scholarly journals The Manchester Framework For The Evaluation of Emergency Department Pharmacy Services

2021 ◽  
Author(s):  
D Greenwood ◽  
MP Tully ◽  
S Martin ◽  
D Steinke
Keyword(s):  
Emergency Department ◽  
Outcome Measurement ◽  
Evaluation Studies ◽  
Pharmacy Services ◽  
Institute Of Medicine ◽  
Outcome Indicators ◽  
Potential Outcome ◽  
Quality Health ◽  
Support Evaluation

Abstract Background: Many countries, including the United Kingdom, have established Emergency Department (ED) pharmacy services where some ED pharmacists now work as practitioners. They provide both traditional pharmaceutical care and novel practitioner care i.e. clinical examination, yet their impact on quality of care is unknown.Aim: To develop a framework of structures, processes and potential outcome indicators to support evaluation of the quality of ED pharmacy services in future studies.Method: Framework components (structures, processes and potential outcome indicators) were identified in three ways, from a narrative review of relevant international literature identified through systematic searches; a panel meeting with ED pharmacists; and a panel meeting with other ED healthcare professionals. Structures and processes were collated into categories developed iteratively throughout data collection, with outcome indicators collated into six domains of quality as proposed by the Institute of Medicine. These raw data were then processed e.g. outcome indicators screened for clarity i.e. those which explicitly stated what would be measured were included in the framework.Results: A total of 190 structures, 533 processes, and 503 outcome indicators were identified. Through data processing a total of 153 outcome indicators were included in the final framework divided into the domains safe (32 outcome indicators), effective (50), patient centred (18), timely (24), efficient (20) and equitable (9). Fewer potential outcome indicators were identified for the patient centred, efficient and equitable domains than others. Conclusion: Whilst frameworks to support evaluation of general ED care exist, this is the first framework specific to ED pharmacy services. Although included in the framework, potential outcome indicators require further development prior to their use in evaluation studies. To that end, evaluation teams should be multidisciplinary and ideally involve researchers with expertise in outcome measurement. Finally, evaluation should not neglect some domains of quality at the expense of others, as previously found by the Institute of Medicine. High quality health services are not only safe, effective and timely, but also patient centred, efficient and equitable.

scholarly journals PENERAPAN STANDAR PELAYANAN KEFARMASIAN PADA APOTEK KIMIA FARMA DI KOTA KOTAMOBAGU

PHARMACON ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 825
Author(s):  
Harmita Boky ◽  
Widya Astuty Lolo ◽  
Imam Jayanto
Keyword(s):  
Quality Of Life ◽  
Resource Management ◽  
Quantitative Method ◽  
Sampling Technique ◽  
Pharmacy Services ◽  
Research Results ◽  
Quality Health ◽  
Descriptive Approach ◽  
Service Standards

ABSTRACTPharmaceutical serviced have an important role in creating quality health to improve the quality of life of patients. The research purposed to measure the percentage of compliance wit the implementation of pharmaceutical serviced at Kimia Farma Pharmacy in Kotamobagu City, based on the Regulation of the Indonesia minister of health regulation Number 73/ 2016. This research used quantitative method with descriptive approach. The population in this study were all Kimia Farma Pharmacy in Kotamobagu City. The sampling technique used was saturated sampling Data were obtained through observation and filling out questionnaires. Based on the research results, it is known that the resource management of Pharmacy A, B, C has a percentage of 96% and Pharmacy D of 92%. The percentage of pharmaceutical services at Pharmacy A and C is 100%, Pharmacy B is 97% and Pharmacy D is 87%. Based on the research results, it is known that all Kimia Farma pharmacies in Kotamobagu City are categorized as good, including the aspects of resource management and clinical pharmacy services. Keywords : Pharmacy, Pharmacist, Pharmaceutical Service Standards ABSTRAKPelayanan kefarmasian berperan penting dalam mewujudkan kesehatan yang bermutu untuk meningkatkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengukur persentase kesesuaian penerapan standar pelayanan kefarmasian di Apotek Kimia Farma di Kota  Kotamobagu berdasarkan Peraturan Menteri Kesehatan Rupublik Indonesia Nomor 73 Tahun 2016. Penelitian ini merupakan jenis penelitian deskriptif. Populasi dalam penelitian ini ialah seluruh Apotek Kimia Farma di Kota Kotamobagu.Teknik pengambilan sampel yang digunakan adalah sampling jenuh. Pengambilan data melalui observasi langsung dan pengisian kuesioner. Berdasarkan hasil penelitian, diketahui pengelolaan sumber daya Apotek A, B, C memiliki persentase sebesar 96 % dan Apotek D sebesar 92 %. Persentase pelayanan kefarmasian pada Apotek A dan C sebesar 100%, Apotek B sebesar 97 % dan Apotek D sebesar 87 %. Berdasarkan hasil penelitian ini diketahui bahwa seluruh apotek Kimia Farma di Kota Kotamobagu dikategorikan baik yang meliputi aspek pengelolaan sumber daya dan pelayanan farmasi klinik. Kata kunci : Apotek, Apoteker, Standar Pelayanan Kefarmasian

scholarly journals Staff perceptions toward emergency clinical pharmacists in a Saudi Arabian academic emergency department

