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Benchmarking hospital clinical pharmacy practice using standardised key performance indicators (KPIs).

Amelia R Cossart1, Martin L Canning2, Faith R Yong1,3

  • 1Safe and Effective Medicine Research Collaborative, Faculty of Medicine and Faculty of Health and Behavioural Science (School of Pharmacy), University of Queensland, Brisbane, Australia.

Journal of Pharmaceutical Policy and Practice
|December 18, 2024
PubMed
Summary

Standardized key performance indicators (KPIs) for hospital pharmacy services reveal valuable insights into clinical activities. Benchmarking these KPIs helps identify areas for improving medication safety and quality of care.

Keywords:
KPIPharmacybenchmarkclinical pharmacyhealthcare quality indicatorsmedication safetypatient safety

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Area of Science:

  • Pharmacy Practice
  • Health Services Research
  • Medication Safety

Background:

  • Hospital pharmacy services are crucial for medication safety and quality use of medicines through clinical activities.
  • Standardized key performance indicators (KPIs) enable measurement, monitoring, and benchmarking of pharmacy services.
  • KPI standardization facilitates inter- and intra-site comparisons for targeted service improvements.

Purpose of the Study:

  • To describe the types and frequency of clinical pharmacy activities in five hospitals.
  • To analyze clinical pharmacy activity across inpatient, discharge, outpatient, and dispensary settings.
  • To evaluate the utility of standardized KPIs in assessing pharmacy service performance.

Main Methods:

  • Data collection of KPIs by pharmacists across five hospitals in Queensland, Australia.
  • Utilized a paper-based tool developed through co-design for data collection.
  • Collected data over one week across various clinical settings: inpatient, discharge, outpatient, and dispensary.

Main Results:

  • High rates of discharge education (82.7%) and reconciliation (88.2%) were observed.
  • Pharmacists identified 5,009 drug-related problems (DRPs), with high-risk DRPs constituting almost 20%.
  • The rate of DRP identification was highest in outpatient clinics (64.8 per 100 reviews).

Conclusions:

  • Reporting and benchmarking clinical pharmacy activity using standardized KPIs identify opportunities for service enhancement.
  • Standardized KPIs are valuable tools for monitoring and improving clinical pharmacy services.
  • Future research should focus on large-scale studies using routinely recorded data for KPI monitoring.