The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology

Clinical pharmacy services (CPS) have shown beneficial effects on several outcome measures in hospital patients, including the reduction of drug-related problems (DRP) and of therapy costs. Less is known about the impact of CPS in pediatric haemato-oncology, even though this patient population is hi...

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Main Authors: Christina Gradwohl, Gernot Engstler, Martina Anditsch, Herbert Pichler, Gunar Stemer
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/4/479
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author Christina Gradwohl
Gernot Engstler
Martina Anditsch
Herbert Pichler
Gunar Stemer
author_facet Christina Gradwohl
Gernot Engstler
Martina Anditsch
Herbert Pichler
Gunar Stemer
author_sort Christina Gradwohl
collection DOAJ
description Clinical pharmacy services (CPS) have shown beneficial effects on several outcome measures in hospital patients, including the reduction of drug-related problems (DRP) and of therapy costs. Less is known about the impact of CPS in pediatric haemato-oncology, even though this patient population is highly susceptible to DRP. CPS were implemented in a tertiary care children’s hospital specialized in hemato-oncology and hematopoietic stem cell transplantation. The main outcome measures were type and number of DRP, type and number of pharmaceutical interventions (PI), their acceptance rate, and their clinical significance and economic benefit. During 6 months and 32 ward rounds, 275 DRP were identified and addressed by PI. The acceptance of PI was high (73.4%), and up to 80% of PI were rated as very significant or significant by independent external raters. The estimated therapy cost reductions were substantial, approaching at least EUR 54,600 for avoided follow-up costs. Conclusion: CPS improve medication safety in pediatric hemato-oncology and may reduce therapy costs.
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spelling doaj.art-041e4a1e19e740ba93c595f59b9fe34e2023-12-01T01:17:52ZengMDPI AGChildren2227-90672022-03-019447910.3390/children9040479The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-OncologyChristina Gradwohl0Gernot Engstler1Martina Anditsch2Herbert Pichler3Gunar Stemer4St. Anna Children’s Hospital, Department of Paediatrics, Medical University of Vienna, 1090 Vienna, AustriaSt. Anna Children’s Hospital, Department of Paediatrics, Medical University of Vienna, 1090 Vienna, AustriaPharmacy Department, University Hospital AKH, 1090 Vienna, AustriaSt. Anna Children’s Hospital, Department of Paediatrics, Medical University of Vienna, 1090 Vienna, AustriaPharmacy Department, University Hospital AKH, 1090 Vienna, AustriaClinical pharmacy services (CPS) have shown beneficial effects on several outcome measures in hospital patients, including the reduction of drug-related problems (DRP) and of therapy costs. Less is known about the impact of CPS in pediatric haemato-oncology, even though this patient population is highly susceptible to DRP. CPS were implemented in a tertiary care children’s hospital specialized in hemato-oncology and hematopoietic stem cell transplantation. The main outcome measures were type and number of DRP, type and number of pharmaceutical interventions (PI), their acceptance rate, and their clinical significance and economic benefit. During 6 months and 32 ward rounds, 275 DRP were identified and addressed by PI. The acceptance of PI was high (73.4%), and up to 80% of PI were rated as very significant or significant by independent external raters. The estimated therapy cost reductions were substantial, approaching at least EUR 54,600 for avoided follow-up costs. Conclusion: CPS improve medication safety in pediatric hemato-oncology and may reduce therapy costs.https://www.mdpi.com/2227-9067/9/4/479pediatricshematopoietic stem cell transplantationhematologyoncologyclinical pharmacy servicesdrug-related problems
spellingShingle Christina Gradwohl
Gernot Engstler
Martina Anditsch
Herbert Pichler
Gunar Stemer
The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology
Children
pediatrics
hematopoietic stem cell transplantation
hematology
oncology
clinical pharmacy services
drug-related problems
title The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology
title_full The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology
title_fullStr The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology
title_full_unstemmed The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology
title_short The Impact of Clinical Pharmacy Services in a Tertiary Care Center Specialized in Pediatric Hemato-Oncology
title_sort impact of clinical pharmacy services in a tertiary care center specialized in pediatric hemato oncology
topic pediatrics
hematopoietic stem cell transplantation
hematology
oncology
clinical pharmacy services
drug-related problems
url https://www.mdpi.com/2227-9067/9/4/479
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