Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice.

Tonna, A ; McCaig, D ; et al.

In: International journal of clinical pharmacy, Jg. 36 (2014-10-01), Heft 5, S. 1069-76

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Background: The last decade has seen a drive towards non-medical prescribing in the United Kingdom (UK). However, there is a dearth of any published literature on applying the principles of service redesign to support pharmacist prescribing in any sphere of practice.

Objective: To develop consensus guidance to facilitate service redesign around pharmacist prescribing.

Setting: UK hospital practice.

Methods: The Delphi technique was used to measure consensus of a panel of expert opinion holders in Scotland. Individuals with key strategic and operational roles in implementing initiatives of pharmacy practice and medicines management were recruited as experts. An electronic questionnaire consisting of 30 statements related to pharmacist prescribing service redesign was developed. These were presented as five-point Likert scales with illustrative quotes.

Main Outcome Measures: Consensus, defined as 70 % of panel members agreeing (ranked strongly agree/agree) with each statement.

Results: Responses were obtained from 35/40 (87.5 %) experts in round one and 29 (72.5 %) in round two. Consensus in round one was achieved for 27/30 of statements relating to aspects of generic 'service development' (e.g. succession planning, multidisciplinary working, quality evaluation, practice development and outcome measures) and 'pharmacist prescribing role development' (e.g. education and future orientation of service). Issues of disagreement were around targeting of pharmacist prescribing to clinical specialities and financial remuneration for prescribing in the hospital setting.

Conclusion: Consensus guidance has been developed to facilitate service redesign around hospital pharmacist prescribing.

Titel:	Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice.
Autor/in / Beteiligte Person:	Tonna, A ; McCaig, D ; Diack, L ; West, B ; Stewart, D
Link:	Full Text Finder (Volltext)
Zeitschrift:	International journal of clinical pharmacy, Jg. 36 (2014-10-01), Heft 5, S. 1069-76
Veröffentlichung:	Dordrecht : Springer, 2014
Medientyp:	academicJournal
ISSN:	2210-7711 (electronic)
DOI:	10.1007/s11096-014-9996-8
Schlagwort:	Delphi Technique Humans Scotland Consensus Pharmacists standards Pharmacy Service, Hospital standards Prescriptions Professional Role
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [Int J Clin Pharm] 2014 Oct; Vol. 36 (5), pp. 1069-76. <i>Date of Electronic Publication: </i>2014 Aug 10. MeSH Terms: Consensus* ; Prescriptions* ; Professional Role* ; Pharmacists / standards ; Pharmacy Service, Hospital / standards ; Delphi Technique ; Humans ; Scotland References: J Am Pharm Assoc (2003). 2003 May-Jun;43(3):412-8. (PMID: 12836793) ; Int J Pharm Pract. 2010 Oct;18(5):312-9. (PMID: 20840688) ; J Clin Pharm Ther. 2001 Feb;26(1):5-14. (PMID: 11286603) ; BMJ. 1995 Aug 5;311(7001):376-80. (PMID: 7640549) ; BMC Med Educ. 2008 Dec 05;8:57. (PMID: 19061487) ; Ann Pharmacother. 2006 Oct;40(10):1843-50. (PMID: 16968824) ; Pharm World Sci. 2008 Jan;30(1):111-9. (PMID: 17717724) ; Nurs Res. 1997 Mar-Apr;46(2):116-8. (PMID: 9105336) ; Br J Clin Pharmacol. 2009 Jun;67(6):629-40. (PMID: 19094162) ; Fam Pract. 2010 Feb;27(1):110-20. (PMID: 19858124) ; Health Policy. 2008 Mar;85(3):277-92. (PMID: 17900744) ; Clin Ther. 2009;31 Pt 2:2379-86. (PMID: 20110047) ; Ann Pharmacother. 2007 Jun;41(6):1031-8. (PMID: 17488831) ; Br J Clin Pharmacol. 2012 Oct;74(4):662-7. (PMID: 22300374) ; Pharm World Sci. 2008 Dec;30(6):892-7. (PMID: 18787976) ; Int J Pharm Pract. 2009 Apr;17(2):89-94. (PMID: 20214256) ; J Am Pharm Assoc (2003). 2005 Jan-Feb;45(1):55-62. (PMID: 15730118) ; Am J Health Syst Pharm. 2006 Feb 1;63(3):244-53. (PMID: 16434783) ; J Clin Pharm Ther. 2007 Dec;32(6):545-56. (PMID: 18021331) Entry Date(s): Date Created: 20140811 Date Completed: 20150915 Latest Revision: 20211021 Update Code: 20231215

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