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Chennaq M, El Baraka S, Cherif Chefchaouni A, Benahmed H, Chaibi A, Belahcen MJ, Rahali Y. Manual versus automated chemotherapy preparation: A retrospective pharmaco-economic analysis. J Oncol Pharm Pract 2024:10781552241230889. [PMID: 38332625 DOI: 10.1177/10781552241230889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
Abstract
INTRODUCTION The National Oncology Institute of Morocco's (NIO) shift to an automated cytotoxic drug preparation system (PHARMODUCT®) has prompted an evaluation of its economic and clinical impacts compared to traditional manual methods. METHODS A retrospective cost-benefit analysis over six months, extrapolated to annual projections, assessed initial investments, labour, equipment, drugs and consumables. Four commonly used chemotherapy drugs were analyzed, with a focus on the cost implications of drug waste in manual preparation versus the efficiency of vial-sharing in automated methods. RESULTS The automated system incurred a higher initial cost $2,934,098.74, but reduced annual drug consumption costs by 19.74% and drug-related expenses by $41,228.27. It also decreased personnel costs by $48,073.35. Despite the upfront investment, the system is projected to break even within two years, with no medication waste due to its vial-sharing capability. CONCLUSION The initial higher investment in pharmaceutical automation promises considerable long-term savings and efficiency gains. Despite the study's limited scope and duration, the findings endorse the adoption of automated systems in oncology pharmacy settings for sustainable financial management and improved clinical outcomes.
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Affiliation(s)
- Meryem Chennaq
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
- Ibn Sina University Hospital Center, Rabat, Morocco
| | - Soumaya El Baraka
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
- Ibn Sina University Hospital Center, Rabat, Morocco
| | - Ali Cherif Chefchaouni
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
- Ibn Sina University Hospital Center, Rabat, Morocco
| | - Houda Benahmed
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
| | - Aicha Chaibi
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
- National Institute of Oncology, Ibn Sina University Hospital, Rabat, Morocco
| | | | - Younes Rahali
- Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
- Ibn Sina University Hospital Center, Rabat, Morocco
- Team of Formulation and Quality Control of Health Products, Faculty of Medicine and Pharmacy, Mohammed V University-Rabat, Rabat, Morocco
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Khan R, Orchard A, Vally M. Pharmacy students' perceptions of an oncology pharmacy simulation. Curr Pharm Teach Learn 2022; 14:671-679. [PMID: 35715109 DOI: 10.1016/j.cptl.2022.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 01/17/2022] [Accepted: 05/03/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND AND PURPOSE Cancer is on the rise both globally and in South Africa, with an estimated 70% increase in incidence in Sub-Saharan Africa by 2030. While oncology pharmacy is a highly specialized field of practice, there is currently no formal certification for oncology pharmacists in South Africa. EDUCATIONAL ACTIVITY AND SETTING To standardise the way in which oncology pharmacy is practiced within the country, the first-ever simulation-based oncology admixing training for pharmacy students in South Africa was developed at the University of the Witwatersrand. Following the simulation, a survey was conducted to determine the participants' perceptions of the simulation. Current and past pharmacy students were invited to complete a questionnaire. Data were collected through a self-administered cross-sectional REDCap (Research Electronic Data Capture) questionnaire using a Likert-like scale to determine the agreed with statements related to the simulation. FINDINGS A total of 81 participants completed the questionnaire. Participants provided favorable feedback related to the simulation's benefit, quality, and learning experience. SUMMARY Based on the perceptions of the participants, the purpose of the simulation exercise was achieved.
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Affiliation(s)
- Razeeya Khan
- Lecturer in Clinical Pharmacy, Division of Clinical Pharmacy, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, University of Witwatersrand, 7 York road, Parktown, Johannesburg, 2193, South Africa.
| | - Ané Orchard
- Lecturer in Clinical Pharmacy, Division of Clinical Pharmacy, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, University of Witwatersrand, 7 York road, Parktown, Johannesburg, 2193, South Africa.
| | - Muhammed Vally
- Lecturer in Clinical Pharmacy, Division of Clinical Pharmacy, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, University of Witwatersrand, 7 York road, Parktown, Johannesburg, 2193, South Africa.
