Survey of oncohematological pharmaceutical care situation in Spain.

Objective: To learn about the baseline of Oncohematological Pharmacy Units in Spanish hospitals in order to identify areas for  improvement.

Method: A survey in line with the objectives set in GEDEFO 2020  Strategic Plan of Pharmaceutical Care for oncohematological patients  was designed. The survey was hosted on GEDEFO's website during  March and April 2017. Activity data for 2016 was collected. Results: A total of 95 hospitals responded to the survey. Out of which, 76% had an integrated information system of  pharmacotherapeutic process management, where a variability in  technological and organizational processes were found. The  oncohematological pharmacist led the implementation of the principles  of medicine, based on evidence and results obtained in routine clinical  practice. It was shown that 88% of hospitals had standardized  protocols. As for safety practices, in 83% of hospitals,  oncohematological pharmacists actively participated in the development  and maintenance of risk management program, implemented to prevent  errors. Preparation was centralized in 89% of hospitals. Variability was observed in pharmaceutical care depending on  where the patient was attended. In 92% of hospitals, pharmacists  served as reference for Oncohematology, although with different levels  of training. Major deficiencies were observed in training programs and  teaching. Of all oncohematological pharmacists, 53% had been a  researcher over the past three years.

Conclusions: These results mark the starting point for Spanish  Oncohematological Pharmacy Units to develop strategies for improving  the quality of pharmaceutical care offered to oncohematological patients  and led by GEDEFO, heads of service, and oncohematological  patients themselves.