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Developing and implementing standards of practice for clinical pharmacy services.

D A Miller, R F Stankiewicz, B J Zarowitz

    Hospital Pharmacy
    |July 9, 1987
    PubMed
    Summary

    The authors aimed to improve the consistency and accountability of clinical pharmacy services by developing and implementing Clinical Standards of Practice. They started with a pilot project at one location, where pharmacists identified achievable minimum standards. These standards were then evaluated through a review of pharmacy records and patient materials. Staff received feedback based on the results. The success of the pilot led to the adoption of these standards across the entire department. Future plans include updating the standards to reflect changing goals and shifting to pharmacist-specific reviews. The authors suggest that this approach can enhance service delivery and staff development in pharmacy settings.

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    Area of Science:

    • Clinical pharmacy practice
    • Healthcare quality improvement
    • Pharmacy services management

    Background:

    Healthcare professionals have long recognized the need for consistent service delivery in clinical settings. Prior research has shown that structured guidelines can enhance service quality and staff accountability. However, no prior work had resolved how to apply these principles specifically to pharmacy services. This gap motivated the development of a system for evaluating pharmacy performance. Existing knowledge includes the value of measurable standards in healthcare. But applying this to pharmacy practice remains underexplored. The authors aimed to address this by creating a framework for consistent service evaluation. Their approach focused on pharmacy-specific metrics rather than general nursing unit standards. This distinction is important for accurate performance tracking.

    Purpose Of The Study:

    The goal was to create and implement a system for evaluating clinical pharmacy services. The authors wanted to establish measurable standards that staff could consistently meet. They aimed to improve accountability by making service expectations clear. The motivation came from the need for better performance tracking in pharmacy settings. Traditional nursing unit standards were not sufficient for pharmacy-specific tasks. The authors proposed a new method using pharmacy-focused metrics. Their approach involved staff collaboration to define achievable standards. The ultimate aim was to support continuous improvement in pharmacy services.

    Keywords:
    pharmacy service standardsclinical pharmacy evaluationhealthcare performance metricspharmacist accountability

    Frequently Asked Questions

    The main outcome was improved consistency in pharmacy service delivery and better staff accountability.

    Pharmacists identified achievable minimum standards through a pilot project at one satellite location.

    To improve the accuracy of performance tracking and better align with pharmacy-specific tasks.

    They were used to evaluate compliance with the standards and provide feedback to staff.

    Eleven standards were developed and are currently in use across the department.

    Related Experiment Videos

    Main Methods:

    The researchers began with a pilot project at one satellite location. Pharmacists were asked to identify achievable minimum standards. These standards were based on tasks considered essential for daily operations. Once defined, the team created a process to evaluate compliance. Pharmacy records and patient materials were reviewed to assess adherence. Staff received feedback on their performance based on these reviews. The pilot's success led to department-wide adoption of the standards. Future plans include updating the standards to match evolving goals and shifting to a pharmacist-specific review format.

    Main Results:

    The pilot demonstrated that pharmacy-specific standards could be effectively implemented. Eleven standards were developed and are now used across the department. Compliance was measured through record reviews and patient data analysis. Feedback was provided to staff to improve adherence to the standards. The new system has improved consistency in service delivery. Pharmacists reported better clarity on expected performance levels. The shift from nursing unit to pharmacist-specific reviews is planned. Continuous revision of the standards is also scheduled to reflect new goals.

    Conclusions:

    The authors suggest that pharmacy-specific standards can enhance service consistency. Their findings support the use of measurable metrics for performance evaluation. The pilot's success led to department-wide adoption of the standards. The proposed shift to pharmacist-specific reviews aims to improve tracking accuracy. Continuous revision of the standards is seen as essential for long-term effectiveness. The approach provides a framework for staff development and accountability. The results suggest that structured standards can support better pharmacy service delivery. The authors propose that this method can be adapted to other pharmacy settings.

    The authors suggest that structured standards can support better pharmacy service delivery and staff development.