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Patient assessment and documentation integrated in community practice: chat, check, and chart
1Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Canada. lisa.guirguis@ualberta.ca
Journal of the American Pharmacists Association : Japha
|December 12, 2012
Summary
Pharmacists integrated patient assessment tools more than documentation tools. Key facilitators included patient success and regulations, while time and reimbursement were barriers. Strategies like habit formation and technology use helped overcome challenges.
Area of Science:
- Pharmacy Practice
- Implementation Science
- Health Services Research
Background:
- Community pharmacists play a crucial role in patient care.
- Integrating new tools into practice presents unique challenges.
- The Chat, Check and Chart (CCC) tools aim to enhance patient assessment and documentation.
Purpose of the Study:
- To explore the integration of Chat, Check and Chart (CCC) tools by pharmacists in community practice.
- To identify barriers and facilitators influencing the use of CCC tools.
- To understand implementation strategies employed by pharmacists.
Main Methods:
- Concurrent nested mixed-method study design.
- Qualitative semi-structured interviews with 22 community pharmacists post-training.
- Quantitative survey data collected via telephone.
Main Results:
- Pharmacists were more likely to implement patient assessment (54%) than patient care documentation (36%) using CCC tools.
- Facilitators included patient success, supportive work environments, personal beliefs, and regulations.
- Barriers comprised lack of routines, patient expectations, reimbursement issues, and time constraints.
Conclusions:
- CCC tools had mixed effects on patients, pharmacists, and pharmacies due to time demands and resource limitations.
- Strategies such as habit formation, technology use, and starting small were effective in overcoming barriers.
- The Alberta College of Pharmacists used academic detailing to promote CCC tool adoption and adherence to practice standards.
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