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Holle LM, Bilse T, Alabelewe RM, Kintzel PE, Kandemir EA, Tan CJ, Weru I, Chambers CR, Dobish R, Handel E, Tewthanom K, Saeteaw M, Dewi LKM, Schwartz R, Bernhardt B, Garg M, Chatterjee A, Manyau P, Chan A, Bayraktar-Ekincioglu A, Aras-Atik E, Harvey RD, Goldspiel BR. International Society of Oncology Pharmacy Practitioners (ISOPP) position statement: Role of the oncology pharmacy team in cancer care. J Oncol Pharm Pract 2021; 27:785-801. [PMID: 34024179 DOI: 10.1177/10781552211017199] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The Oncology Pharmacy Team (OPT), consisting of specialty-trained pharmacists and/or pharmacy technicians, is an integral component of the multidisciplinary healthcare team (MHT) involved with all aspects of cancer patient care. The OPT fosters quality patient care, safety, and local regulatory compliance. The International Society of Oncology Pharmacy Practitioners (ISOPP) developed this position statement to provide guidance on five key areas: 1) oncology pharmacy practice as a pharmacy specialty; 2) contributions to patient care; 3) oncology pharmacy practice management; 4) education and training; and 5) contributions to oncology research and quality initiatives to involve the OPT. This position statement advocates that: 1) the OPT be fully incorporated into the MHT to optimize patient care; 2) educational and healthcare institutions develop programs to continually educate OPT members; and 3) regulatory authorities develop certification programs to recognize the unique contributions of the OPT in cancer patient care.
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Affiliation(s)
| | - Tegan Bilse
- Chris Hani Baragwanath Academic Hospital, Soweto, South Africa
| | | | | | | | - Chia Jie Tan
- National University of Singapore, Singapore, Singapore
| | - Irene Weru
- Kenyatta National Hospital, Nairobi, Kenya
| | | | | | - Evelyn Handel
- National Comprehensive Cancer Network, Plymouth Meeting, PA, USA
| | | | - Manit Saeteaw
- Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Warin Chamrap District, Thailand
| | | | | | | | - Manju Garg
- Alberta Health Services, Calgary, AB, Canada
| | | | | | - Alexandre Chan
- University of California Irvine, Irvine, School of Pharmacy & Pharmaceutical Sciences, Irvine, CA, USA
| | | | - Elif Aras-Atik
- Hacettepe University, Faculty of Pharmacy, Ankara, Turkey
| | | | - Barry R Goldspiel
- National Cancer Institute, National Institutes of Health, Rockville, MD, USA
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Trovato JA, Thompson A, Duffy AP. Student confidence with oncology pharmacy competencies. Curr Pharm Teach Learn 2019; 11:1172-1177. [PMID: 31783965 DOI: 10.1016/j.cptl.2019.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 05/15/2019] [Accepted: 07/24/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE The purpose of this study was to assess the change in student confidence to perform oncology pharmacy competencies before and after completing oncology didactic instruction using a flipped classroom approach. METHODS First year doctor of pharmacy students completed a survey prior to the Applied Science and Therapeutics (AST) oncology module (pre-survey) and the same survey following the completion of the oncology module (post-survey). The survey consisted of questions addressing prior oncology pharmacy experience related to employment (research or patient care) and education, level of interest in oncology pharmacy, and level of confidence to perform thirteen oncology pharmacy competencies. RESULTS One-hundred sixteen students completed the pre-survey and 35 completed the post-survey. Students completing both surveys reported greater confidence in all oncology pharmacy competencies (p < 0.0001) after instruction. The greatest increases in student confidence were related to chemotherapy dose calculations, patient education, and drug-drug interactions. CONCLUSIONS The delivery of oncology content using flipped classroom instruction in the AST course successfully increased student confidence in ability to perform oncology pharmacy competencies. Cancer screening, cancer risk factors, and the preparation and dispensing of chemotherapy were competencies identified as needing greater emphasis in classroom instruction. Future studies are needed to assess student's knowledge and application of oncology pharmacy competencies in both the experiential and classroom settings.
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Affiliation(s)
- James A Trovato
- University of Maryland School of Pharmacy, Department of Pharmacy Practice and Science, 20 N. Pine Street, Room S448, Baltimore, MD 21201, United States.
| | - Allison Thompson
- University of Maryland School of Pharmacy, Department of Pharmacy Practice and Science, 20 N. Pine Street, Room S448, Baltimore, MD 21201, United States.
| | - Alison P Duffy
- University of Maryland School of Pharmacy, Department of Pharmacy Practice and Science, 20 N. Pine Street, Room N411, Baltimore, MD 21201, United States.
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