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International Journal of Clinical Pharmacy

, Volume 40, Issue 6, pp 1462–1473 | Cite as

Development of a tool for benchmarking of clinical pharmacy activities

  • Marine CillisEmail author
  • Anne Spinewine
  • Bruno Krug
  • Stéfanie Quennery
  • Dominique Wouters
  • Olivia Dalleur
Research Article

Abstract

Background Initiatives are needed to promote and evaluate clinical pharmacy. In this context, benchmarking could be useful. Objective To develop and validate a benchmarking tool for clinical pharmacy activities. Setting Six Belgian hospitals. Method A narrative literature review and two focus groups were performed to identify (1) clinical pharmacy benchmarking projects, (2) clinical pharmacy activities with a proven positive impact on the quality of care for patients, (3) quality indicators and (4) contextual factors to be included in the tool. Next, a Delphi survey and a test of the tool in practice led to content validation and usability of the benchmarking tool. Main Outcome Measure To identify quality indicators and contextual factors to be included in the tool. Results Three Delphi rounds were required (rounds 1-2: 9 participants, round 3: 8 participants). Ten quality indicators and 36 relevant contextual factors were selected. These 10 quality indicators represent 6 clinical pharmacy activities that demonstrated to improve patient outcomes: medication reconciliation at admission, patient monitoring, information provided to the health care team, patient education, discharge and transfer medication counselling, and adverse drug reaction monitoring. To collect the information needed to compose the quality indicators and to benchmark, the tool consists of three data collection instruments. An instruction manual accompanies the tool. Conclusion We have developed and validated a benchmarking tool, designed to identify and promote clinical pharmacy activities that demonstrated to improve patient outcomes. Future perspectives include the use of the tool on a national scale to identify the most efficient practices and their enablers and barriers.

Keywords

Belgium Benchmarking Delphi technique Hospital pharmacy Pharmacists Pharmacy service Quality indicators 

Notes

Acknowledgements

The investigators thank all the pharmacists who participate to this project, Stefanie Thevelin and Virginie Mohymont.

Funding

No funding was received for performing this research.

Conflicts of interest

The authors have no conflict of interest to declare.

