Identification of Essential Elements in the Documentation of Pharmacist-Provided Care

Jay D. Currie; William R. Doucette; Julie Kuhle; Jenelle Sobotka; William A. Miller; Randal P. McDonough; Angela L. Tice

doi:10.1331/10865800360467033

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Identification of Essential Elements in the Documentation of Pharmacist-Provided Care

Journal article

Peer reviewed

Identification of Essential Elements in the Documentation of Pharmacist-Provided Care

Jay D. Currie, William R. Doucette, Julie Kuhle, Jenelle Sobotka, William A. Miller, Randal P. McDonough and Angela L. Tice

Journal of the American Pharmaceutical Association (1996), Vol.43(1), pp.41-49

01/2003

DOI: 10.1331/10865800360467033

PMID: 12585750

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Abstract

To develop guidelines for the documentation elements that need to be included in any record of pharmacist-provided care to allow the quality of the care to be assessed and to describe the use of these guidelines to improve the quality of pharmacist documentation. An initial list of 85 potential documentation elements, developed through a review of the literature, was validated by a group of pharmacy practitioners. Then, through three rounds of a Delphi process and a group meeting, a panel of experts reached consensus on a refined list of 27 documentation data elements. The documentation elements were formatted into a one-page Tool for Evaluation of Documentation (TED). The TED is a checklist for assessing the completeness of the documentation of pharmacist-provided care. The TED and the consensus-building methodology used in the development of this tool can serve as cornerstones of a quality assessment process for documentation of pharmacist-provided care, enable further assessment of the quality of care, and, ultimately, be used to measure the impact of pharmacist-provided care on patient outcomes. Our results should provide guidance both to pharmacists providing care and to organizations that assess the quality of that care.

Documentation

drug therapy problem

guidelines

patient record

Pharmaceutical care

quality assurance

standard

Details

Title: Subtitle: Identification of Essential Elements in the Documentation of Pharmacist-Provided Care
Creators: Jay D. Currie - University of Iowa
William R. Doucette - University of Iowa
Julie Kuhle - Iowa Pharmacy Association, Des Moines.
Jenelle Sobotka - Procter & Gamble
William A. Miller - University of Iowa
Randal P. McDonough - University of Iowa
Angela L. Tice - Drake University
Resource Type: Journal article
Publication Details: Journal of the American Pharmaceutical Association (1996), Vol.43(1), pp.41-49
Publisher: Elsevier Inc
DOI: 10.1331/10865800360467033
PMID: 12585750
ISSN: 1086-5802
eISSN: 1544-3450
Language: English
Date published: 01/2003
Academic Unit: Pharmacy; Pharmacy Practice and Science
Record Identifier: 9984365891702771

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