Evaluation of a continuous quality improvement program in anticoagulant therapy: Feasibility, satisfaction and perception.

Autor:	Cantin A; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Lahaie A; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Odobasic B; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Tremblay MP; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Wazzan D; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Caron S; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Leblanc C; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Martineau J; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written)., Lalonde L; Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Jazyk:	angličtina
Zdroj:	Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC [Can Pharm J (Ott)] 2016 Nov; Vol. 149 (6), pp. 352-361. Date of Electronic Publication: 2016 Oct 06.
DOI:	10.1177/1715163516671334
Abstrakt:	Background: The ACO Program (Programme ACO), a continuous quality improvement program (CQIP) in anticoagulation therapy, was offered in community pharmacies as a pilot project. Objective: To evaluate the participants' appreciation for the various activities of the program. Methods: Participants had access to training activities, including an audit with feedback, online training activities (OTA), clinical tools and support from facilitators. Cognitive behavioural learning determinants were evaluated before and 5 months after the beginning of the program. Participants' satisfaction and perception were documented via online questionnaires and a semistructured interview. Results: Of the 52 pharmacists in the ACO Program, 47 participated in this evaluation. Seventy-seven percent of the participants completed at least 1 OTA and 6% published on the forum. The feeling of personal effectiveness rose from 8.01 (7.67-8.35) to 8.62 (8.24-8.99). The audit and feedback, as well as the high-quality OTA and their lecturers, were the most appreciated elements. Discussion: There was a high OTA participation rate. The facilitators seemed to play a key role in the CQIP. The low level of participation in the forum reflects the known phenomenon of social loafing. Technical difficulties affecting the platform and data collection for the audit with feedback constituted limitations. Conclusion: The CQIP in anticoagulation therapy is appreciated by community pharmacists and is associated with an improved feeling of personal effectiveness. Competing Interests: Declaration of Conflicting Interests:All authors completed and submitted the International Committee of Medical Journal Editors form for divulging potential conflicts of interest. No conflict of interest in relation to the present article was declared.
Databáze:	MEDLINE
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