医院药师文档同行评审持续质量改进项目的可行性：一项混合方法研究。

Feasibility of a Hospital Peer Review Continuous Quality Improvement Program for Pharmacists' Documentation: A Mixed-Methods Study.

作者信息

Hinse Alexandra, Gauthier Sophie, Morissette Tyler, Phuong Caroline, Shakhtur-Alqawasma Rusaila, Sheehan Nancy L, Sicard Catherine

机构信息

, PharmD, MSc, is a pharmacist with the Pharmacy Department, Montreal Children's Hospital, McGill University Health Centre, Montréal, Quebec.

, PharmD, MSc, was, at the time of this study, a Pharmacy Resident with the Faculty of Pharmacy, Université de Montréal, Montréal, Quebec. She is now a Pharmacist with the Pharmacy Department, Hôpital Régional de Saint-Jérôme, Saint-Jérôme, Quebec.

出版信息

Can J Hosp Pharm. 2023 Jul 5;76(3):196-202. doi: 10.4212/cjhp.3331. eCollection 2023 Summer.

DOI:10.4212/cjhp.3331

PMID:37409142

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10284291/

Abstract

BACKGROUND

Peer review to assess the quality of documentation is essential, as it provides a framework for constructive feedback, using evaluators with similar qualifications to increase acceptability.

OBJECTIVE

To determine the feasibility of implementing a peer review continuous quality improvement program for pharmacists' documentation at the Montreal Children's Hospital.

METHODS

A prospective, single-centre mixed-methods feasibility study was conducted (from January to June 2021) to evaluate the practicality and acceptability of a peer review program (PRP) for assessing the quality of pharmacists' documentation. A peer review committee of 5 pharmacists evaluated their peers' clinical notes using a standardized assessment tool. Practicality was determined through the time required for administrative and evaluative tasks and the resources needed for each evaluation cycle. Acceptability was determined through pooled quantitative data related to pharmacists' perceived relevance of the PRP, confidence in their peers, and satisfaction with the evaluation process. Qualitative data collected through surveys, a focus group, and semistructured individual interviews helped to further explain the results.

RESULTS

A total of 37.4 hours was required to complete both administrative and evaluative tasks in one peer review cycle, which respected the budgeted cut-off for practicality. Acceptability was also achieved, given that more than 80% of survey respondents found the PRP relevant to their practice, were confident in their peers, and were satisfied with the PRP. Qualitative results showed that participants found the PRP to be instructive and that qualitative feedback was preferred over a grade issued as a percentage.

CONCLUSION

This study showed that it is feasible to implement a PRP to assess the quality of pharmacists' documentation. To ensure success, it is key that documentation objectives and department resources be predefined.

摘要

背景

同行评审对于评估文档质量至关重要，因为它提供了一个建设性反馈的框架，利用资质相似的评估人员来提高可接受性。

目的

确定在蒙特利尔儿童医院实施药剂师文档同行评审持续质量改进计划的可行性。

方法

进行了一项前瞻性、单中心混合方法可行性研究（2021年1月至6月），以评估用于评估药剂师文档质量的同行评审计划（PRP）的实用性和可接受性。一个由5名药剂师组成的同行评审委员会使用标准化评估工具评估同行的临床记录。通过行政和评估任务所需的时间以及每个评估周期所需的资源来确定实用性。通过与药剂师对PRP的感知相关性、对同行的信心以及对评估过程的满意度相关的汇总定量数据来确定可接受性。通过调查、焦点小组和半结构化个人访谈收集的定性数据有助于进一步解释结果。