Abstracts of the ESCP 37th European Symposium on Clinical Pharmacy, Pharmaceutical Care Models, and Therapeutic Innovations. Dubrovnik, Croatia. October 21-24, 2008. PC-20 A national initiative to harmonize a registration form for clinical pharmacy interventions

Dalleur, Olivia;Ampe, Els;Spinewine, Anne
(2009)

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Background and Objective Clinical pharmacists often have to evaluate and quantify their work. Each Belgian hospital uses a dif- ferent tool to register their clinical pharmacy activities. There is a need to harmonize the way in which clinical pharmacy interventions are notified in the country to facilitate the spread of this profession. The objective of this study was to develop a validated tool to register clinical pharmacy interventions in Belgium, in the French and Dutch languages. This tool should be as practical and as close to daily pharmacists’ work as possible. Design Development and validation of an intervention form. Content validity and interrater reliability were evaluated; evaluations were made by 45 hospital pharmacists, based on a list of 50 real interventions. Setting Forty-five Belgian hospital pharmacists, including French and Dutch speakers, having experience or interest in clinical pharmacy participated. Main Outcome Measures Calculation of interrater reliability using the kappa coefficient (j) for the categories that could be codified (reason of intervention and intervention). The form and the instructions for use were also assessed for content validity using a satisfaction questionnaire. Results A seven-part form (general information, drug(s), a space to describe the background and the intervention, reason for intervention, intervention, acceptation, qualitative, and economic impact) and detailed instructions for use were developed based on other forms already used in Belgium and on forms of the literature. Two suc- cessive validation tests were required to achieve j[0.60, which is the minimum validation value. The form and instructions for use were improved between the first and second test. After the second valida- tion test, j ‘‘reason of intervention’’ and j ‘‘intervention’’ were 0.65 and 0.80, respectively. All the participating pharmacists answered in the satisfaction questionnaire that they were pleased with the tool and ready to use it in their daily practice. Conclusions A new tool to register clinical pharmacy interventions in Belgium has been developed and validated. Reassessment and mod- ifications could be considered in the future based on users’ opinion. The documentation of the pharmacist’s advices, the interventions, and their acceptance will help to justify clinical pharmacists’ activities and to develop new clinical pharmacy services in our country.
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Dalleur, O., Ampe, E., & Spinewine, A. (2009). Abstracts of the ESCP 37th European Symposium on Clinical Pharmacy, Pharmaceutical Care Models, and Therapeutic Innovations. Dubrovnik, Croatia. October 21-24, 2008. PC-20 A national initiative to harmonize a registration form for clinical pharmacy interventions. Pharmacy World and Science : international journal of clinical pharmacy and pharmaceutical care, 31, 246-349. https://doi.org/10.1007/s11096-008-9274-8 (Original work published 2009)