{
  "abstract": "Background and Importance Pharmacists are essential in providing care, counselling, and adverse drug reaction (ADR) monitoring for chemotherapy patients. Beyond dispensing, pharmacists help patients understand treatment regimens, manage toxicities, and adhere to therapy. As key members of the multidisciplinary team, pharmacists ensure timely identification and management of ADRs. However, increasing patient volumes and the lack of structured documentation can compromise follow-up and care quality. A practical, user-friendly digital system is needed to strengthen the pharmacist’s role in delivering safe and consistent oncology services.Aim and Objectives This study aimed to design, implement, and evaluate a no-code digital system supporting pharmacists in patient counselling and side effect monitoring among adults receiving chemotherapy.Material and Methods The system was developed using AppSheet (no-code platform) and implemented in a hospital chemotherapy unit from July to December 2024. Pharmacists contributed throughout the development process, defining clinical workflows, structuring the knowledge assessment, and determining ADR documentation standards. The system included modules for patient education, a 15-item quiz to assess knowledge, and ADR reporting with severity grading (1–4). Pharmacists provided three structured counselling sessions per patient, reinforcing knowledge and capturing ADRs across treatment cycles. Patients with grade 2 ADRs were monitored closely by ward pharmacists, while grade 3 cases prompted collaborative management with physicians. The digital platform reduced repetitive paperwork, enabled systematic follow-up, and allowed pharmacists to devote more time to direct patient care.Results A total of 196 patients were enrolled. Knowledge scores improved significantly from 45.6% before counselling to 72.0% after the second session and 91.8% after the third (p < 0.01). Over 80% of patients receiving three sessions achieved scores above 80%. Fatigue (92.9%), anorexia (76.0%), and nausea (60.2%) were the most common ADRs, while hand-foot syndrome (22.2%) was the most frequent severe ADR. Pharmacists’ structured interventions ensured that all patients with grade ≥2 ADRs received timely follow-up. Pharmacists reported enhanced efficiency, better communication with physicians, and improved continuity of care.Conclusion and Relevance The digital system reinforced the central role of pharmacists in oncology care. It improved patient knowledge, standardised ADR monitoring, and optimised pharmacy workflows. Wider adoption could advance safe, coordinated, and pharmacist-led supportive care for chemotherapy patients.Conflict of Interest No conflict of interest",
  "authors": [
    {
      "affiliations": [
        "Nan Hospital, Pharmacy Department, Nan Province, Thailand"
      ],
      "name": "Y Suwannapong"
    }
  ],
  "title": "4CPS-035 Development of a simple digital system for patient counselling and side effect monitoring in chemotherapy patients",
  "uid": "dcfb2fd9-5277-500c-8757-e6541ea9f231"
}