Improving the impact of pharmacy interventions in Hafar Albatin hospital
Main Article Content
Keywords
Pharmacy interventions, Quality improvement, Healthcare management, Information technology, Pharmacists
Abstract
Pharmacy professionals play a crucial role in optimizing patient care and safety through clinical and pharmaceutical interventions. These interventions help rationalize prescriptions, improve therapeutic choices, and reduce medication errors and adverse effects. Recording pharmacy interventions (PIs) is essential for clinical governance and improving health outcomes.
community hospitals at Teaching Health Board aimed to increase recorded interventions from 0.4 per staff per week to 180 interventions in 20 weeks, involving all pharmacy staff. This quality improvement project utilized Plan-Do-Study-Act cycles and change management theory.
The successful implementation of the new Pharmacy Intervention Record Tool (xPIRT) toolkit significantly improved recording rates and staff engagement. The toolkit includes an online recording tool (xPIRT) and a dashboard with real-time intervention data. Motivating staff and providing tools for personal development and care improvement were key drivers of success. The xPIRT toolkit enhances PIs' representativity and significance, supports service planning, optimizes prescribing practices, and identifies training needs.
This adaptable toolkit can benefit other healthcare organizations, emphasizing quality improvement, IT integration, management strategies, and pharmacist roles in healthcare quality.
References
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2. Donaldson LJ, Kelley ET, Dhingra-Kumar N, et al.. Medication without harm: WHO's third global patient safety challenge. Lancet 2017;389:1680–1. 10.1016/S0140-6736(17)31047-4
3. Groppi JA, Ourth H, Morreale AP, et al.. Advancement of clinical pharmacy practice through intervention capture. Am J Health Syst Pharm 2018;75:886–92. 10.2146/ajhp170186
4. Fosnight S, King P, Ewald J, et al.. Effects of pharmacy interventions at transitions of care on patient outcomes. Am J Health Syst Pharm 2020;77:943–9. 10.1093/ajhp/zxaa081
5. Van der Linden L, Hias J, Walgraeve K, et al.. Clinical pharmacy services in older inpatients: an evidence-based review. Drugs Aging 2020;37:161–74. 10.1007/s40266-019-00733-1
6. Suzuki S, Horinouchi A, Uozumi S, et al.. Impact of outpatient pharmacy interventions on management of thyroid patients receiving Lenvatinib. SAGE Open Med 2020;8. 10.1177/2050312120930906
7. Zhao A, Dangerfield DT, Nunn A, et al.. Pharmacy-based interventions to increase use of HIV pre-exposure prophylaxis in the United States: a Scoping review. AIDS Behav 2022;26:1377–92. 10.1007/s10461-021-03494-4
8. Presley B, Groot W, Pavlova M. Pharmacy-led interventions to improve medication adherence among adults with diabetes: A systematic review and meta-analysis. Res Social Adm Pharm 2019;15:1057–67. 10.1016/j.sapharm.2018.09.021
9. Ylä-Rautio H, Siissalo S, Leikola S. Drug-related problems and pharmacy interventions in non-prescription medication, with a focus on high-risk over-the-counter medications. Int J Clin Pharm 2020;42:786–95. 10.1007/s11096-020-00984-8
10. Christopher CM, Kc B, Blebil A, et al.. Clinical and humanistic outcomes of community pharmacy-based healthcare interventions regarding medication use in older adults: A systematic review and meta-analysis. Healthcare 2021;9:1577. 10.3390/healthcare9111577
11. Steed L, Sohanpal R, Todd A, et al.. Community pharmacy interventions for health promotion: effects on professional practice and health outcomes. Cochrane Database of Systematic Reviews 2019. 10.1002/14651858.CD011207.pub2
12. Onatade R, Appiah S, Stephens M, et al.. Evidence for the outcomes and impact of clinical pharmacy: context of UK hospital pharmacy practice. Eur J Hosp Pharm 2018;25:e21–8. 10.1136/ejhpharm-2017-001303
13. Jourdan J-P, Muzard A, Goyer I, et al.. Impact of pharmacist interventions on clinical outcome and cost avoidance in a university teaching hospital. Int J Clin Pharm 2018;40:1474–81. 10.1007/s11096-018-0733-6
14. Mi X, Su X, Jin Z, et al.. Economic evaluations of clinical pharmacy services in China: a systematic review. BMJ Open 2020;10:e034862. 10.1136/bmjopen-2019-034862
