Summary:
The purpose of the present project was to analyse the costs incurred by the implementation of JACIE standards at a University Hospital with 1000 beds, performing some 40 autologous transplants per year. The cost analysis was performed on the basis of a prospective assessment of the time spent by all staff members involved with the implementation over a 14-month period of the quality management system (QMS) required by the JACIE standards. Two physicians worked on JACIE Section A (management=82 h), one physician and two nurses for section Ba (clinical unit adults=125.75 h), two physicians and three nurses for section Bp (clinical unit paediatrics=206 h), one physician, two nurses and one technician for section C (progenitor cell collection facility=105.75 h), and one physician and two technicians for section D (progenitor cell processing facility=426 h). The total time spent on the project amounted to 945.5 h with a total salary cost of €150 000. We concluded that implementation of the JACIE standards was accomplished within a 14-month period with a financial impact of approximately €150 000. The impact on quality parameters (eg clinical and laboratory end points, side effects) on HPC transplantation will be assessed in a second report after the first year of practical implementation.
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Acknowledgements
We would like to thank the members of the programme-supervision group (Professor M Fey, Professor A Hirt, Mrs E Kohler, Dr B Mansouri, and Mrs R Noesberger) for their advise and support, and the members of the working party (Mrs U Barth, Mrs A Baumann, Mrs M Hühnli, Mrs E Ischi and Mrs K Zbären) for their excellent work in composing the QMS-documents which describe nursing and laboratory activities. Our special thanks go to Professor M Hess, Head of the hospitals Quality Commission for the careful revision of the manuscript and his generous support to our project.
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Zahnd, D., Leibundgut, K., Zenhäusern, R. et al. Implementation of the JACIE standards for a haematopoietic progenitor cell transplantation programme: a cost analysis. Bone Marrow Transplant 34, 847–853 (2004). https://doi.org/10.1038/sj.bmt.1704649
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DOI: https://doi.org/10.1038/sj.bmt.1704649
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