Journal article
Development and Reliability Testing of the Clinical Pharmacist Recommendation Taxonomy
Pharmacotherapy, Vol.27(5), pp.639-646
Manuscript received May 23, 2006. Accepted for publication in final form November 8, 2006
05/2007
DOI: 10.1592/phco.27.5.639
PMID: 17461698
Abstract
Study Objective. To evaluate the reliability of a newly developed taxonomy—the Clinical Pharmacist Recommendation (CPR) taxonomy—to classify clinical pharmacy interventions.
Design. The CPR taxonomy was developed and refined in three phases. In each phase, reviewers independently reviewed recommendations made by a clinical pharmacist-physician team and categorized them into mutually exclusive categories: priority, problem, and response. Interrater reliability was assessed for all categories during each development phase.
Setting. Primary care clinics of a Veterans Affairs Medical Center.
Patients. Fifty-three patients enrolled in the Veterans Affairs Enhanced Pharmacy Outpatient Clinic (EPOC) trial.
Measurements and Main Results. Interrater reliability was assessed using the κ statistic. A total of 423 recommendations were evaluated during the three testing phases. In the final testing phase, agreement was moderate for pharmacotherapy problem subcategories (κ=0.57), substantial for pharmacotherapy problem primary categories (κ=0.64), and almost perfect for response categories (κ=0.85). Taxonomy completion time/patient averaged 4.6 minutes (range 1–11 min).
Conclusion. The CPR taxonomy provides a reliable method to systematically evaluate clinical pharmacy recommendations based on the therapeutic problem identified and specific action recommended to resolve the problem.
Details
- Title: Subtitle
- Development and Reliability Testing of the Clinical Pharmacist Recommendation Taxonomy
- Creators
- Angela B Hoth - Center for Research in the Implementation of Innovative Strategies in Practice at the Veterans Affairs Iowa City Health Care System, Iowa City, IowaBarry L Carter - Center for Research in the Implementation of Innovative Strategies in Practice at the Veterans Affairs Iowa City Health Care System, Iowa City, IowaJose Ness - Center for Research in the Implementation of Innovative Strategies in Practice at the Veterans Affairs Iowa City Health Care System, Iowa City, IowaAnjan Bhattacharyya - Center for Research in the Implementation of Innovative Strategies in Practice at the Veterans Affairs Iowa City Health Care System, Iowa City, IowaRonald I Shorr - Department of Internal Medicine, University of Tennessee, Memphis, TennesseeGary E Rosenthal - Center for Research in the Implementation of Innovative Strategies in Practice at the Veterans Affairs Iowa City Health Care System, Iowa City, IowaPeter J Kaboli - Center for Research in the Implementation of Innovative Strategies in Practice at the Veterans Affairs Iowa City Health Care System, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Pharmacotherapy, Vol.27(5), pp.639-646
- Edition
- Manuscript received May 23, 2006. Accepted for publication in final form November 8, 2006
- Publisher
- Blackwell Publishing Ltd
- DOI
- 10.1592/phco.27.5.639
- PMID
- 17461698
- ISSN
- 0277-0008
- eISSN
- 1875-9114
- Number of pages
- 8
- Language
- English
- Date published
- 05/2007
- Academic Unit
- Epidemiology; Pharmacy Practice and Science; Internal Medicine
- Record Identifier
- 9984094574202771
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