Ambulatory approach to cancer care. Part 3: starting and maintaining the service and its challenges and benefits.

  title={Ambulatory approach to cancer care. Part 3: starting and maintaining the service and its challenges and benefits.},
  author={Diana Comerford and Raakhee Shah},
  journal={British journal of nursing},
  volume={28 17},
This is the final article in a three-part series. Previous articles discussed the patient experience and the enhanced roles of nurses and the multidisciplinary team (MDT) and their role in safety within ambulatory care (AC) at a major London teaching hospital. There is understandably apprehension when starting a new service and embarking on a new healthcare concept. The challenges of starting and maintaining an AC service are multifaceted. Common questions posed to this London teaching hospital… 


Ambulatory approach to cancer care. Part 2: the role of nurses and the multidisciplinary team and safety.
AC at a major London teaching hospital trust is a nurse-led service, headed by specialist cancer nurses with excellent knowledge of the needs and priorities of patients undergoing intensive treatment.
Ambulatory approach to cancer care. Part 1: the patient experience.
The roles of the multidisciplinary team and their part in patient safety, and the benefits, challenges and cost considerations of an AC service are looked at.
Hotel-based ambulatory care for complex cancer patients: a review of the University College London Hospital experience
An ACU/hotel-based treatment model can be safely used for a wide variety of cancers and treatments, expanding hospital treatment capacity, and freeing up inpatient beds for those patients requiring them.
Total ambulatory hemato-oncological care: a myth or reality?
A limiting factor in the management of such patients is the ultimate capacity, both in the number of available beds and, more importantly, in the availability of highly trained staff .
Exploring the usefulness of two conceptual frameworks for understanding how organizational factors influence innovation implementation in cancer care.
2 conceptual frameworks for understanding the organizational factors important to the successful implementation of innovations in health care settings are presented and each is examined in relation to the literature.
Safety and cost-effectiveness of outpatient autologous stem cell transplantation in patients with multiple myeloma.
  • A. Holbro, I. Ahmad, T. Kiss
  • Medicine
    Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation
  • 2013
Outpatient administration of BEAM conditioning prior to autologous stem cell transplantation for lymphoma is safe, feasible, and cost‐effective
It is concluded that OP administration of BEAM conditioning is safe and may offer significant advantages, including decreased length of hospitalization, reduced costs, decreased risks for severe toxicities and infectious complications, and likely improvement in patient satisfaction and quality of life.
Ambulatory high‐dose methotrexate administration among pediatric osteosarcoma patients in an urban, underserved setting is feasible, safe, and cost‐effective
The safety, feasibility, and cost‐estimate of outpatient high‐dose methotrexate administration (HDMTX) among an urban, underserved population are described and a cost-estimate is provided.