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Published on: February 6, 2015
Development of Ambulatory Oncology Clinical Pharmacy Key Performance Indicators Using a Modified Delphi Consensus
Thomas McFarlane1, Rozhannaa Sothilingam1, Olavo Fernandes2
1University of Waterloo, Kitchener, ON, Canada.
Purpose:
To develop evidence-based ambulatory oncology clinical pharmacy key performance indicators (AOcpKPIs).
Methods:
A systematic, modified Delphi process was used to reach consensus on AOcpKPIs. Following an environmental scan of current oncology pharmacy practices across Canada, a literature review identified critical activities linked to patient-centered outcomes. A panel of oncology pharmacists engaged in three Delphi rounds and a virtual live meeting, assessing and refining candidate AOcpKPIs on the basis of predefined criteria. A total of 17 candidate AOcpKPIs were evaluated.
Results:
Consensus was achieved on 14 AOcpKPIs. These AOcpKPIs reflect critical pharmacist activities including clinical order review, patient education, medication adherence assessment, and management of drug therapy problems. This suite of AOcpKPIs provides a standardized approach for evaluating oncology pharmacist activities in ambulatory care, facilitating benchmarking and supporting evidence-based improvements in patient outcomes.
Conclusion:
This study represents a significant advancement in defining quality metrics for ambulatory oncology pharmacy practice. The consensus-based AOcpKPIs provide a foundation for enhanced patient care, professional accountability, and continuous quality improvement within oncology pharmacy. Implementing these AOcpKPIs has the potential to elevate oncology pharmacy practice, supporting pharmacists in meeting evolving health care demands and fostering evidence-based patient outcomes.
Insights
This study developed 14 evidence-based ambulatory oncology clinical pharmacy key performance indicators (AOcpKPIs) through a consensus process. These metrics standardize evaluation and improve patient outcomes in ambulatory oncology pharmacy.
Area of Science:
- Oncology Pharmacy Practice
- Health Services Research
- Quality Improvement
Background:
- Ambulatory oncology pharmacy practice requires standardized metrics for quality assessment.
- Existing practices lack a unified approach to evaluating clinical pharmacist activities.
Purpose of the Study:
- To develop evidence-based ambulatory oncology clinical pharmacy key performance indicators (AOcpKPIs).
- Establish standardized metrics for evaluating ambulatory oncology pharmacist performance.
Main Methods:
- A systematic, modified Delphi process involving a panel of oncology pharmacists.
- Environmental scan of Canadian oncology pharmacy practices and literature review.
- Three Delphi rounds and a virtual meeting to refine 17 candidate AOcpKPIs.
Main Results:
- Consensus was reached on 14 ambulatory oncology clinical pharmacy key performance indicators (AOcpKPIs).
- Key indicators encompass clinical order review, patient education, medication adherence, and drug therapy problem management.
- The developed AOcpKPIs enable standardized evaluation, benchmarking, and outcome improvement.
Conclusions:
- The study established a foundational set of quality metrics for ambulatory oncology pharmacy.
- Consensus-based AOcpKPIs support enhanced patient care, accountability, and continuous quality improvement.
- Implementation of AOcpKPIs can elevate practice standards and foster evidence-based patient outcomes.
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