15. Dalton K, Byrne S. Role of the pharmacist in reducing healthcare costs: Current insights. Integr Pharm Res Pract 2017;6:37–46. 10.2147/IPRP.S108047
16. Al-jedai A. Electronic documentation of clinical pharmacy interventions in hospitals. 2012. 10.5772/50425
17. Fernández-Llamazares CM, Manrique-Rodríguez S, Pérez-Sanz C, et al.. Validation of a method for recording pharmaceutical interventions. J Clin Pharm Ther 2012;37:459–63. 10.1111/j.1365-2710.2011.01328.x
18. Vo HT, Charpiat B, Chanoine S, et al.. CLEO: a multidimensional tool to assess clinical, economic and organizational impacts of pharmacists’ interventions. Eur J Hosp Pharm 2021;28:193–200. 10.1136/ejhpharm-2020-002642
19. Allenet B, Bedouch P, Rose F-X, et al.. Validation of an instrument for the documentation of clinical pharmacists’ interventions. Pharm World Sci 2006;28:181–8. 10.1007/s11096-006-9027-5
20. Bedouch P, Sylvoz N, Charpiat B, et al.. Trends in pharmacists’ medication order review in French hospitals from 2006 to 2009: analysis of pharmacists’ interventions from the act-IP© Website Observatory. J Clin Pharm Ther 2015;40:32–40. 10.1111/jcpt.12214
21. Mongaret C, Quillet P, Vo TH, et al.. Predictive factors for clinically significant pharmacist interventions at hospital admission. Medicine (Baltimore) 2018;97:e9865. 10.1097/MD.0000000000009865
22. Vo T-H, Charpiat B, Catoire C, et al.. Tools for assessing potential significance of pharmacist interventions: a systematic review. Drug Saf 2016;39:131–46. 10.1007/s40264-015-0370-0
23. McNab D, McKay J, Shorrock S, et al.. Development and application of systems thinking principles for quality improvement. BMJ Open Qual 2020;9:e000714. 10.1136/bmjoq-2019-000714
24. Eljiz K, Greenfield D, Hogden A, et al.. Improving knowledge translation for increased engagement and impact in healthcare. BMJ Open Qual 2020;9:e000983. 10.1136/bmjoq-2020-000983
25. Frampton A, Fox F, Hollowood A, et al.. Using real-time, anonymous staff feedback to improve staff experience and engagement. BMJ Qual Improv Rep 2017;6. 10.1136/bmjquality.u220946.w7041
26. Espin S, Indar A, Gross M, et al.. Processes and tools to improve teamwork and communication in surgical settings: a narrative review. BMJ Open Qual 2020;9:e000937. 10.1136/bmjoq-2020-000937
27. Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the health foundations programme evaluations and relevant literature. BMJ Qual Saf 2012;21:876–84. 10.1136/bmjqs-2011-000760
28. Purdy EI, McLean D, Alexander C, et al.. Doing our work better, together: a relationship-based approach to defining the quality improvement agenda in trauma care. BMJ Open Qual 2020;9:e000749. 10.1136/bmjoq-2019-000749
29. Breckenridge JP, Gray N, Toma M, et al.. Motivating change: a grounded theory of how to achieve large-scale, sustained change, co-created with improvement organizations across the UK. BMJ Open Qual 2019;8:e000553. 10.1136/bmjoq-2018-000553
30. Siddiqui R, al NN, Hassan RN, et al.. 3 value improvement methods across a healthcare system demonstrating rapid results and innovative emergence of practical evidence of improvement. BMJ Open Qual 2020. 10.1136/bmjoq-2020-IHI
31. Baptista R, Williams M, Price J. Using xPIRT to record pharmacy interventions: an observational, cross-sectional, and retrospective study. Healthcare (Basel) 2022;10:2450. 10.3390/healthcare10122450
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Published
Mar 16, 2022
Article Details
How to Cite
Ali Saud H Alotaibi, Mutlaq Tharwi Matar Alshammari, Shaalan Munis Al-Shammari, Ahmed Eid Aqeel Alshammari, Nuha Mana Aldhafeeri, Sultan Bandar B Almuraykhi. (2022). Improving the impact of pharmacy interventions in Hafar Albatin hospital. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 876-881. https://doi.org/10.53555/jptcp.v29i04.5564
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Ali Saud H Alotaibi, Mutlaq Tharwi Matar Alshammari, Shaalan Munis Al-Shammari, Ahmed Eid Aqeel Alshammari, Nuha Mana Aldhafeeri, Sultan Bandar B Almuraykhi. (2022). Improving the impact of pharmacy interventions in Hafar Albatin hospital. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 876-881. https://doi.org/10.53555/jptcp.v29i04.5564