Supplementary material

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References

  1. 1.
    Ettorchi-Tardy A, Levif M, Michel P. Benchmarking: a method for continuous quality improvement in health. Healthc Policy. 2012;7(4):e101–19.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Murphy JE. Using benchmarking data to evaluate and support pharmacy programs in health systems. Am J Health Syst Pharm. 2000;57(Suppl 2):S28–31.CrossRefGoogle Scholar
  3. 3.
    DiPiro JT. Benchmarking for quality improvement. Am J Pharm Educ. 2010;74(8):158.CrossRefGoogle Scholar
  4. 4.
    Fowler ACD. Benchmarking and performance management in clinical pharmacy. Int J Oper Prod Manag. 2001;49:656–69.Google Scholar
  5. 5.
    Fernandes O, Gorman SK, Slavik RS, Semchuk WM, Shalansky S, Bussieres JF, et al. Development of clinical pharmacy key performance indicators for hospital pharmacists using a modified Delphi approach. Ann Pharmacother. 2015;49(6):656–69.CrossRefGoogle Scholar
  6. 6.
    Australian Commision on Safety and Quality in Health Care and New South Wales. National Quality Use of Medicines Indicators for Australian Hospitals. 2014. https://www.safetyandquality.gov.au/wp-content/uploads/2014/11/SAQ127_National_QUM_Indicators_V14-FINAL-D14-39602.pdf. Accessed 22 June 2018.
  7. 7.
    Mosel D, Gift B. Collaborative benchmarking in health care. Jt Comm J Qual Improv. 1994;20(5):239–49.PubMedGoogle Scholar
  8. 8.
    Beauchesne M-F. Elaboration et évaluation d’indicateus de la qualité ds soins pharmaceutiques en médecine interne au CHUS. Pharmactuel. 2013;46:184–91.Google Scholar
  9. 9.
    Nigam R, Mackinnon NJ, David U, Hartnell NR, Levy AR, Gurnham ME, et al. Development of canadian safety indicators for medication use. Healthc Q. 2008;11(3 Spec No.):47–53.CrossRefGoogle Scholar
  10. 10.
    Hospital Pharmacy in Canada Editorial Board Hospital Pharmacy in Canada 2013/2014. 2015. http://www.lillyhospitalsurvey.ca/hpc2/content/2015_report/FULL-2015.pdf. Accessed 22 June 2018.
  11. 11.
    Ryan M. Benchmarking and hospital pharmacy. Private Hospital. 2014; Spring.Google Scholar
  12. 12.
    Ng JHJ. Key performance indicators for clinical pharmacy services in New Zealand public hospitals: stakeholder perspectives. J Pharm Health Serv Res. 2010;1:75–84.CrossRefGoogle Scholar
  13. 13.
    Berenholtz SM, Dorman T, Ngo K, Pronovost PJ. Qualitative review of intensive care unit quality indicators. J Crit Care. 2002;17(1):1–12.CrossRefGoogle Scholar
  14. 14.
    Pronovost PJ, Berenholtz SM, Ngo K, McDowell M, Holzmueller C, Haraden C, et al. Developing and pilot testing quality indicators in the intensive care unit. J Crit Care. 2003;18(3):145–55.CrossRefGoogle Scholar
  15. 15.
    Service public fédéral santé publique, sécurité de la chaine alimentaire et environnement. Direction générale Soins de Santé, Federal Platform of Pharmaceutical Care. Optimisation de la pharmacie Clinique dans les hôpitaux belges. Ancrage des conditions de base pour une pratique strcutrée de la pharmacie clinique. Rapport d’activités pharmacie clinique 2015. 2017. https://www.health.belgium.be/sites/default/files/uploads/fields/fpshealth_theme_file/rapport_pharmacie_clinique_2015.pdf. Accessed 22 June 2018.
  16. 16.
    Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995;311(7000):299–302.CrossRefGoogle Scholar
  17. 17.
    Moreau A. Méthode de recherche: s’approprier la méthode du focus group. La revue du praticien - Médecine générale. 2004;18(645):382–4.Google Scholar
  18. 18.
    West D. Survey research methods in pharmacy practive. Pharmacotherapy Self-Assessment Program. 2007;6e ed.:67–82.Google Scholar
  19. 19.
    Onwuegbuzie AJ, Dickinson WB, Leech NL, Zoran AG. A qualitative framework for collecting and analysing data in focus group research. Int J Qual Methods. 2009;8(2):1–21.CrossRefGoogle Scholar
  20. 20.
    Bruchet N, Loewen P, de Lemos J. Improving the quality of clinical pharmacy services: a process to identify and capture high-value “quality actions”. Can J Hosp Pharm. 2011;64(1):42–7.PubMedPubMedCentralGoogle Scholar
  21. 21.
    Huntington N. Benchmarking in health-system pharmacy: experience at Glens Falls Hospital. Am J Health Syst Pharm. 2000;57(Suppl 2):S21–4.CrossRefGoogle Scholar
  22. 22.
    Schentag JJ, Paladino JA, Birmingham MC, Zimmer G, Carr JR, Hanson SC. Use of benchmarking techniques to justify the evolution of antibiotic management programs in healthcare systems. J Pharm Technol. 1995;11(5):203–10.CrossRefGoogle Scholar
  23. 23.
    Bond CA, Raehl CL. Clinical pharmacy services, pharmacy staffing, and hospital mortality rates. Pharmacotherapy. 2007;27(4):481–93.CrossRefGoogle Scholar
  24. 24.
    Bond CA, Raehl CL, Patry R. Evidence-based core clinical pharmacy services in United States hospitals in 2020: services and staffing. Pharmacotherapy. 2004;24(4):427–40.CrossRefGoogle Scholar
  25. 25.
    Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955–64.CrossRefGoogle Scholar
  26. 26.
    Mysak TM, Rodrigue C, Xu J. Care providers’ satisfaction with restructured clinical pharmacy services in a tertiary care teaching hospital. Can J Hosp Pharm. 2010;63(2):105–12.PubMedPubMedCentralGoogle Scholar
  27. 27.
    Brown C, Hofer T, Johal A, Thomson R, Nicholl J, Franklin BD, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 3. End points and measurement. Qual Saf Health Care. 2008;17(3):170–7.CrossRefGoogle Scholar
  28. 28.
    Kirwin J, Canales AE, Bentley ML, Bungay K, Chan T, Dobson E, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32:338–47.CrossRefGoogle Scholar
  29. 29.
    American Society of Health-System Pharmacists. Pharmacy Pratice Model Initiative Hospital Self-Assessment Worksheet. http://hsaassessment.org/docs/assessment_questions.pdf. Accessed 22 June 2018.
  30. 30.
    Société Française de Pharmacie Clinique. Programme MED’SETH. Pilotage des actions d’amélioration. Qualité et sécurité de la thérapeutique médicameuteuse dans le parcours de soins du patient. 2013. http://sfpc.eu/fr/item1/summary/34-documents-sfpc-public/985-sfpc-suivi-mesures-ameliorations-pecm-programme-med-seth-v1.html. Accessed 22 June 2018.

Copyright information

© Springer Nature Switzerland AG 2018
corrected publication November 2018

Authors and Affiliations

  • Marine Cillis
    • 1
    Email author
  • Anne Spinewine
    • 2
    • 3
  • Bruno Krug
    • 4
    • 5
  • Stéfanie Quennery
    • 1
  • Dominique Wouters
    • 1
  • Olivia Dalleur
    • 1
    • 2
  1. 1.Pharmacy DepartmentUniversité Catholique de Louvain, Cliniques Universitaires Saint-LucBrusselsBelgium
  2. 2.Clinical Pharmacy Research GroupUniversité Catholique de Louvain, Louvain Drug Research InstituteBrusselsBelgium
  3. 3.Université Catholique de Louvain, CHU UCL Namur Site Mont-GodinneYvoirBelgium
  4. 4.Université Catholique de Louvain, Institute of Health and SocietyBrusselsBelgium
  5. 5.Université Catholique de Louvain, CHU UCL Namur Site Mont-Godinne, Quality and Safety OfficerYvoirBelgium

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