Vo T H, Bardet J-D, Charpiat B, Leyrissoux C, Gravoulet J, Allenet B, Conort O, Bedouch P
CNRS, CHU Grenoble Alpes, Grenoble INP, TIMC-IMAG, Univ. Grenoble Alpes, Grenoble, France.
Faculty of Pharmacy, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
J Clin Pharm Ther. 2018 Apr;43(2):240-248. doi: 10.1111/jcpt.12642. Epub 2017 Nov 15.
The French Society of Clinical Pharmacy (SFPC) asked a group of experts to adapt the SFPC hospital pharmacists' interventions reporting tool for use in community pharmacy practice. This study aimed to develop and validate a tool for the routine reporting of pharmacists' interventions in French community settings.
Two groups of community pharmacists coded reports of 60 typical pharmacists' interventions. One group was "experts" (n = 4) who had participated in the development of the tool (internal validation) and the other were "external" community pharmacists (n = 6), naïve to the tool (external validation). The Kappa coefficient was used to assess the inter-reliability of classification between participants. A 4-level Likert scale was used to evaluate ease of use and acceptability.
The tool we developed for recording and classifying PIs has 19 items; 11 non-ordered categories describing drug-related problems; and 7 items describing interventions. Two tables of definitions were provided to help community pharmacists in the classification. The mean κ statistic was (i) 0.63 for experts and 0.73 for external community pharmacists in categorizing drug-related problems and (ii) 0.69 for experts and 0.75 for external community pharmacists in categorizing interventions.
A specific tool for the documentation of pharmacists' interventions in community pharmacies is now available in French. Besides being useful to describe pharmacists' interventions in studies in community settings, it can be used to document the pharmaceutical patient record and to support the traceability process.
法国临床药学协会(SFPC)邀请一组专家对SFPC医院药师干预报告工具进行调整,以用于社区药房实践。本研究旨在开发并验证一种用于常规报告法国社区环境中药师干预情况的工具。
两组社区药师对60例典型药师干预报告进行编码。一组是“专家”(n = 4),他们参与了该工具的开发(内部验证),另一组是对该工具不了解的“外部”社区药师(n = 6)(外部验证)。使用Kappa系数评估参与者之间分类的可靠性。采用4级李克特量表评估易用性和可接受性。
我们开发的用于记录和分类药师干预的工具包含19项内容;11个无序类别描述与药物相关的问题;7项描述干预措施。提供了两张定义表以帮助社区药师进行分类。在对与药物相关问题进行分类时,专家的平均κ统计值为(i)0.63,外部社区药师为0.73;在对干预措施进行分类时,专家的平均κ统计值为(ii)0.69,外部社区药师为0.75。
现在有了一种用法语记录社区药房中药师干预情况的特定工具。除了有助于在社区环境研究中描述药师干预外,它还可用于记录药学患者记录并支持可追溯过程。