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Documenting the clinical pharmacist's activities: back to basics.
L M Strand1, R J Cipolle, P C Morley
1Department of Pharmacy Practice, College of Pharmacy, University of Utah, Salt Lake City 84112.
Drug Intelligence & Clinical Pharmacy
|January 1, 1988
Summary
This study introduces the Pharmacist's Workup of Drug Therapy (PWDT), a standardized process for documenting clinical pharmacy activities. PWDT ensures comprehensive patient care documentation and supports the development of clinical pharmacy services.
Area of Science:
- Pharmacy Practice
- Clinical Pharmacy
- Health Informatics
Background:
- The term "documentation" in pharmacy is often misapplied to administrative tasks, neglecting its role in clinical service development.
- This ambiguity hinders the justification and implementation of essential clinical pharmacy services.
Purpose of the Study:
- To present a standardized instrument for documenting clinical pharmacists' patient-specific databases, care activities, and therapeutic plans.
- To re-establish the critical role of documentation in advancing clinical pharmacy.
Main Methods:
- Introduction of the Pharmacist's Workup of Drug Therapy (PWDT) process.
- PWDT comprises six interrelated steps: database establishment, problem identification, outcome description, alternative listing, recommendation selection, and monitoring plan development.
Main Results:
- The PWDT process provides a structured framework for documenting clinical pharmacist interventions.
- This systematic approach ensures comprehensive patient data and therapeutic plan management.
Conclusions:
- A standardized documentation method like PWDT is crucial for the development, justification, and successful implementation of clinical pharmacy services.
- Functional, daily documentation is essential for generating meaningful summative management reports in clinical pharmacy.