Mha Reflection Paper
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PHARMACY PRACTICE
Improving the Quality of Clinical Pharmacy
Services: A Process to Identify and Capture
High-Value “Quality Actions”
Nicole Bruchet, Peter Loewen, and Jane de Lemos
INTRODUCTION
P
atients are harmed and resources wasted because of underuse, overuse, and misuse of medications and treatments.1,2
To improve health services, governments and other key organizations use quality indicators.3,4 These indicators improve quality through 2 main mechanisms. First, the process of developing quality indicators allows standards, targets, and priorities to be set. Second, quality indicators are used to retrospectively measure and report various aspects of care, providing a framework that increases accountability, allows benchmarking, and identifies areas for improvement.5,6
Despite the widespread use of quality indicators to improve health services, the pharmacy profession has not widely adopted this concept for quality improvement in the clinical realm. We propose that this concept can be used to redesign the delivery of care. As pharmacists, we need to redefine what we need to be doing, find out whether we are doing it, and then use this information to find areas to improve.
Pharmacists cannot identify and manage all of the drugrelated problems that patients experience or are at risk of experiencing. Rather, the goal should be to maximize patient benefit with available resources. Pharmacists need to identify those drug-related problems for which management or prevention would result in the greatest benefit for as many patients as possible. In other words, they need to prioritize. In this article, we define a new concept that we call “quality actions” and describe a process to identify high-value quality actions for specific patient
For permission to reprint multiple copies or to order presentation-ready copies for distribution, contact CJHP at cjhpedit@cshp.ca
PHARMACY PRACTICE
Improving the Quality of Clinical Pharmacy
Services: A Process to Identify and Capture
High-Value “Quality Actions”
Nicole Bruchet, Peter Loewen, and Jane de Lemos
INTRODUCTION
P
atients are harmed and resources wasted because of underuse, overuse, and misuse of medications and treatments.1,2
To improve health services, governments and other key organizations use quality indicators.3,4 These indicators improve quality through 2 main mechanisms. First, the process of developing quality indicators allows standards, targets, and priorities to be set. Second, quality indicators are used to retrospectively measure and report various aspects of care, providing a framework that increases accountability, allows benchmarking, and identifies areas for improvement.5,6
Despite the widespread use of quality indicators to improve health services, the pharmacy profession has not widely adopted this concept for quality improvement in the clinical realm. We propose that this concept can be used to redesign the delivery of care. As pharmacists, we need to redefine what we need to be doing, find out whether we are doing it, and then use this information to find areas to improve.
Pharmacists cannot identify and manage all of the drugrelated problems that patients experience or are at risk of experiencing. Rather, the goal should be to maximize patient benefit with available resources. Pharmacists need to identify those drug-related problems for which management or prevention would result in the greatest benefit for as many patients as possible. In other words, they need to prioritize. In this article, we define a new concept that we call “quality actions” and describe a process to identify high-value quality actions for specific patient