Abstract
PTB Reports,2020,6,3,85-90.DOI:10.5530/PTB.2020.6.16Published:March 2020Type:Research ArticleAuthors:Yousef Ahmed Alomi, Fatimah Al-Doughan, Sultan Mohammed Al-Jarallah, Yasir Ahmed Ibrahim, Adel Mehmas Alragas, and Norah Omar Bin Haidarah Author(s) affiliations:Yousef Ahmed Alomi*, BSc. Pharm, MSc. Clin Pharm, BCPS, BCNSP, DiBA, CDE, Critical Care Clinical Pharmacists, TPN Clinical Pharmacist, Freelancer Business Planner, Content Editor and Data Analyst, Riyadh, Saudi Arabia. Fatimah Al-Doughan, PharmD, Lecturer College of Pharmacy, Pharmacy Practice Department King Faisal University, Alahssa, Saudi Arabia. Sultan Mohammed Al-Jarallah, Head, Ambulatory Care Pharmacy, Oncology and Hematology Clinical Pharmacist, Pharmaceutical Care Department, Security Forces Hospital, Riyadh, Saudi Araia. Yasir Ahmed Ibrahim, PharmD, Head of Pharmacy Practice Department Pharmacy Practice Department College of Clinical Pharmacy, King Faisal University, Alahssa, Saudi Arabia. Adel Mehmas Alragas, Bsc. Pharm, Staff Pharmacist Pharmacy Department Medical City King Saud University, Riyadh, Saudi Arabia. Norah Omar Bin Haidarah, PharmD, Pharmacy Staff Outpatient pharmacy Dr Sulaiman Al-habib Hopsital, Riyadh, Saudi Arabia. Abstract:Objectives: To explore the workload documentation of clinical pharmacy practice in Saudi Arabia during 2017-2018. Methods: This is a 4-month cross-sectional national survey regarding the workload documentation of clinical pharmacy practice in Saudi Arabia. The survey consisted of two parts: The first part collected demographic information and the second part comprised a questionnaire with 51 questions divided into four domains. These domains were derived from the American Society of Health-System Pharmacists (ASHP) and Saudi Pharmaceutical Society (SPS) survey and the International Standard of Joint Commission of Hospital Accreditation in addition to the local standards of Saudi Center of Healthcare Accreditation. The four domains were clinical pharmacy administration and management, performances and activities, education and training and workload documentation. We used 5-point Likert response scale system with close-ended questions to obtain the responses. The questionnaire was distributed in an electronic format to the 31 directors of pharmacies at hospitals. In this study, we conducted a national survey of clinical pharmacy practice at hospitals in Saudi Arabia on workload analysis and documentation. All data were obtained through the Survey Monkey system. Results: The survey was distributed to 31 hospitals and the total number of the patients who were followed up through clinical pharmacy services was 27.88 daily, 836.29 monthly, with 10.82 patients daily per hospital. The total number of prescriptions reviewed by the clinical pharmacist was 184.86 daily, 1294.05 monthly, with (68.77) patients daily per each hospital. Most of the documented clinical pharmacy services existed for medication errors (80.65%), adverse drug reactions (77.42%) and drug quality reporting (70.97%). Most of the documentation of clinical impact and cost avoidance of clinical pharmacy services existed for drug information inquiries (61.29%), medication errors (58.06%) and adverse drug reactions (58.06%). Most of the monthly workload analysis of clinical activities existed for the number of prescriptions (80.65%), number of medication errors (70.97%) and for adverse drug reactions (67.74%). Conclusion: The documentation of workload of clinical pharmacy services is inadequate especially with respect to the clinical outcome and cost avoidance impact. Most of the clinical pharmacy activities were ordinary performances provided to few numbrer of patients. Improve the documentation of workload activities is highly recommended in Saudi Arabia. Keywords:Clinical, Documentation, Pharmacy, Practice, Saudi Arabia, WorkloadView:PDF (233.62 KB) PDF PDF Images Clinical pharmacy services workload
Highlights
Clinical pharmacists provide a wide range of clinical services in collaboration with other healthcare providers as a team
We explored the national survey of clinical pharmacy practice in Saudi Arabia during 2017-2018 with an emphasis on the workload analysis and documentation
The most documented clinical pharmacy services of clinical impact and cost avoidance were recorded for drug information inquiries (61.29%), medication errors (58.06%) and Adverse drug reactions (ADRs) (58.06%)
Summary
Clinical pharmacists provide a wide range of clinical services in collaboration with other healthcare providers as a team All these services are aimed to improve the clinical outcome of the patient.[1,2] Documentation of the clinical activity (workload), clinical interventions and cost avoidance is essential especially with the New Pharmacy Vision 2030 of Saudi Arabia to advocate future growth of resources.[3,4,5,6] Having a clear vision, mission and goals requires consistent documentation of the services to ensure that we are in the right path.[7,8] Various methods of documentation of clinical pharmacy services has been implemented throughout local and national pharmacy practice programs in the KSA.[9,10,11,12,13] Documentation and analysis of workload helps to identify obstacles with scheduling, interruptions, priorities and pharmacists’ knowledge of clinical pharmacy practice. Previous studies conducted globally have focused on the documentation of workload and analyzing the factors that can reduce or influence the documentation process.[15,16,17,18,19] To the best of our knowledge, this is the first study to discuss and explore the documentation and analysis of workload of clinical pharmacy services in KSA.[4,5] We explored the national survey of clinical pharmacy practice in Saudi Arabia during 2017-2018 with an emphasis on the workload analysis and documentation
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