2017 ◽  
Vol 25 (2) ◽  
pp. 67-72
Author(s):  
Jameel Talal Abualenain ◽  
Hussain Talal Bakhsh
Keyword(s):  
Emergency Department ◽  
Quality Of Care ◽  
Medication Safety ◽  
Emergency Services ◽  
Survey Study ◽  
Pharmacy Services ◽  
Staff Members ◽  
Emergency Department Staff ◽  
Department Staff

Introduction: In Saudi Arabia, the establishment of pharmacy services as a part of the emergency department is relatively new and has been run by non-residency-trained pharmacists and limited to non-emergency services. We sought to explore emergency department staff members’ perceptions of clinical emergency pharmacy services in an academic emergency department. Method: In this survey study, 24 questions were sent to all emergency department staff 9 months after establishing an emergency pharmacist program with the goal of improving medication safety and quality of care. Results: Most, 122 out of 145 (84%), emergency department staff members responded to the survey. All 41 emergency department providers completed the survey, compared to 81 (78%) nurses. Half of the respondents had less than 1 year of experience working with emergency pharmacist. Two-thirds (66%) had consulted an emergency pharmacist at least once; however, 68% of providers had no contact with the emergency pharmacist. Almost half (46%) agreed that the emergency pharmacist’s contribution to medication safety was maximized through the order review process, and more than three-fourths (77%) agreed that an emergency pharmacist should review all orders. Most respondents agreed that the emergency pharmacist improves the quality of care (89%), is an integral part of the emergency department team (86%), is more useful if located in the emergency department (87%); it is helpful if he or she checks medication orders before they are carried out (88%), enhances the emergency department staff’s ability to deliver safe, quality care during medical resuscitations (85%), and is a valuable educator serving both patients (88%) and emergency department staff (77%). All respondents were in positive agreement with the different specific functions for the emergency pharmacist role. Conclusion: The emergency department staff believes that an emergency pharmacist is an important part of the emergency department team, acts to maximize medication safety, contributes to the education of emergency department staff and patients, and improves the quality of care.

Unknown and Under-Researched: The Anatomy of Drinking Under Control Programs

2017 ◽  
Vol 63 (5) ◽  
pp. 277-288
Author(s):  
Harald Klingemann ◽  
Justyna Klingemann
Keyword(s):  
Quality Of Life ◽  
Harm Reduction ◽  
Evaluation Studies ◽  
Mission Statements ◽  
Community Response ◽  
Limited Resources ◽  
Admission Criteria ◽  
Control Programs ◽  
Institutional Order

Abstract. Introduction: While alcohol treatment predominantly focuses on abstinence, drug treatment objectives include a variety of outcomes related to consumption and quality of life. Consequently harm reduction programs tackling psychoactive substances are well documented and accepted by practitioners, whereas harm reduction programs tackling alcohol are under-researched and met with resistance. Method: The paper is mainly based on key-person interviews with eight program providers conducted in Switzerland in 2009 and up-dated in 2015, and the analysis of reports and mission statements to establish an inventory and description of drinking under control programs (DUCPs). A recent twin program in Amsterdam and Essen was included to exemplify conditions impeding their implementation. Firstly, a typology based on the type of alcohol management, the provided support and admission criteria is developed, complemented by a detailed description of their functioning in practice. Secondly, the case studies are analyzed in terms of factors promoting and impeding the implementation of DUCPs and efforts of legitimize them and assess their success. Results: Residential and non-residential DUCPs show high diversity and pursue individualized approaches as the detailed case descriptions exemplify. Different modalities of proactively providing and including alcohol consumption are conceptualized in a wider framework of program objectives, including among others, quality of life and harm reduction. Typically DUCPs represent an effort to achieve public or institutional order. Their implementation and success are contingent upon their location, media response, type of alcohol management and the response of other substance-oriented stake holders in the treatment system. The legitimization of DUCPs is hampered by the lack of evaluation studies. DUCPs rely mostly – also because of limited resources – on rudimentary self-evaluations and attribute little importance to data collection exercises. Conclusions: Challenges for participants are underestimated and standard evaluation methodologies tend to be incompatible with the rationale and operational objectives of DUCPs. Program-sensitive multimethod approaches enabled by sufficient financing for monitoring and accompanying research is needed to improve the practice-oriented implementation of DUCPs. Barriers for these programs include assumptions that ‘alcohol-assisted’ help abandons hope for recovery and community response to DUCPs as locally unwanted institutions (‘not in my backyard’) fuelled by stigmatization.

