Quality Assessment of a Collaborative Approach for Decreasing Drug-Related Morbidity and Achieving Therapeutic Goals

Isetts, Brian J.; Brown, Lawrence M.; Schondelmeyer, Stephen W.; Lenarz, Lois A.

doi:10.1001/archinte.163.15.1813

Cited by 96 publications

(64 citation statements)

References 40 publications

(30 reference statements)

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“…5 In the United States, organizations such as the Joint Commission and the Hospital Quality Alliance require that hospitals report their performance in providing certain pharmacologic therapies as a component of accreditation. 6,10 Identifying the reasons why proven interventions are underutilized, in the absence of contraindications, is essential to determining how the rate of implementation can be improved. Vancouver Coastal Health -Providence Health Care considered the rate of implementation of evidence-based pharmacologic interventions to be indicative of the quality of care that inpatients were receiving.…”

Section: Methodsmentioning

confidence: 99%

Reasons for Non-use of Proven Interventions for Hospital Inpatients: Pharmacists’ Perspectives

Barry

Loewen

Lemos

et al. 2009

CJHP

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Background: Recently, health care institutions have been using performance indicators to measure and improve quality of care. One such indicator, the Ideal Medication Intervention Index, reflects the rate of implementation of proven pharmacologic interventions, which studies have shown are underutilized. Identifying the reasons why proven interventions are underused is essential to determining how their rate of use can be improved.

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Section: Methodsmentioning

confidence: 99%

Reasons for Non-use of Proven Interventions for Hospital Inpatients: Pharmacists’ Perspectives

Barry

Loewen

Lemos

et al. 2009

CJHP

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“…Semestinya hubungan ini lebih ditingkatkan lagi karena menurut penelitian Issets (2008), keputusan yang dibuat apoteker yang bekerja sama dengan dokter dalam pelayanan terapi pengobatan menghasilkan hasil yang dapat dipercaya secara klinik. 5 Faktor utama yang dapat mendukung tercapainya konsep di atas adalah kompetensi apoteker dan keterbukaan dokter dalam menerima peran apoteker. Perlu ditekankan bahwa apoteker adalah mitra yang akan membantu dokter sesuai dengan kewenangannya demi tercapainya pengobatan pasien yang optimal.…”

Section: Pembahasanunclassified

Collaboration of Physician, Pharmacist and Director Model toward the Improvement of Teamwork Effectiveness in Hospital

Abdulkadir

2017

Indones J Clin Pharm

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AbstrakKolaborasi dokter dan apoteker sangat penting dalam suatu pemberian pengobatan kepada pasien. Kolaborasi meliputi suatu pertukaran pandangan atau ide yang memberikan perspektif kepada seluruh kolaborator. Agar hubungan kolaborasi dapat optimal, semua anggota profesi harus mempunyai keinginan untuk bekerjasama. Apoteker dan dokter harus merencanakan dan bekerja sebagai kolega, bekerja saling melengkapi dalam batas-batas lingkup praktik dengan berbagai nilai, etika dan pengetahuan. Peran direktur dalam kerjasama dokter dan apoteker adalah dalam hal pengambilan keputusan bahwa pengobatan di rumah sakit diputuskan secara bersama antara profesi kesehatan (dokter dan apoteker). Penelitian yang digunakan adalah quasi-experimental design dengan menggunakan pretest-post test control group design, dengan analisis uji komparasi t-berpasangan. Penelitian ini dilaksanakan pada bulan Oktober 2012 hingga Februari 2013. Hasil uji paired t-test menunjukkan bahwa variabel efektivitas teamwork untuk Rumah Sakit M. M. Dunda mengalami kenaikan yang signifikan (p=0,038) yang artinya model kolaborasi 3 pihak (dokter-apoteker-direktur) dapat meningkatkan efektivitas teamwork. Model kolaborasi 3 pihak dapat meningkatkan hubungan dokter-apoteker di rumah sakit. Direktur rumah sakit berpengaruh positif dan signifikan terhadap komitmen antarprofesi kesehatan di rumah sakit. Direktur mampu menjadi inspirasi dalam bekerja dan menentukan arah dan tujuan untuk peningkatan pelayanan kesehatan di rumah sakit. Oleh sebab itu, model kolaborasi 3 pihak (dokter-apoterker-direktur) dapat meningkatkan kualitas hubungan antara profesi dokter dan apoteker. Kata kunci: Model kolaborasi 3 pihak, teamwork Collaboration of Physician, Pharmacist and Director Model toward the Improvement of Teamwork Effectiveness in Hospital AbstractCollaboration of physicians and pharmacists is very important in providing treatment to patients. Collaboration includes an exchange of views or ideas that give perspective to all collaborators. In order to make collaborative relationship optimal, all members of the different professions should have a desire to cooperate. Pharmacists and physicians should plan and practice as colleagues, work interdependence within the limits of the scope of practice with a variety of values and knowledge. The role of director in cooperation between doctor and pharmacist takes decision-making which refers to treatment of patients to be decided together between health professionals (physician and pharmacist). The study was a quasiexperimental design with a pre-test-post-test control group design, using paired t-test analysis. The study was conducted from October 2012 until February 2013. The paired t-test results showed that the variable of teamwork effectiveness in M. M. Dunda Hospital increased significantly (p=0.038), which means that the three-party (physician-pharmacist-director) collaboration model may increase teamwork effectiveness. Three-party collaboration model can improve physician-pharmacist relationship in the hospital. Leaders...

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“…Clinical interventions made by pharmacists improve patient care and result in cost savings for institutions. [1][2][3][4][5][6][7][8][9][10][11][12] Intervention data can be useful in providing information to other health care providers or health care system administrators regarding the value of clinical pharmacy services. This documentation also may be used to justify salaries for current pharmacist positions or to validate the need for additional pharmacist positions.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a School-wide Clinical Intervention Documentation System

Stevenson

Fox

Andrus

et al. 2011

American Journal of Pharmaceutical Education

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Objective. To evaluate the effectiveness and impact of a customized Web-based software program implemented in 2006 for school-wide documentation of clinical interventions by pharmacy practice faculty members, pharmacy residents, and student pharmacists. Methods. The implementation process, directed by a committee of faculty members and school administrators, included preparation and refinement of the software, user training, development of forms and reports, and integration of the documentation process within the curriculum. Results. Use of the documentation tool consistently increased from May 2007 to December 2010. Over 187,000 interventions were documented with over $6.2 million in associated cost avoidance. Conclusions. Successful implementation of a school-wide documentation tool required considerable time from the oversight committee and a comprehensive training program for all users, with ongoing monitoring of data collection practices. Data collected proved to be useful to show the impact of faculty members, residents, and student pharmacists at affiliated training sites.

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Quality Assessment of a Collaborative Approach for Decreasing Drug-Related Morbidity and Achieving Therapeutic Goals

Cited by 96 publications

References 40 publications

Reasons for Non-use of Proven Interventions for Hospital Inpatients: Pharmacists’ Perspectives

Reasons for Non-use of Proven Interventions for Hospital Inpatients: Pharmacists’ Perspectives

Collaboration of Physician, Pharmacist and Director Model toward the Improvement of Teamwork Effectiveness in Hospital

Implementation of a School-wide Clinical Intervention Documentation System

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