Target Population

Outpatient or short-term inpatient chemotherapy patients.
Patients requiring bone marrow aspiration.
Patients requiring Port-A Cath maintenance and flushing.

Description

Since 2015, the Integrated Cancer Care Center of MacKay Memorial Hospital has pioneered the "One-day Integrated Care Protocol of Chemotherapy," alongside immunotherapy and breast cancer psychosocial care. Designed for short-term inpatients receiving anti-cancer drugs within 32 hours, the system offers an efficient "9:00 AM admission, 8:00 AM discharge" workflow. Its "Rapid Assessment Mechanism" ensures immediate verification and treatment, minimizing wait times.

Led by 1 physician and 11 RNs (avg. tenure 19.4 years; 8 oncology certified, 5 psycho-oncology trained), the center integrates a multidisciplinary panel-including NPs, pharmacists, dietitians, social workers, psychologists, and chaplains—for real-time consults and early distress screenings to address holistic needs.

For safety, the center enforces rigorous protocols and developed the "Smart-Lock Chemotherapy Safety Connector," achieving 0% medication errors and 0% extravasation. This earned the NHQA Bronze Award, certifications for Breast and Head/Neck Cancer Care, and H5P digital training recognition.

Through smart apps and bedside systems, care extends home. Results show a 96.82 score in care cognition, 96.66% in education satisfaction, and side-effect severity dropped from 4.5 to 2.8. With initiatives like bedside concerts (98.86% satisfaction), the center attained a 98.9% overall nursing satisfaction rate, standing as a paradigm of holistic medicine uniting safety, efficiency, and humanistic warmth.

Key Highlights

All-in-One Comprehensive Chemotherapy Care Model
Rapid Assessment and Immediate Treatment Mechanism
Multidisciplinary Holistic Care Team
Chemotherapy Medication Safety Technology
Innovation in Clinical Education and Research
Smart App-Based Home Care System
Quality Accreditation and International Academic Exchange

Service Data

17 Treatment Chairs, 10 Short-term Inpatient Beds
Bed Turnover Rate: 13.4–14.52
Average Annual Service Volume: 19,363 Patient Visits
Average Nursing Experience: 19.4 Years
8 Oncology Nurse Specialists (72.7%)
Nurse-to-Patient Ratio: 1:2.2
34 Annual Stress-Relief Support Activities for Cancer Patients

Featured Outcomes

Patient Punctuality Rate: 98.6%
Immediate Specialist Consultation Rate: 100%
Side-Effect Severity Score: 4.5 → 2.8
Cancer Treatment Care Knowledge Score: 96.82
Health Education Satisfaction: 96.66
Medical Safety Indicator Achievement Rate: 100%

Safety Outcomes

Chemotherapy Medication Error Rate: 0%
Chemotherapy Extravasation Rate: 0%
Prescription Preparation and Delivery within 1 Hour: 100%
Nursing Assistant Medication Receipt Integrity: 100%
Chemotherapy Injection Accuracy: 100%
Evidence-Based Medicine Competition Potential Award
National Healthcare Quality Award (NHQA) – Bronze Award

Satisfaction

Overall Nursing Service Satisfaction: 98.5%
Health Education Satisfaction: 96.66
Nursing Service Satisfaction: 98.9%
Positive Feedback on Patient Care and Stress-Relief Activities
Satisfaction with Stress-Relief Care Activities: 98.86

International Achievements

2018 Asia-Pacific Psycho-Oncology Society presentation
2019 AAPINA & TWNA Joint Conference
BMJ IHI Intl Healthcare Quality & Safety Forum
Acta Oto-laryngologica, Supportive Care in Cancer publications
5th Asian Oncology Nursing Conference posters
Multiple journal publications

Benefits and Impacts

Pioneered an "all-in-one" comprehensive chemotherapy care model to enhance treatment efficiency and convenience.
Established a rapid assessment mechanism, implementing immediate admission and treatment.
Developed a multidisciplinary holistic care model to improve overall quality of care.
Promoted chemotherapy safety connectors hospital-wide to enhance medication safety.
Advanced smart care systems to improve patients' self-care abilities.
Reduced the severity of treatment side effects, improving patient care outcomes.
Leveraged digital interactive education to enhance nursing staff skills and successfully promoted these practices to other hospital branches to maximize resource efficiency.
Integrated multimedia health education materials, side-effect management, and home care guidelines via digital platforms to improve patient self-care capabilities.
Received the National Healthcare Quality Award and shared care achievements through international conferences and research publications.