Improving the transition of highly complex patients into the community: Impact of a pharmacist in an allogeneic stem cell transplant (SCT) outpatient clinic

Ruth Chieng, John Coutsouvelis, Susan Gaye Poole, Michael Joseph Dooley, Diana Louise Booth, Andrew Wei

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Patients having undergone allogeneic stem cell transplantation (SCT) require complex medication regimens. To ensure the safe and effective management of this patient group, specialised care in a centre with a dedicated and experienced healthcare team is essential. The aim of this study was to evaluate the effectiveness of a specialty clinical pharmacist working in an ambulatory SCT clinic. Methods: A prospective cohort study was conducted on patients post SCT and discharged to the ambulatory setting. Patients were reviewed by a clinical pharmacist weekly for six visits. At these visits a medication review was undertaken. Interventions from these reviews were recorded. Interventions were then assigned a risk rating by a multidisciplinary panel. Adherence was also assessed by a Morisky questionnaire and review of dose administration aids. Comparison of data over the six-visit period was undertaken. Results: In total 23 patients were enrolled in the study. All six visits were completed in 17 patients and 161 interventions were recorded at an average of 1.4 interventions per patient visit. The panel rated 40 of interventions as high risk, 46 as medium risk and 14 as low risk. At all visit points high- and medium-risk interventions constituted >80 of the total. Morisky scores improved by an average of 1.53 (p <0.0001) between visits 1 and 6. All patients were scored as highly adherent by visit 6. Conclusions: A specialist clinical pharmacist in the SCT outpatient clinic resulted in regular and effective intervention contributing to improved medication management and adherence. ? 2013 Springer-Verlag Berlin Heidelberg.
Original languageEnglish
Pages (from-to)3491 - 3495
Number of pages5
JournalSupportive Care in Cancer
Volume21
Issue number12
DOIs
Publication statusPublished - 2013

Cite this

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title = "Improving the transition of highly complex patients into the community: Impact of a pharmacist in an allogeneic stem cell transplant (SCT) outpatient clinic",
abstract = "Patients having undergone allogeneic stem cell transplantation (SCT) require complex medication regimens. To ensure the safe and effective management of this patient group, specialised care in a centre with a dedicated and experienced healthcare team is essential. The aim of this study was to evaluate the effectiveness of a specialty clinical pharmacist working in an ambulatory SCT clinic. Methods: A prospective cohort study was conducted on patients post SCT and discharged to the ambulatory setting. Patients were reviewed by a clinical pharmacist weekly for six visits. At these visits a medication review was undertaken. Interventions from these reviews were recorded. Interventions were then assigned a risk rating by a multidisciplinary panel. Adherence was also assessed by a Morisky questionnaire and review of dose administration aids. Comparison of data over the six-visit period was undertaken. Results: In total 23 patients were enrolled in the study. All six visits were completed in 17 patients and 161 interventions were recorded at an average of 1.4 interventions per patient visit. The panel rated 40 of interventions as high risk, 46 as medium risk and 14 as low risk. At all visit points high- and medium-risk interventions constituted >80 of the total. Morisky scores improved by an average of 1.53 (p <0.0001) between visits 1 and 6. All patients were scored as highly adherent by visit 6. Conclusions: A specialist clinical pharmacist in the SCT outpatient clinic resulted in regular and effective intervention contributing to improved medication management and adherence. ? 2013 Springer-Verlag Berlin Heidelberg.",
author = "Ruth Chieng and John Coutsouvelis and Poole, {Susan Gaye} and Dooley, {Michael Joseph} and Booth, {Diana Louise} and Andrew Wei",
year = "2013",
doi = "10.1007/s00520-013-1938-9",
language = "English",
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pages = "3491 -- 3495",
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Improving the transition of highly complex patients into the community: Impact of a pharmacist in an allogeneic stem cell transplant (SCT) outpatient clinic. / Chieng, Ruth; Coutsouvelis, John; Poole, Susan Gaye; Dooley, Michael Joseph; Booth, Diana Louise; Wei, Andrew.

In: Supportive Care in Cancer, Vol. 21, No. 12, 2013, p. 3491 - 3495.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Improving the transition of highly complex patients into the community: Impact of a pharmacist in an allogeneic stem cell transplant (SCT) outpatient clinic

AU - Chieng, Ruth

AU - Coutsouvelis, John

AU - Poole, Susan Gaye

AU - Dooley, Michael Joseph

AU - Booth, Diana Louise

AU - Wei, Andrew

PY - 2013

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