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Computerized documentation of pharmacists' interventions

R N Mason1, C B Pugh, S B Boyer

  • 1Department of Pharmacy, University of Virginia Health Sciences Center (UVaHSC), Charlottesville.

American Journal of Hospital Pharmacy
|September 1, 1994
PubMed
Summary
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A new computerized system effectively documents pharmacists' interventions, improving patient care and pharmaceutical services. This system enhances data capture, physician support, and leads to significant cost savings.

Area of Science:

  • Health Informatics
  • Pharmacy Practice
  • Quality Improvement

Background:

  • Tertiary care university teaching hospitals require robust systems for documenting pharmacist interventions.
  • Evolving healthcare standards necessitate improved data capture for quality assurance.
  • Previous methods may not adequately capture the scope or clinical significance of pharmacist recommendations.

Purpose of the Study:

  • To describe a computerized system for documenting pharmacist interventions.
  • To enhance the capture of clinically important recommendations and cost-saving opportunities.
  • To support compliance with healthcare accreditation standards.

Main Methods:

  • Development of a computerized intervention documentation system within a hospital pharmacy department.

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  • System allows data entry and retrieval from any medical information system terminal.
  • Documentation is limited to clinically significant or cost-saving recommendations.

    • Main Results:

    • The system successfully captures detailed information on pharmacist recommendations.
    • Daily hard copies and data files are generated for analysis.
    • Analysis of documented interventions identified opportunities for improving patient care and pharmaceutical services.

    Conclusions:

    • The computerized system is well-received by pharmacists and has increased physician support for recommendations.
    • Implementation has led to substantial cost savings for the pharmacy department.
    • The system facilitates departmental and institutional quality assurance activities and cost reduction.