy-to-Day Care Unit (DCU) Portal Movement	Implement a real-time tracking system for chemotherapy medication movement from the pharmacy to DCU.	Pharmacy Team, IT Support, DCU Team
	Establish a structured delivery schedule for medication transport at fixed 10-minute intervals.	Pharmacy Team, Transport Coordination Team
	Assign dedicated nursing and pharmacy staff to oversee the medication transfer process.	Nursing Staff, Pharmacy Team
	Automate notifications for medication readiness and delivery updates.	IT Support, Pharmacy Team
System and Infrastructure Improvements	Resolve networking issues to ensure seamless order processing and medication tracking.	IT Support, Administration
	Increase workstation availability for real-time data access and patient management.	IT Support, Administration
	Implement IT-driven solutions for tracking, coordination, and workflow reporting.	IT Support, Quality Improvement Team