Electronic Documentation of Clinical Pharmacy Interventions in Hospitals

Al‐Jedai, Ahmed; Nurgat, Zubeir

doi:10.5772/50425

Cited by 4 publications

(2 citation statements)

References 35 publications

(57 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Pharmacists Achieve Results with Medications Documentation (PhARMD), a template that captures interventions and outcomes of clinical pharmacists in an integrated healthcare system, is currently being used in several hospitals in the USA 3. Other recording tools have been previously reported 16–18…”

Section: Introductionmentioning

confidence: 99%

Improving the impact of pharmacy interventions in hospitals

Baptista,

Williams,

Price

2023

BMJ Open Qual

View full text Add to dashboard Cite

The clinical and pharmaceutical interventions of pharmacy professionals are considered impactful inputs towards optimised patient care and safety, by rationalising prescriptions, enhancing therapeutic choices and reducing and preventing medication errors and adverse effects. Pharmacy interventions (PIs), related to the identification, prevention and resolution of drug-related problems, should be recorded for optimal clinical governance and potential health outcomes.Between October 2020 and October 2021, the community hospitals at Powys Teaching Health Board recorded 158 PIs, corresponding to 0.4 interventions per staff per week. Only two members of the team were recording these PIs. Poor indicative PIs can result in lost opportunities for medication optimisation and prescribing rationalisation, increased costs and unidentified training potential.The aims of this project were (1) to record 180 interventions between 22 November 2021 and 8 April 2022 (20 weeks), corresponding to an average threefold increase, compared to the interventions recorded between October 2020 and October 2021 (52 weeks); (2) to have all hospital pharmacy staff recording at least one intervention during the same period.The number of interventions recorded and the number of pharmacy staff recording each intervention were two process measures. The project was completed through two Plan-Do-Study-Act cycles and applied theory on managing change in healthcare.The most successful intervention influencing positively the process measures was the implementation of a new Pharmacy Intervention Record Tool (xPIRT) toolkit that included an online recording tool (xPIRT) and an interactive panel with up-to-date results from all interventions recorded (xPIRT Dashboard). Motivating change was proven to be one of the best determinants of user satisfaction and engagement that contributed to meet the project’s targets. xPIRT Dashboard provided staff the capacity to act on possible personal motivators and the possibility to improving care with medicines on their wards. The implementation of xPIRT toolkit was able to increase the representativity and significance of PIs recorded by the hospital pharmacy team, and it is expected to be used for personal professional development, demonstrating team activity and impact, service planning, prescribing practice optimisation and to identify education/training needs. This toolkit can be easily applied and adapted to other health organisations, settings and services.

show abstract

Section: Introductionmentioning

confidence: 99%

Improving the impact of pharmacy interventions in hospitals

Baptista,

Williams,

Price

2023

BMJ Open Qual

View full text Add to dashboard Cite

show abstract

“…[3] Other recording tools have been previously reported. [16][17][18] Baseline measurement An initial baseline study was conducted on the recorded interventions by the hospital PT in Powys between October 2020 and October 2021. The only available tool used to collect this information was AWID.…”

Section: Introductionmentioning

confidence: 99%

Improving the impact of pharmacy interventions in hospitals

Baptista

Williams

Price

2023

Preprint

View full text Add to dashboard Cite

The interventions of pharmacy professionals are considered impactful inputs towards optimised patient care and safety, by rationalising prescriptions, enhancing therapeutic choices and reducing and preventing medication errors and adverse effects. Between October 2020 and October 2021, the community hospitals at Powys Teaching Health Board recorded 158 interventions, corresponding to 0.4 interventions per pharmacy staff per week. Predominantly, only two members of the team were recording these pharmacy interventions (PIs). Poor indicative PIs can result in lost opportunities for medication optimisation and prescribing rationalisation, increased costs and unidentified education and training potentials. The aims of this project were (1) to record 180 interventions between 22/11/2021 and 08/04/2022 (20 weeks), corresponding to an average 3-fold increase, compared to the interventions recorded between October 2020 and October 2021 (52 weeks); (2) to have all hospital pharmacy staff recording at least one intervention during the same period. The number of interventions recorded and the number of pharmacy staff recording each intervention were two process measures. The project was completed through two Plan-Do-Study-Act (PDSA) cycles and applied theory on managing change in healthcare. The most successful intervention influencing positively the process measures was the implementation of a new Pharmacy Intervention Record Tool (xPIRT) toolkit that included an online recording tool (xPIRT) and an interactive panel with up-to-date results from all interventions recorded (xPIRT Dashboard). Motivating change was proven to be one of the best determinants of user satisfaction and engagement that contributed to meet the targets of the project. xPIRT Dashboard provided staff the capacity to act on possible personal motivators and the possibility to improving care with medicines on their wards. The implementation of xPIRT toolkit was able to increase the representativity and significance of PIs recorded by the hospital pharmacy team and it is expected to be used for personal professional development, demonstrating team activity and impact, service planning, prescribing practice optimisation, and to identify education/training needs. This toolkit can be easily applied and adapted to other health organisations, settings and services.

show abstract

Capturing Pharmacy Activities Using Barcode Technology

Samios

2013

Pharmacy Practice and Res

View full text Add to dashboard Cite

Background Recording pharmacy activities beyond clinical pharmacist interventions is challenging. Traditional methods of manual data collection are cumbersome and time consuming. Technology, such as barcode scanners, has the potential to provide a portable, reproducible and simplified approach to data collection. Allied health disciplines at St Vincent's Hospital, Sydney successfully switched from manually collecting daily activity data to an electronic system using barcode technology (Activity BarCoding). Aim To introduce Activity BarCoding into the pharmacy department and collect data on daily pharmacy activities. Method Activity BarCoding software was installed and barcode scanners were purchased. Based on the Society of Hospital Pharmacists of Australia's definitions, pharmacy activities were divided into: clinical care, management, distribution services, research, and teaching and training. Sub‐categories were developed for each activity type, as well as interventions to describe clinical activity. Barcodes were produced for all activities. After a 6‐month development phase, implementation began in June 2011. The system was rolled out over 18 months to all pharmacy staff. 12 months after implementation, pharmacists were surveyed about their perceptions of the Activity BarCoding system. Results During November 2012, 39 users recorded 5809.5 hours of activity − 22% (1279.3 h) clinical care, 44% (2573.7 h) distribution services, 13% (777.5 h) management, 2% (96.6 h) research and 1% (61.5 h) teaching and training. Inpatient and outpatient dispensary activities accounted for 40% (1033.5 h) and 28% (712.5 h) of the distribution hours, respectively. Of the 20 users surveyed, 55% disagreed and 15% strongly disagreed that data collection was too labour intensive. Conclusion Activity BarCoding was successfully introduced into the pharmacy department to collect data on daily pharmacy activities. The system was flexible, easy to use and integrated well into a busy work place.

show abstract

Electronic Documentation of Clinical Pharmacy Interventions in Hospitals

Cited by 4 publications

References 35 publications

Improving the impact of pharmacy interventions in hospitals

Improving the impact of pharmacy interventions in hospitals

Improving the impact of pharmacy interventions in hospitals

Capturing Pharmacy Activities Using Barcode Technology

Contact Info

Product

Resources

About