Decision-making framework for an acute care clinical pharmacist productivity model: Part 1
| Autor: | Tyler A Vest, Chris Falato, Jonathan D. Cicci, Kayla M Waldron, Jacqueline E. McLaughlin, Kathryn A. Morbitzer, Megan Clarke, John M. Valgus, Adrienne Simmons |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
productivity Consensus Critical Care Delphi Technique Computer science education Pharmacist Delphi method practice model 030204 cardiovascular system & hematology Pharmacists metrics Practice Research Report 03 medical and health sciences 0302 clinical medicine Acute care medicine Humans Operations management benchmarking 030212 general & internal medicine Productivity model Productivity computer.programming_language Pharmacology Health Policy Benchmarking clinical pharmacist Clinical pharmacy AcademicSubjects/MED00410 computer Delphi |
| Zdroj: | American Journal of Health-System Pharmacy: AJHP |
| ISSN: | 1535-2900 1079-2082 |
| Popis: | Purpose Clinical pharmacist productivity assessment has long been challenging, as a standard definition does not exist. A multistep project was undertaken with the intent to develop, validate, and implement an acute care clinical pharmacist productivity model. The initial step of the project was designed to identify, define, prioritize, and weight a comprehensive list of daily pharmacist responsibilities stratified by relative time spent on each function via consensus. Methods Delphi methodology applied by a panel of experts was used to identify a comprehensive list of acute care pharmacist responsibilities ranked in order of time intensity. Twenty-three acute care clinical pharmacists participated in the process. The consensus list was validated by time observation studies. Each responsibility was assigned a weight and corresponding work outputs by a consensus panel. Weighting of each responsibility was assigned according to the relative time intensity and complexity of each task. Results The results of the Delphi consensus process included the top 20 time-intensive responsibilities identified by the acute care clinical pharmacists. Timed observations of acute care clinical pharmacists yielded results similar to those of the consensus process. Selection of corresponding work outputs and weights for each responsibility provided the final requirements for the productivity model. Conclusion The development of an acute care clinical pharmacist productivity model first requires the selection of appropriate work outputs and weighting. The consensus process provided a newly identified comprehensive list of pharmacist responsibilities that will serve as the foundation of the clinical productivity model. Validated consensus methodology can be useful for engaging clinical pharmacists in decision-making and the development of a clinical productivity model. |
| Databáze: | OpenAIRE |
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