My father died in the critical care unit as a result of blood clots in his lungs after residents reintubated him when he had a panic attack in the middle of the night. The information that he had a low platelet count as a side effect of a cancer drug he was taking as part of a clinical trial had fallen through the cracks every time new clinicians came into his room. Although I had reminded them of this information daily to ensure that he received regular infusions as prescribed by his oncologist, the clinicians on the night shift did not consider this information.
This case report describes an integrative oncology center’s selection of an electronic health record system. The goal is to provide a process framework for community integrative cancer care centers engaging in the selection of an oncology-focused system. A core team of experts from the practice assessed needs, held formative meetings, identified a set of candidate vendors to present, and held summative assessment meetings to select the product.