Justification and implementation of a cancer center pharmacy satellite

Sauer, KA; Nowak, MM; Coons, SJ; Parr,; McIntyre, W. P. E.

doi:10.1093/ajhp/46.7.1389

Cited by 2 publications

(2 citation statements)

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“…Novel techniques that increased the robustness of the chemotherapeutic medication preparation process were also proposed. Last, the present study leveraged the research of Sauer and colleagues, which suggested the use of satellite hematology/oncology pharmacies in error reduction and increased patient care (Sauer, Nowak, Coons, Parr, & McIntyre, 1989). Such pharmacies have been associated with a reduction in turnaround time (and accordingly, patient wait time) versus a central setting, a reduction in missing medications, and fewer medication order discrepancies.…”

Section: Review Of the Literaturementioning

confidence: 85%

Interdisciplinary Analysis of Chemotherapy Preparation at a Pediatric Hospital

Intrevado

Jackson²,

Kelm³

et al. 2008

Journal for Healthcare Quality

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This report represents the results of an interprofessional investigation of the pharmaceutical procedures for hematology and oncology at a pediatric hospital. Pharmacists and industrial engineers identified areas for improvement, including a reduction in the interruption of regular pharmaceutical operations for the expedited preparation of chemotherapy treatments and the development of more robust drug preparation procedures that would ensure medication safety. The establishment of a satellite hematology/oncology pharmacy was also examined. Procedural changes were proposed in an effort to increase the safety and service levels of chemotherapy treatments for patients with hematological and oncological disorders.

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Section: Review Of the Literaturementioning

confidence: 85%

Interdisciplinary Analysis of Chemotherapy Preparation at a Pediatric Hospital

Intrevado

Jackson²,

Kelm³

et al. 2008

Journal for Healthcare Quality

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“…This kind of evaluation is rarely seen in the literature or is limited to the economic benefits brought by centralization. [12][13][14][15][16][17][18][19] Moreover, the impact of a pharmaceutical intervention in the circuit of therapeutical agents has already been measured at the level of costs, charges, and lengths of stay, but not in a circuit of injectable cytotoxic drugs. 20,21 We demonstrated that the addition of a pharmacist to the circuit improves the quality and safety of chemotherapy; however, we do not know whether this addition affects clinical outcomes (decreased infection rate, etc.)…”

Section: Discussionmentioning

confidence: 99%

Impact of centralization of cytotoxic drug preparations

Cabelguenne

Pivot-Dumarest

Vermeulen³

1999

J Oncol Pharm Pract

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Two types of circuits of injectable cytotoxic drugs still exist in our hospital: one with pharmaceutical centralization of the preparation and the other without. Our goal is to evaluate each circuit from two points of view: quality of patient care and protection of persons handling cytotoxics. For this evaluation, an original assessment was performed before and after centralization in the same pilot health care unit (two periods of 6 weeks each). To evaluate the prescription-preparation-administration process, six checklists consisting as a whole of 158 observable criteria have been constructed. These criteria have been weighted according to the risk of compromising the quality of patient care and the safety of persons. A total of 117 processes have been observed before centralization; after centralization, 91 were observed.From a qualitative viewpoint, we show that the cost of drugs stocked in the medicine chest of the health care unit has been reduced by 80%, that the flow of information between the different participants in the circuit varied, and that two types of dysfunctions exist: organizational and relational. From a quantitative viewpoint, we demonstrated that pharmaceutical intervention improves the quality of patient care ( 2 test, P < 0.001) and reinforces the protection of manipulators ( 2 test, P < 0.001). Pharmaceutical centralization of the preparation of cytotoxic drugs increases the efficiency of the circuit, from the prescription to administration.

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Justification and implementation of a cancer center pharmacy satellite

Cited by 2 publications

References 0 publications

Interdisciplinary Analysis of Chemotherapy Preparation at a Pediatric Hospital

Interdisciplinary Analysis of Chemotherapy Preparation at a Pediatric Hospital

Impact of centralization of cytotoxic drug preparations

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