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西班牙医院远程药学服务质量与活动指标记分卡的验证

Validation of a Scorecard of Quality and Activity Indicators for Telepharmacy Pharmaceutical Care Services in Spanish Hospitals.

作者信息

Margusino-Framiñán Luis, Ibarra-Barrueta Olatz, Mangues-Bafalluy Irene, Monte-Boquet Emilio, Sanmartín-Fenollera Patricia, Talens-Bolós Amparo, Morillo-Verdugo Ramón

机构信息

Pharmacy Department, Research Group of Hospital Pharmacy, a Coruña Biomedical Research Institute, INIBIC, a Coruña University Hospital (CHUAC), SERGAS, a Coruña University (UDC), A Coruña, Spain.

Pharmacy Department, Hospital Universitario de Galdakao Usansolo, Pharmacotherapy and Drug Safety Research Group, ISS Biobizkaia, Barakaldo, Spain.

出版信息

Integr Pharm Res Pract. 2025 May 7;14:73-83. doi: 10.2147/IPRP.S498218. eCollection 2025.

DOI:10.2147/IPRP.S498218
PMID:40357004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12067974/
Abstract

PURPOSE

Telepharmacy must be monitored within a quality management system in order to guarantee the efficiency, safety and quality of the activities it encompasses. The Spanish Society of Hospital Pharmacy has proposed the first scorecard of quality and activity indicators for Telepharmacy (TIS). The objective of this project is to validate this TIS for its implementation in hospital pharmacy services.

MATERIAL AND METHODS

The project was developed in 4 phases: elaboration of the validation questionnaire/validation criteria; selection of hospitals where the study will be carried out; completion of the validation questionnaire by the selected hospitals; analysis of the results, a proposal of conclusions, and preparation of the final document. The validation criteria were performed using the RAND/UCLA methodology for each of the 5 TIS characteristics: holistic, practical, quantitative, usability, and continuous improvement. Characteristics were considered validated when the median was found to be within the score range 5-9 and at least 2/3 (66.66%) of the respondents scored in the range containing the median.

RESULTS

Forty-four hospitals were included and the responses related to TIS characteristics were: holistic=8.2 and 98.5% of responses >5; practical=7.9 and 98.9% of responses >5; quantitative=7.9 and 98.6% of responses >5; usability=6.9 and 87.37% of responses >5; continuous improvement= 7.9 and 100% of responses >5.

DISCUSSION

TIS has been validated for use in hospital pharmacy services and its tools and supporting documents are very useful and comprehensive. Hospital informatics systems are needed to allow efficient extraction of the data necessary to obtain the TIS indices.

摘要

目的

远程药学必须在质量管理体系内进行监控,以确保其涵盖活动的效率、安全性和质量。西班牙医院药学协会已经提出了远程药学质量与活动指标的首个记分卡(TIS)。本项目的目的是验证该TIS以便在医院药学服务中实施。

材料与方法

该项目分4个阶段开展:制定验证问卷/验证标准;选择开展研究的医院;选定的医院完成验证问卷;分析结果、提出结论并编写最终文件。使用兰德/加州大学洛杉矶分校方法对TIS的5个特征(整体性、实用性、定量性、可用性和持续改进)分别进行验证标准评估。当中位数处于5至9分的分数范围内,且至少2/3(66.66%)的受访者得分落在包含中位数的范围内时,这些特征被视为得到验证。

结果

纳入了44家医院,与TIS特征相关的回复情况如下:整体性=8.2分,98.5%的回复>5分;实用性=7.9分,98.9%的回复>5分;定量性=7.9分,98.6%的回复>5分;可用性=6.9分,87.37%的回复>5分;持续改进=7.9分,100%的回复>5分。

讨论

TIS已被验证可用于医院药学服务,其工具和支持文件非常有用且全面。需要医院信息系统来高效提取获取TIS指标所需的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/d996d81ea6a2/IPRP-14-73-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/2d6958690e6f/IPRP-14-73-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/d6a49cfa8425/IPRP-14-73-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/d996d81ea6a2/IPRP-14-73-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/2d6958690e6f/IPRP-14-73-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/d6a49cfa8425/IPRP-14-73-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8d/12067974/d996d81ea6a2/IPRP-14-73-g0003.jpg

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Telepharmacy Implementation to Support Pharmaceutical Care Services during the COVID-19 Pandemic: A Scoping Review.新冠疫情期间支持药学服务的远程药学实践:一项范围综述
Can J Hosp Pharm. 2024 Jan 10;77(1):e3430. doi: 10.4212/cjhp.3430. eCollection 2024.
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Economic evaluations of telepharmacy services in non-cancer settings: A systematic review.
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[Translated article] Analysis 2016-2021 of the development of the MAPEX outpatient pharmaceutical care Project by Regions in Spain.[翻译文章] 2016-2021 年西班牙地区 MAPEX 门诊药学服务项目发展分析。
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