{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:51:03Z","timestamp":1791568263446,"version":"4.3.4"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Oncol Pharm Pract"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effect of a computerized physician order entry (CPOE)-based intervention (a new \u2018ONCE\u2019 ordering frequency combined with a system-generated confirmation pop-up) on STAT order burden and on delayed STAT orders in a tertiary cancer hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A Pre-Post study design conducted at Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&amp;RC) in Lahore, Pakistan, utilizing the Hospital Information System (HIS) for the analysis of STAT medication orders, as a quality improvement project. A pop-up prompt, generated by the system, was incorporated into the STAT medication ordering process. The primary goal of this integration was to decrease the number of STAT orders and the associated delays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intervention was associated with a 51.5% decrease in STAT order volume (33,334 to 16,162 orders), with the overall STAT burden falling from 25.4% to 12.2% of all medication orders (p\u2009&lt;\u20090.001). Delayed STAT orders declined by 55.4% (15,033 to 6711), from 11.5% to 5.1% of all orders. The two areas with the highest baseline burden showed marked declines: the Preoperative Holding Bay from 52.1% to 29.6% and the Intensive Care Unit from 43.6% to 24.5%. By the final study month, STAT orders comprised 7.8% of all orders, with delayed STAT orders comprising 3.3%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The implementation of a new frequency of ONCE and system-generated pop-ups has proven to be an effective method for reducing both the volume and delays of STAT orders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10781552261495000","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:59:40Z","timestamp":1791392380000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of improvement in the STAT medication ordering process in a cancer hospital: A pre-post study"],"prefix":"10.1177","author":[{"given":"Fatima","family":"Mela","sequence":"first","affiliation":[{"name":"Shaukat Khanum Memorial Cancer Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7517-277X","authenticated-orcid":false,"given":"Adeel","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Shaukat Khanum Memorial Cancer Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Akhlaq","family":"Bhutta","sequence":"additional","affiliation":[{"name":"Shaukat Khanum Memorial Cancer Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saba","family":"Mazhar","sequence":"additional","affiliation":[{"name":"Shaukat Khanum Memorial Cancer Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Rehan","family":"Khan","sequence":"additional","affiliation":[{"name":"Shaukat Khanum Memorial Cancer Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umar","family":"Javed","sequence":"additional","affiliation":[{"name":"Shaukat Khanum Memorial Cancer Hospital and Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/105.6.671"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2165\/11540000-000000000-00000"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/labmed\/28.3.165"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/001857870203700604"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000217961.75225.E9"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-011-0206-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00188710"},{"key":"e_1_3_2_9_2","first-page":"106","article-title":"How early do antibiotics have to be to impact mortality in severe sepsis? A prospective, observational study from an emergency department","volume":"21","author":"Siddiqui S","year":"2009","unstructured":"Siddiqui S, Salahuddin N, Raza A, et al. How early do antibiotics have to be to impact mortality in severe sepsis? A prospective, observational study from an emergency department. Journal of Ayub Medical College Abbottabad 2009; 21: 106\u2013110.","journal-title":"Journal of Ayub Medical College Abbottabad"},{"key":"e_1_3_2_10_2","unstructured":"(ISMP) IfSMP. ISMP Acute Care Guidelines for Timely Administration of Scheduled Medications https:\/\/www.ismp.org\/node\/361 (2011 accessed 29-04-2024 2024)."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.18549\/PharmPract.2016.02.647"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/pq9.0000000000000021"}],"container-title":["Journal of Oncology Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552261495000","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10781552261495000","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552261495000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:01:21Z","timestamp":1791565281000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10781552261495000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":11,"alternative-id":["10.1177\/10781552261495000"],"URL":"https:\/\/doi.org\/10.1177\/10781552261495000","relation":{},"ISSN":["1078-1552","1477-092X"],"issn-type":[{"value":"1078-1552","type":"print"},{"value":"1477-092X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"article-number":"10781552261495000"}}