Integration of a Pharmacist into a Stroke Prevention Clinic Team: Methods
DTHR pharmacists document their patient care activities electronically in the Meditech computer system (Client/Server 5.5 SR2, Meditech, Westwood, Massachusetts). A paper copy of this documentation is placed in the patient’s chart. The pharmacist’s Workload is documented in the Meditech “Clinical Interventions” module at the time that chart notes are written. Workload is documented using a numeric code, according to the nature of the drug-related issue and the proposed patient outcome or outcomes associated with the intervention (Table 1).
Table 1. Coding System for Recording the Medical Workload of Pharmacists*
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General Format for Entries |
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Acceptance (1 character) / Date (DD-MMM-YYYY) / Drug-related problem |
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(2 characters) / Pharmacist identification (6 characters) |
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minutes (3 characters) / Outcomes (2 characters; many may be selected) |
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Example: |
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Content Numeric Code |
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Acceptance of recommendation by prescriber |
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Patient’s drug-related problem |
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Anticipated outcomes |
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*Reproduced, with permission, from Can J Hosp Pharm 2007; |
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60(5):295-301. |
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Monthly reports on the nature and number of interventions are created in Microsoft Excel for assessment of workload. Some of the pharmacist’s activities, such as completing insurance forms, answering drug information questions for clinic staff, and providing non-patient- specific education, were not included in this analysis. The pharmacist did not assess every patient at all visits, so the number of patient encounters was determined from a running tally of pharmacist—patient encounters in the clinic. The primary outcomes of this study were the number of interventions made by the pharmacist, the nature of the interventions according to category of drug-related issue, and the average number of interventions per patient encounter. Secondary outcomes were the proportion of suggested interventions accepted or rejected by the neurologists and the number of proposed patient outcomes associated with the intervention.
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