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Abstract：
BACKGROUND: Medication-related errors are one of the most frequently reported incidents in hospitals. With the aim of reducing the medication error rate, a Partnered Pharmacist Medication Charting (PPMC) model was trialled in seven Australian hospitals from 2016 to 2017. Participating pharmacists completed a credentialing program to equip them with skills to participate in the trial as a medication-charting pharmacist. Skills included obtaining a comprehensive medication history to chart pre-admission medications in collaboration with an admitting medical officer. The program involved both theoretical and practical components to assess the competency of pharmacists.
METHODS: A qualitative evaluation of the multi-site PPMC implementation trial was undertaken. Pharmacists and key informants involved in the trial participated in an interview or focus group session to share their experiences and attitudes regarding the PPMC credentialing program. An interview schedule was used to guide sessions. Transcripts were analysed using a pragmatic inductive-deductive thematic approach.
RESULTS: A total of 125 participants were involved in interviews or focus groups during early and late implementation data collection periods. Three themes pertaining to the PPMC credentialing program were identified: (1) credentialing as an upskilling opportunity, (2) identifying the essential components of credentialing, and (3) implementing and sustaining the PPMC credentialing program.
CONCLUSIONS: The PPMC credentialing program provided pharmacists with an opportunity to expand their scope of practice and consolidate clinical knowledge. Local adaptations to the PPMC credentialing program enabled pharmacists to meet the varying needs and capacities of hospitals, including the policies and procedures of different clinical settings. These findings highlight key issues to consider when implementation a credentialing program for pharmacists in the hospital setting.
METHODS: A qualitative evaluation of the multi-site PPMC implementation trial was undertaken. Pharmacists and key informants involved in the trial participated in an interview or focus group session to share their experiences and attitudes regarding the PPMC credentialing program. An interview schedule was used to guide sessions. Transcripts were analysed using a pragmatic inductive-deductive thematic approach.
RESULTS: A total of 125 participants were involved in interviews or focus groups during early and late implementation data collection periods. Three themes pertaining to the PPMC credentialing program were identified: (1) credentialing as an upskilling opportunity, (2) identifying the essential components of credentialing, and (3) implementing and sustaining the PPMC credentialing program.
CONCLUSIONS: The PPMC credentialing program provided pharmacists with an opportunity to expand their scope of practice and consolidate clinical knowledge. Local adaptations to the PPMC credentialing program enabled pharmacists to meet the varying needs and capacities of hospitals, including the policies and procedures of different clinical settings. These findings highlight key issues to consider when implementation a credentialing program for pharmacists in the hospital setting.
摘要：
背景：与药物相关的错误是医院中最常报告的事件之一。为了降低用药错误率，从2016年到2017年，合作药剂师药物图表（PPMC）模型在7家澳大利亚医院进行了试验。参与药剂师完成了认证计划，以使他们具备作为药物图表药剂师参与试验的技能。技能包括与入院的医务人员合作，获得全面的用药史，以绘制入院前药物。该计划涉及理论和实践组成部分，以评估药剂师的能力。
方法：对多部位PPMC实施试验进行定性评价。参与试验的药剂师和主要线人参加了访谈或焦点小组会议，以分享他们对PPMC认证计划的经验和态度。面试时间表被用来指导会议。使用实用的归纳-演绎主题方法分析了成绩单。
结果：在早期和晚期实施数据收集期间，共有125名参与者参与了访谈或焦点小组。确定了与PPMC认证计划有关的三个主题：（1）认证是提高技能的机会，(2)确定认证的基本组成部分，(3)实施和维持PPMC认证计划。
结论：PPMC认证计划为药剂师提供了扩大执业范围和巩固临床知识的机会。对PPMC认证计划的本地适应使药剂师能够满足医院的不同需求和能力，包括不同临床环境的政策和程序。这些发现突出了在医院环境中实施药剂师认证计划时要考虑的关键问题。
方法：对多部位PPMC实施试验进行定性评价。参与试验的药剂师和主要线人参加了访谈或焦点小组会议，以分享他们对PPMC认证计划的经验和态度。面试时间表被用来指导会议。使用实用的归纳-演绎主题方法分析了成绩单。
结果：在早期和晚期实施数据收集期间，共有125名参与者参与了访谈或焦点小组。确定了与PPMC认证计划有关的三个主题：（1）认证是提高技能的机会，(2)确定认证的基本组成部分，(3)实施和维持PPMC认证计划。
结论：PPMC认证计划为药剂师提供了扩大执业范围和巩固临床知识的机会。对PPMC认证计划的本地适应使药剂师能够满足医院的不同需求和能力，包括不同临床环境的政策和程序。这些发现突出了在医院环境中实施药剂师认证计划时要考虑的关键问题。
