Division of Practice Advancement and Clinical Education and Office of Organizational Effectiveness, Planning, and Assessment, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
UNC Health, Chapel Hill, NC, USA.
Am J Health Syst Pharm. 2022 Jun 23;79(13):1070-1078. doi: 10.1093/ajhp/zxac072.
The purpose of this study was to identify and build consensus on operational tasks that occur within a health-system pharmacy.
An expert panel of 8 individuals was invited to participate in a 3-round modified Delphi process. In the first round, the expert panel independently reviewed an initial list and provided feedback. All feedback was incorporated into the second round and then reviewed and discussed as a group. The expert panel reviewed an updated list based on feedback from the second round and reached consensus on a final list of operational processes and corresponding tasks.
All 8 participants agreed to serve on the Delphi expert panel and reviewed an initial list of 9 process categories (hazardous intravenous [IV] medications, nonhazardous IV medications, hazardous oral medications, nonhazardous oral medications, controlled substances, total parenteral nutrition [TPN]/fluid preparations, distribution and delivery, clinical tasks, and miscellaneous operational tasks) and 44 corresponding tasks. Through the Delphi process, 72 new tasks were identified in the first round, while 34 new tasks were identified in the second round. In the third and final round, the expert panel reviewed the updated list of 9 process categories and 150 corresponding tasks, made additional edits, and reached consensus on a final list of 9 processes and 138 corresponding tasks that represented operational work within a health-system pharmacy.
The modified Delphi process effectively identified operational processes and corresponding tasks occurring within hospital pharmacies in a diverse health system. This process facilitated consensus building, and the findings may inform development of an operational workload model.
本研究旨在确定并达成共识，明确医院药学部各项运营任务。
邀请了 8 名专家组成专家组，参与了三轮改良 Delphi 流程。第一轮，专家组独立审查了初始清单并提供反馈。所有反馈均纳入第二轮，并进行了小组审查和讨论。专家组根据第二轮的反馈审查了更新后的清单，并就最终的运营流程和相应任务清单达成了共识。
所有 8 名参与者均同意担任 Delphi 专家组的成员，审查了 9 个流程类别（危害静脉[IV]药物、非危害 IV 药物、危害口服药物、非危害口服药物、受控物质、全胃肠外营养[TPN]/液体制剂、分发和配送、临床任务和杂项运营任务）和 44 项相应任务的初始清单。通过 Delphi 流程，第一轮确定了 72 项新任务，第二轮确定了 34 项新任务。在第三轮（也是最后一轮），专家组审查了 9 个流程类别和 150 项相应任务的更新清单，进行了其他编辑，并就医院药学部运营工作的 9 个流程和 138 项相应任务的最终清单达成了共识。
改良 Delphi 流程有效地确定了医院药学部在多元化医疗体系中发生的运营流程和相应任务。该流程有助于达成共识，研究结果可能为制定运营工作量模型提供信息。
