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Clinical privileges program for pharmacists.

L C Hutchison1, J J Wolfe, C B Padilla

  • 1Pharmacy Service, Little Rock Veterans Affairs Medical Center (VAMC), AR 72205.

American Journal of Hospital Pharmacy
|June 1, 1992
PubMed
Summary
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A clinical privileges program for pharmacists was developed at a Department of Veterans Affairs (VA) medical center. This program enables pharmacists to practice pharmaceutical care, with all specialists receiving privileges after review.

Area of Science:

  • Pharmacy Practice
  • Healthcare Administration

Background:

  • The Department of Veterans Affairs (VA) issued policies in 1985 and 1989 regarding clinical privileges for pharmacists.
  • Pharmacists at a large VA medical center developed a program modeled on existing medical staff bylaws.

Purpose of the Study:

  • To describe the implementation and outcomes of a clinical privileges program for pharmacists at a VA medical center.
  • To outline the process for granting clinical privileges to pharmacists.

Main Methods:

  • A pharmacist clinical privileges program was established, using medical staff bylaws as a model.
  • Pharmacists seeking privileges submitted applications detailing qualifications and quality assurance protocols.
  • Applications were reviewed by a Pharmacist Clinical Privileges Review Board (PCPRB), with physician sponsorship required.

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Main Results:

  • All 24 clinical pharmacy specialists at the center requested privileges since the PCPRB's inception in 1990.
  • No pharmacist was denied privileges, though many required additional training or enhanced quality assurance.
  • The program received positive acceptance from the medical staff.

Conclusions:

  • A clinical privileges program allows pharmacists to expand their practice and provide pharmaceutical care.
  • The developed program effectively grants privileges while ensuring standards of care and patient safety.