Translation and Validation of the Thai Version of the Wisconsin Quality of Life Questionnaire (TH WISQoL) for Kidney Stone Patients

2020 ◽  
Vol 103 (11) ◽  
pp. 1194-1199
Keyword(s):  
Quality Of Life ◽  
Internal Consistency ◽  
Kidney Stone ◽  
Convergent Validity ◽  
Large Scale ◽  
Short Form ◽  
Outcome Measurement ◽  
Life Questionnaire ◽  
Sf 36

Objective: To develop and validate a Thai version of the Wisconsin Quality of Life (TH WISQoL) Questionnaire. Materials and Methods: The authors developed the TH WISQoL Questionnaire based on a standard multi-step process. Subsequently, the authors recruited patients with kidney stone and requested them to complete the TH WISQoL and a validated Thai version of the 36-Item Short Form Survey (TH SF-36). The authors calculated the internal consistency and interdomain correlation of TH WISQoL and compared the convergent validity between the two instruments. Results: Thirty kidney stone patients completed the TH WISQoL and the TH SF-36. The TH WISQoL showed acceptable internal consistency for all domains (Cronbach’s alpha 0.768 to 0.909). Interdomain correlation was high for most domains (r=0.698 to 0.779), except for the correlation between Vitality and Disease domains, which showed a moderate correlation (r=0.575). For convergent validity, TH WISQoL demonstrated a good overall correlation to TH SF-36, (r=0.796, p<0.05). Conclusion: The TH WISQoL is valid and reliable for evaluating the quality of life of Thai patients with kidney stone. A further large-scale multi-center study is warranted to confirm its applicability in Thailand. Keywords: Quality of life, Kidney stone, Validation, Outcome measurement

A Framework for Non-Nominal Visualization and Perceived Quality Evaluation

2011 ◽  
Author(s):  
Ola Wagersten ◽  
Karin Forslund ◽  
Casper Wickman ◽  
Rikard So¨derberg
Keyword(s):  
Industrial Process ◽  
Perceived Quality ◽  
Product Development Process ◽  
Functional Quality ◽  
Quality Aspects ◽  
System Solution ◽  
Comprehensive Framework ◽  
Variation Simulation ◽  
Support Evaluation

Perceived Quality clusters different aspects that influence the customer’s perception of non-functional quality on a product that are perceive through senses. All together those aspects and the harmony between them reflect the producer’s ability to control product parameters and thereby also mirror the functional quality of the product. High Perceived Quality cannot be added to the product at the end of the developing process. Project prerequisites, system solution, factory capability etc. are criterion to succeed. Therefore, it is important to be able to evaluate Perceived Quality early in the process when product system solutions and architecture are defined, although data maturity is low. This paper presents a comprehensive framework to manage and support evaluation of Perceived Quality aspects in a product development process. The framework is based on an industrial process in combination with recent research within the field. The framework focuses on activities that can be performed at different stages in the developing process based on maturity of the CAD or styling data. For example, if the styling data is divided into different components by split-lines it has reached higher level of maturity then styling data that not has been divided. Consequently, the choice of applied method is based on data maturity, regardless phase in the developing process. The framework contains methods based on several different simulation and analysis techniques. Design methods, Computer-Aided Tolerancing and FEA based non-rigid variation simulation are represented in the framework.

scholarly journals National Trends in Emergency Department Care Processes for Acute Myocardial Infarction in the United States, 2005 to 2015

2020 ◽  
Vol 9 (20) ◽  
Author(s):  
Akshay Pendyal ◽  
Craig Rothenberg ◽  
Jean E. Scofi ◽  
Harlan M. Krumholz ◽  
Basmah Safdar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Length Of Stay ◽  
Real World ◽  
The United States ◽  
Emergency Department Care ◽  
Care Processes ◽  
Ed Visits

Background Despite investments to improve quality of emergency care for patients with acute myocardial infarction (AMI), few studies have described national, real‐world trends in AMI care in the emergency department (ED). We aimed to describe trends in the epidemiology and quality of AMI care in US EDs over a recent 11‐year period, from 2005 to 2015. Methods and Results We conducted an observational study of ED visits for AMI using the National Hospital Ambulatory Medical Care Survey, a nationally representative probability sample of US EDs. AMI visits were classified as ST‐segment–elevation myocardial infarction (STEMI) and non‐STEMI. Outcomes included annual incidence of AMI, median ED length of stay, ED disposition type, and ED administration of evidence‐based medications. Annual ED visits for AMI decreased from 1 493 145 in 2005 to 581 924 in 2015. Estimated yearly incidence of ED visits for STEMI decreased from 1 402 768 to 315 813. The proportion of STEMI sent for immediate, same‐hospital catheterization increased from 12% to 37%. Among patients with STEMI sent directly for catheterization, median ED length of stay decreased from 62 to 37 minutes. ED administration of antithrombotic and nonaspirin antiplatelet agents rose for STEMI (23%–31% and 10%–27%, respectively). Conclusions National, real‐world trends in the epidemiology of AMI in the ED parallel those of clinical registries, with decreases in AMI incidence and STEMI proportion. ED care processes for STEMI mirror evolving guidelines that favor high‐intensity antiplatelet therapy, early invasive strategies, and regionalization of care.

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