Improving pharmacist documentation of clinical interventions through focused education

Rector, Katherine; Veverka, Angie; Evans, Stacie Krick

doi:10.2146/ajhp130670

Cited by 12 publications

(9 citation statements)

References 12 publications

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“…However, the interpretation of the quality of clinical interventions can be limited when quality improvement measures are lacking. Rector and colleagues 13 described the implementation of an education project to improve documentation of clinical interventions by pharmacists. They found that a pharmacist education initiative led to increased clinical intervention documentation with increased documentation of costs avoided.…”

Section: Section 3 Review Of the Enteral Nutrition Ordermentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

304

522

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Enteral nutrition (EN) is a valuable clinical intervention for patients of all ages in a variety of care settings. Along with its many outcome benefits come the potential for adverse effects. These safety issues are the result of clinical complications and of process-related errors. The latter can occur at any step from patient assessment, prescribing, and order review, to product selection, labeling, and administration. To maximize the benefits of EN while minimizing adverse events requires that a systematic approach of care be in place. This includes open communication, standardization, and incorporation of best practices into the EN process. This document provides recommendations based on the available evidence and expert consensus for safe practices, across each step of the process, for all those involved in caring for patients receiving EN.

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Section: Section 3 Review Of the Enteral Nutrition Ordermentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

304

522

View full text Add to dashboard Cite

show abstract

“…Therefore, documentation could be a key indicator to standardize, quantify and disseminate the quality of the dispensing process . Furthermore, Rector and colleagues also emphasize the need for appropriate documentation of clinical interventions to demonstrate the value of pharmacy services …”

Section: Discussionmentioning

confidence: 99%

“…19,70 Furthermore, Rector and colleagues also emphasize the need for appropriate documentation of clinical interventions to demonstrate the value of pharmacy services. 71 The documentation serves as a record for stating relevant participants, evidence, assumptions, rationale and analytical methods used in evaluating patient progress and quality of care or outcomes for individuals and populations. It can be defined as the detailed description of a patient-provider or providerprovider interaction.…”

Section: % 37mentioning

confidence: 99%

Can we document the practice of dispensing? A systematic review

et al. 2016

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SUMMARYWhat is known: Documentation is a process indicator utilized to evaluate quality clinical pharmacist services. In this framework, documentation of dispensing, besides supporting patient care, allows evaluation of the impact of counselling. Objective: To identify and assess studies of documentation by pharmacists in the dispensing process. Method: A systematic review was carried out according to the following steps: (i) identification of studies in the following databases: PubMed/Medline, Web of Science, Scopus and Lilacs, using the descriptors 'counselling', 'dispensing', 'community pharmacy services', 'pharmacies' and 'pharmacists' in different combinations; (ii) evaluation of studies, in which the title, abstract and full text of the studies, and the evaluation of the methodological quality of the selected studies were analysed. Results: In total, 26 articles met the specific criteria. Few studies addressed documentation as part of the dispensing working process (3), and 16 articles reported documentation using nonelectronic systems. The main variables documented were patient information, drug therapy problems and clinical interventions. Furthermore, 20 studies showed the effects of documentation in the dispensing process and 23 studies included statistical evidence. Eight articles met between 42% and 75% of the 28 items recommended by the STROBE initiative, and two articles met approximately 60% of the 36 items recommended by the CONSORT initiative.

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“…In the academic brainstorming session, the researchers had a mean age of 28.66 ± 5.82 (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) years and a mean professional experience of 4.76 ± 2.38 (2)(3)(4)(5)(6)(7)(8) years. Their discussion was based on the importance of the instrument items for dispensing.…”

Section: Academic Brainstormingmentioning

confidence: 99%

“…According to,37 the development of documentation instruments is a useful strategy for recording interventions that occur daily in community pharmacies. The documentation of the interventions allows the traceability of information, facilitates communication within the team and with other health professionals, increases the safety and quality of care provided to the patient and enables the evaluation of the results [36][37][38]. In addition, Hooperet al (2009) 39 reported that the documentation and analysis of interventions should be routine activities in a community pharmacy.…”

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confidence: 99%

Development and content validation of an instrument to document the dispensing of prescribed medicines

et al. 2019

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Summary What is known and objective Qualified dispensing is fundamental for the promotion of the rational use of medicines. Documentation is an indicator of quality and one of the essential steps in the care process. However, in Brazil, there are no models of clinical documentation applicable to dispensing practices. Thus, the objective of this study was to develop and validate an instrument to document the dispensing process of prescribed medicines. Methods A methodological development study was carried out from February 2017 to October 2017 in two stages, which were (i) the development of the instrument and (ii) content validation of the proposed instrument. The development phase comprised three stages, which were (i) the elaboration of the prototype based on a previously performed systematic review, (ii) academic brainstorming and (iii) a pre‐Delphi consensus. The content validation process was performed using the Delphi technique. The instrument was sent to 40 experts with experience in dispensing, and the consensus among them was calculated using the content validity index (CVI). The study was approved by the Ethics Committee, and all participants signed an informed consent document detailing the terms of the study. Results In the development stage, three versions of the instrument were generated, which were the prototype, version 1 (changed after academic brainstorming) and version 2 (changed after the pre‐Delphi). In the content validation process of version 2 of the instrument, 23 experts returned their evaluation in the first round of the Delphi process and 17 in the second. All the items obtained a CVI >0.83, which resulted in the validation of the instrument. The final instrument comprised the following sections: general information, the identification of technical and legal problems of prescriptions, the conduct for the resolution of the technical and legal problems of prescriptions, medication dispensed, suspected drug‐related problems, verbal guidance, written guidance, referral and the referral result. What is new and conclusion The developed and validated instrument presents the main variables that should be documented during the dispensing process.

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Improving pharmacist documentation of clinical interventions through focused education

Abstract: Implementation of a focused pharmacist education initiative led to increased numbers of clinical interventions reported and increased documentation of costs avoided.

Cited by 12 publications

References 12 publications

ASPEN Safe Practices for Enteral Nutrition Therapy

ASPEN Safe Practices for Enteral Nutrition Therapy

Can we document the practice of dispensing? A systematic review

Development and content validation of an instrument to document the dispensing of prescribed medicines

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