Implementation of a pharmacist-initiated pharmaceutical handover for oncology and haematology patients being transferred to critical care units.

Goals Of Work: An information gap with respect to specific therapies was identified when patients were transferred from the oncology and haematology unit (OHU) to the critical care units. The goal was to implement and evaluate the effectiveness of a pharmacist-initiated pharmaceutical handover (PIPH...

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Published in:Supportive Care in Cancer Vol. 18; no. 7; pp. 811 - 817
Main Authors: Coutsouvelis J, Corallo CE, Dooley MJ, Foo J, Whitfield A, Coutsouvelis, John, Corallo, Carmela E, Dooley, Michael J, Foo, Josephine, Whitfield, Ann
Format: research Journal Article
Published: Springer Nature Jul2010
Online Access:View this record in EBSCOhost
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      dt: Jul2010
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      pub: Springer Nature
      place: New York, New York
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        atl: Implementation of a pharmacist-initiated pharmaceutical handover for oncology and haematology patients being transferred to critical care units.
      aug:
        au:
          Coutsouvelis J
          Corallo CE
          Dooley MJ
          Foo J
          Whitfield A
          Coutsouvelis, John
          Corallo, Carmela E
          Dooley, Michael J
          Foo, Josephine
          Whitfield, Ann
        affil: Pharmacy Department, The Alfred Hospital, Melbourne, Australia
      sug:
        subj:
          Continuity of Patient Care Administration
          Hand Off (Patient Safety)
          Hematology
          Intensive Care Units Administration
          Neoplasms Drug Therapy
          Oncology
          Pharmacy Service Administration
          Transfer, Discharge Administration
          Academic Medical Centers Administration
          Adult
          Aged
          Aged, 80 and Over
          Australia
          Female
          Hematologic Neoplasms Drug Therapy
          Human
          Male
          Middle Age
          Outcomes (Health Care)
          Program Evaluation
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Goals Of Work: An information gap with respect to specific therapies was identified when patients were transferred from the oncology and haematology unit (OHU) to the critical care units. The goal was to implement and evaluate the effectiveness of a pharmacist-initiated pharmaceutical handover (PIPH) for patients being transferred from the OHU to the critical care units at a major teaching hospital.Patients and Methods: A PIPH process for the specific therapies of mouthcare, chemotherapy regimen, growth factors and antibiotics was developed. The PIPH was delivered in written format or combined written and verbal format. The impact of the PIPH was by assessment of recorded clinical pharmacist interventions. Data were analysed to evaluate any difference in the number of interventions relating to and the time to administration of the specific therapies.Main Results: Data were available for 30 patient transfers in the pre-implementation group, with 22 transfers available in the post-implementation period. The number of interventions relating to the specific therapies was significantly reduced in the post-implementation group (144 vs 26; p < 0.0001). A significantly greater proportion of the specific therapies were administered on time in the post-implementation group (57% vs 96%; p < 0.0001).Conclusions: Clinical pharmacists in the specialty area of oncology and haematology can improve the continuum of care when their patients are transferred to other units. By providing an accurate handover about specific therapies, there is an overall improvement in the prescribing and timely administration of these therapies.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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