Development and use of an innovative Gap Finding Tool to create a Pharmaceutical Care Model within a paediatric oncology setting.

Autor: Falzon S; Department of Pharmacy, 37563University of Malta, Msida, Malta., Galea N; Department of Paediatrics, 223089Mater Dei Hospital, Msida, Malta., Calvagna V; Department of Paediatrics, 223089Mater Dei Hospital, Msida, Malta., Pham JT; Department of Pharmacy Practice, 14681University of Illinois at Chicago, College of Pharmacy, Chicago, IL, USA., Grech L; Department of Pharmacy, 37563University of Malta, Msida, Malta., Azzopardi LM; Department of Pharmacy, 37563University of Malta, Msida, Malta.
Jazyk: angličtina
Zdroj: Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners [J Oncol Pharm Pract] 2023 Jan; Vol. 29 (1), pp. 74-82. Date of Electronic Publication: 2021 Nov 13.
DOI: 10.1177/10781552211053249
Abstrakt: Introduction: A paediatric cancer ward is a setting where pharmacists participate in direct patient care, acting as coordinators between the patient, caregivers and healthcare professionals. The aim of the study was to develop a Gap Finding Tool to support the setting up of a pharmaceutical care model at a Paediatric-Adolescent Cancer Ward.
Methods: The Standards of Practice for Clinical Pharmacy Services by the Society of Hospital Pharmacists of Australia Committee of Specialty Practice in Clinical Pharmacy (2013), the American College of Clinical Pharmacy (2014) and the European Association of Hospital Pharmacists (2014) were used to compile the Gap Finding Tool. The developed Tool was tested for content validity by a panel of experts and subsequently implemented over 2 months.
Results: The Gap Finding Tool comprised of nine sections with an average of eight statements each about pharmacy services that should be provided at ward level. For each statement, the rater indicates whether these contributions are provided. When the Tool was implemented at the Paediatric-Adolescent Cancer Ward, four major gaps were identified, namely, absence of a clinical pharmacist, lack of medicines information, vetting of chemotherapy prescriptions by pharmacist with limited access to patient data and lack of pharmacist-input on medicines availability. Processes requiring optimisation included discharge medication advice and documentation processes.
Conclusion: The developed Gap Finding Tool is an innovative tool which is versatile and can be used in ward or ambulatory clinical settings to identify gaps in pharmaceutical processes and services and compare national or regional practices to international standards.
Databáze: MEDLINE