[Quality indicators for medication reviews in community pharmacies].
Qualitätsindikatoren zur Bewertung von Medikationsanalysen in öffentlichen Apotheken.
Arzneimitteltherapiesicherheit
Cognitive service
Community pharmacy
Dienstleistung
Medication review
Medication safety
Medikationsanalyse
Quality
Quality indicator
Qualität
Qualitätsindikator
Öffentliche Apotheke
Journal
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
ISSN: 2212-0289
Titre abrégé: Z Evid Fortbild Qual Gesundhwes
Pays: Netherlands
ID NLM: 101477604
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
21
01
2020
revised:
27
03
2020
accepted:
28
03
2020
pubmed:
3
6
2020
medline:
25
9
2020
entrez:
3
6
2020
Statut:
ppublish
Résumé
Medication reviews conducted in community pharmacies are a measure to reduce drug-related problems and to increase medication safety. Since 2014, a guideline for medication reviews has been available in Germany. However, the sole existence of a guideline does not guarantee a high quality of this novel service. Quality indicators can contribute to ensure appropriate quality standards. So far, no such indicators have been available in Germany. This project therefore aims at developing suitable indicators to assess the quality of medication reviews type 2a in community pharmacies. Based on a literature review, potential quality indicators were generated. Using a two-step Delphi method applying the RUMBA criteria, a set of structure, process, and outcome indicators was developed. The literature review identified 23 potential indicators. Nine further indicators derived from the guideline for medication reviews and expert opinion were amended. After discussion in a focus group, the 32 indicators were reduced to a preliminary set of twelve indicators used for the Delphi survey. Following two Delphi rounds, a final indicator set consisting of three structure indicators, one process indicator and two outcome indicators, was generated. The set of quality indicators is potentially suitable for measuring the quality of medication reviews in German community pharmacies. In the next step, these indicators need to be evaluated with regard to their validity and applicability in daily routine.
Sections du résumé
BACKGROUND
BACKGROUND
Medication reviews conducted in community pharmacies are a measure to reduce drug-related problems and to increase medication safety. Since 2014, a guideline for medication reviews has been available in Germany. However, the sole existence of a guideline does not guarantee a high quality of this novel service. Quality indicators can contribute to ensure appropriate quality standards. So far, no such indicators have been available in Germany. This project therefore aims at developing suitable indicators to assess the quality of medication reviews type 2a in community pharmacies.
METHODS
METHODS
Based on a literature review, potential quality indicators were generated. Using a two-step Delphi method applying the RUMBA criteria, a set of structure, process, and outcome indicators was developed.
RESULTS
RESULTS
The literature review identified 23 potential indicators. Nine further indicators derived from the guideline for medication reviews and expert opinion were amended. After discussion in a focus group, the 32 indicators were reduced to a preliminary set of twelve indicators used for the Delphi survey. Following two Delphi rounds, a final indicator set consisting of three structure indicators, one process indicator and two outcome indicators, was generated.
DISCUSSION
CONCLUSIONS
The set of quality indicators is potentially suitable for measuring the quality of medication reviews in German community pharmacies. In the next step, these indicators need to be evaluated with regard to their validity and applicability in daily routine.
Identifiants
pubmed: 32482507
pii: S1865-9217(20)30038-6
doi: 10.1016/j.zefq.2020.03.007
pii:
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
44-53Informations de copyright
Copyright © 2020. Published by Elsevier GmbH.