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Development and Validation of Cardiology-Specific Quality Indicators for Clinical Pharmacists: A Modified Delphi
Asma M Alshahrani1, Mohammed Ahmed Alishaq2, Manea Fares Al Munjem2
1Department of Clinical Pharmacy, College of Pharmacy, Shaqra University, Dawadimi, Saudi Arabia.
Researchers developed 23 quality indicators for drug therapy problems (QI-DTPs) in cardiology, achieving strong consensus among Saudi Arabian clinical pharmacists. These indicators aim to improve cardiovascular care and medication safety.
Area of Science:
- Pharmacology
- Clinical Pharmacy
- Healthcare Quality Improvement
Background:
- Clinical pharmacists are crucial in cardiology for optimizing drug therapy and patient outcomes.
- A lack of standardized quality indicators hinders the evaluation of clinical pharmacists' impact in cardiology.
- This gap necessitates the development of specific metrics to assess and improve cardiovascular pharmacotherapy.
Purpose of the Study:
- To develop and validate cardiology-specific Quality Indicator Drug Therapy Problems (QI-DTPs).
- To establish medication-related quality indicators for identifying, preventing, and resolving drug therapy problems in cardiovascular care.
- To achieve consensus on these indicators using a modified Delphi technique in Saudi Arabia.
Main Methods:
- A comprehensive literature review and expert group consultation generated 23 candidate QI-DTPs.
- A modified Delphi approach involving 16 expert clinical pharmacists in Saudi Arabia was employed.
- Indicators were rated on a 9-point Likert scale, with ≥75% consensus required for validation over three rounds.
Main Results:
- Sixteen expert clinical pharmacists, with extensive cardiology experience, participated in the study.
- All 23 proposed QI-DTPs achieved the ≥75% consensus threshold.
- Strong agreement was demonstrated regarding the relevance, clarity, and applicability of the validated QI-DTPs.
Conclusions:
- The study successfully validated 23 QI-DTPs through strong consensus among Saudi Arabian clinical pharmacists.
- Implementing these QI-DTPs can enhance cardiovascular care quality, support pharmacist interventions, and improve medication safety.
- Future research should focus on evaluating the impact of these quality metrics on patient outcomes.
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