Interventions: a quality assessment tool for the pharmacy department and the medical staff.

S M Powers
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Abstract

The intervention tracking system at Texas Children's Hospital has evolved from a simple log to a pocket book of check-off forms requiring minimal writing. Information gathered from the intervention data has progressed from merely notification that a call was made to tracking numbers and types of interventions to including the pharmacists in the information loop. Pharmacists are assured that the time spent documenting interventions provides data for medical staff QI, pharmacy QI, and feedback to themselves as well. No documentation is wasted; no separate data collection is required. Intervention categories with medical staff-approved indicators are treated as a concurrent DUE. Depending on the rate of acceptance of pharmacists' recommendations, physicians, pharmacists, or both are targeted for education. Analysis of the acceptance rate may also indicate the need for systems changes more profoundly affecting one or the other of the groups.

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干预措施:药剂科和医务人员的质量评估工具。
德克萨斯儿童医院的干预跟踪系统已经从一个简单的日志演变成一个袖珍的核对表格,需要最少的书写。从干预数据中收集的信息已经从仅仅通知打了一个电话,到跟踪干预的数量和类型,再到将药剂师纳入信息循环。药剂师确信,记录干预措施所花费的时间为医务人员的QI、药房的QI提供了数据,也为他们自己提供了反馈。没有文档浪费;不需要单独收集数据。具有医务人员批准指标的干预类别被视为并发DUE。根据接受药剂师建议的比率,医生、药剂师或两者都是教育的目标。对接受率的分析也可能表明需要对其中一个组或另一个组产生更深刻影响的系统变化。
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Opportunities for pharmaceutical care with critical pathways. The transition to medication system performance indicators. Development of a continuous quality improvement/total quality management program for medication use monitoring. Communication strategies to improve drug use evaluation. Use of critical pathways and indicators in pharmacy practice.
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