UNASSIGNED: 262 Background: @entity1 receiving chemotherapy are at risk for @entity1398 following treatment. The American Society of Clinical Oncology (ASCO) and National @entity5 Network (NCCN) recommend screening @entity1 for risk of @entity1398 and risk stratification based on likelihood of @entity1398 events. Prophylactic growth factors ( @entity1261 ) should be in @entity1 receiving high-risk regimens or intermediate-risk regimens with individual risk factors. The impact of electronic medical record system (EMR) implementation on compliance with @entity1261 support guidelines has not been studied. METHODS: At West Virginia University/Mary Babb Randolph Cancer Center we conducted an IRB approved retrospective chart review of @entity5 @entity1 receiving chemotherapy from January 1, 2007 to August 1, 2008 (pre-EMR) and January 1, 2011 to December 31, 2011 (post-EMR). We reviewed the chemotherapy regimens and @entity1 risk factors for developing @entity1398 , and determined if the @entity1261 usage was consistent with guideline recommendations. RESULTS: Compliance with prophylactic @entity1261 guidelines was 75.6% in the post-EMR arm, compared to 67.5% in the pre-EMR arm (p=0.041, ch-square). The post EMR data of 1,042 new chemotherapy initiations showed: (see Table). The appropriateness of usage in high and low risk @entity1 were the most compliant, as @entity1261 orders were built into chemotherapy plans of high risk regimens and omitted from low risk regimens. CONCLUSIONS: Appropriate prophylactic @entity1261 usage can be improved when orders are integrated into standard chemotherapy order sets in an EMR. An area of further improvement would include automatic identification of individual risk factors by the EMR. [Table: see text].

Assessing the impact of a targeted electronic medical record intervention on growth factor usage in XXXX @entity1 .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1398 :: ('MESH:D009503', 'Disease') :: ['febrile neutropenia'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'Comprehensive Cancer'] @entity1261 :: ('1440', 'Gene') :: ['G-CSF']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
