Table 4.

Top five highest and lowest self-scored items in the survey.

Top 5 of the highest scored items
Item n°	Domain	Description	Number of answers	% of 4 s	Median score (Q1–Q3)
35	Prescription	Only authorized healthcare practitioners can prescribe chemotherapy treatments.	53	87%	4 (4–4)
7	Management	Smoking, drinking, and eating are forbidden in areas where cytotoxic medicines are prepared, stored, and administered.	51	71%	4 (3–4)
17	Personnel	No pregnant or breastfeeding women are involved in the handling of cytotoxic medicines.	53	66%	4 (3–4)
6	Management	A list of the cytotoxic medicines used in the facility is available and regularly updated.	53	66%	4 (3–4)
36	Prescription	Prescriptions are based on standard, pre-prepared chemotherapy treatment protocols dependent on the diagnosis and available in the facility (these have either been developed in-house or with reference to an external review board or nationally approved clinical research protocols or guidelines).	53	64%	4 (3–4)
Top 5 of the lowest scored items
Item n°	Domain	Description	Number of answers	% of 1 s	Median score (Q1–Q3)
130	Cleaning	Laundry staff and patients’ relatives have received instructions and know the procedures for handling contaminated linen and clothing, and they wear adequate personal protective equipment.	46	54%	1 (1–2.75)
52	Preparation	Pressure gradients between the different rooms in the preparation zone are maintained and monitored continuously.	52	54%	1 (1–3)
4	Management	A self-assessment of compliance with safety guidelines regarding the safe handling of cytotoxic medicines is carried out regularly.	51	51%	1 (1–3)
129	Cleaning	Contaminated, reusable protective clothing (gowns) and linen soiled with patients’ excreta are placed in clearly labelled laundry bags and are washed separately from other clothing.	44	48%	2 (1–3)
50	Preparation	Access to the preparation room is through airlocks only, with adequate procedures to prevent simultaneous door-opening (doors to the cytotoxic preparation room and the external environment).	53	47%	2 (1–3)