Development of Ambulatory Oncology Clinical Pharmacy Key Performance Indicators Using a Modified Delphi Consensus Approach.

IF 4.6 3区 医学 Q1 ONCOLOGY
Thomas McFarlane, Rozhannaa Sothilingam, Olavo Fernandes, Sherilyn K D Houle, Jennifer Lo, Shirin Abadi, Scott Edwards, Michael LeBlanc, Jason Wentzell, Bryanna Tibensky, Carlo DeAngelis, Lauren Steeves
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Abstract

Purpose: To develop evidence-based ambulatory oncology clinical pharmacy key performance indicators (AOcpKPIs).

Methods: A systematic, modified Delphi process was used to reach consensus on AOcpKPIs. Following an environmental scan of current oncology pharmacy practices across Canada, a literature review identified critical activities linked to patient-centered outcomes. A panel of oncology pharmacists engaged in three Delphi rounds and a virtual live meeting, assessing and refining candidate AOcpKPIs on the basis of predefined criteria. A total of 17 candidate AOcpKPIs were evaluated.

Results: Consensus was achieved on 14 AOcpKPIs. These AOcpKPIs reflect critical pharmacist activities including clinical order review, patient education, medication adherence assessment, and management of drug therapy problems. This suite of AOcpKPIs provides a standardized approach for evaluating oncology pharmacist activities in ambulatory care, facilitating benchmarking and supporting evidence-based improvements in patient outcomes.

Conclusion: This study represents a significant advancement in defining quality metrics for ambulatory oncology pharmacy practice. The consensus-based AOcpKPIs provide a foundation for enhanced patient care, professional accountability, and continuous quality improvement within oncology pharmacy. Implementing these AOcpKPIs has the potential to elevate oncology pharmacy practice, supporting pharmacists in meeting evolving health care demands and fostering evidence-based patient outcomes.

采用改进的德尔菲共识法制定门诊肿瘤临床药学关键绩效指标。
目的:建立循证门诊肿瘤临床药学关键绩效指标(aocpkpi)。方法:采用系统的、改进的德尔菲法对aocpkpi进行一致性评价。在对加拿大当前肿瘤药房实践进行环境扫描后,一篇文献综述确定了与以患者为中心的结果相关的关键活动。肿瘤药剂师小组参与了三轮德尔菲和一次虚拟现场会议,根据预定义的标准评估和改进候选aocpkpi。共对17个候选aocpkpi进行评估。结果:对14个aocpkpi达成共识。这些aocpkpi反映了重要的药剂师活动,包括临床处方审查、患者教育、药物依从性评估和药物治疗问题的管理。这套aocpkpi提供了一种标准化的方法来评估肿瘤学药剂师在门诊护理中的活动,促进基准和支持基于证据的患者结果的改进。结论:本研究在定义门诊肿瘤药学实践的质量指标方面取得了重大进展。基于共识的aocpkpi为加强患者护理、专业责任和肿瘤药学持续质量改进提供了基础。实施这些aocpkpi有可能提升肿瘤药学实践,支持药剂师满足不断变化的卫生保健需求,并促进循证患者的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
7.50%
发文量
518
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