Department of General Internal Medicine, Clinical Pharmacology and Toxicology, University Hospital of Bern - Inselspital Bern, Bern, Switzerland.
Department of General Internal Medicine, Clinical Pharmacology and Toxicology, University Hospital of Bern - Inselspital Bern, Bern, Switzerland
Eur J Hosp Pharm. 2024 Feb 22;31(2):171-174. doi: 10.1136/ejhpharm-2022-003365.
Pharmacy and therapeutics committees (PTCs) are multidisciplinary hospital teams responsible for rational medication use. We aimed at developing and piloting an assessment tool for their operating quality.We conducted a scoping literature review in PubMed and Embase to identify potential assessment items. Their relevance was systematically rated and consolidated into the final tool.60 relevant items were included, grouped into eight focus topics: the committee's institutional integration, member characteristics, performance indicators, meeting structure, formulary decision-making and characteristics, strategies to guide medication use and medication use evaluations.In combination with a SWOT (strengths, weaknesses, opportunities and threats) analysis, the tool helped the identification of improvement opportunities for a pilot hospital: adapting the committee's structure, improving the formulary decision-making, implementing strategies to guide formulary medication use and strengthening the committee's recognition within the institution.The tool successfully identified improvement opportunities for a PTC and could therefore be interesting for other hospitals.
药剂和治疗学委员会(PTCs)是多学科医院团队,负责合理用药。我们旨在开发和试点评估其运营质量的工具。我们在 PubMed 和 Embase 中进行了范围广泛的文献回顾,以确定潜在的评估项目。对其相关性进行了系统评价,并整合到最终工具中。共纳入 60 个相关项目,分为八个重点专题:委员会的机构整合、成员特征、绩效指标、会议结构、处方决策和特征、指导药物使用和药物使用评估的策略。结合 SWOT(优势、劣势、机会和威胁)分析,该工具有助于确定试点医院的改进机会:调整委员会的结构,改进处方决策,实施指导处方药物使用的策略,以及加强委员会在机构内的认可。该工具成功地为 PTC 确定了改进机会,因此对其他医院也有意义。