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Related Experiment Videos

Documenting concurrent clinical pharmacy interventions.

T M Haslett1, B G Kay, H Weissfellner

  • 1Long Island Jewish Medical Center, New Hyde Park, NY 11042.

Hospital Pharmacy
|April 1, 1990
PubMed
Summary
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Documenting clinical pharmacy interventions improved patient care and outcomes. This quality assurance method demonstrated pharmacists

Area of Science:

  • Clinical Pharmacy
  • Health Services Research
  • Quality Assurance

Background:

  • Documentation of clinical pharmacy activities is crucial for demonstrating value.
  • Tertiary care medical centers require methods to showcase pharmacy's direct patient care role.
  • Quality assurance programs can be enhanced by tracking pharmacy interventions.

Purpose of the Study:

  • To implement and evaluate a simple method for documenting clinical pharmacy interventions.
  • To provide data for the Joint Commission on Accreditation of Healthcare Organizations regarding direct patient care.
  • To justify the role of pharmacists as integral members of the healthcare team to hospital administrators.

Main Methods:

  • A quality assurance measure was integrated into the daily workflow of a tertiary care teaching hospital.

Related Experiment Videos

  • Clinical pharmacy interventions were documented, categorizing initiators (nurses, pharmacists, physicians) and types of consultations.
  • Data from 1988 were analyzed to assess the impact and nature of interventions.

    • Main Results:

    • A total of 428 interventions were documented in 1988, with 27% preventing adverse drug events.
    • Nurses, pharmacists, and physicians initiated 37%, 33%, and 30% of interventions, respectively.
    • Pharmacist-initiated interventions primarily involved order clarifications (51%), while physician and nurse-initiated interventions focused on drug information requests (89% and 82%).

    Conclusions:

    • Daily documentation of clinical pharmacy interventions is an effective quality assurance tool.
    • This documentation demonstrates improved patient care quality and outcomes.
    • The data generated can effectively support the cost-justification of pharmacist positions.