John Libbey Eurotext




Quantification of activities of clinical pharmacy: daily use of document proposed by the French society of clinical pharmacy
Journal de Pharmacie Clinique. Volume 28, Number 4, 207-11, octobre-novembre-décembre 2009, Article original
Résumé Article gratuit
Author(s) : S Coursier, H Bontemps
Summary : In the current context of “activity pricing model” and contract of good use, it becomes essential to quantify the activity of clinical pharmacy. The French Society of Clinical Pharmacy has proposed a tool to valorize clinical pharmacist’s interventions. We performed a prospective study during 16 months in four different wards. The aim of our study is to compare how two clinical pharmacists codify. Clinical pharmacists disagreed on the way to codify 122 interventions with the tool. We have studied these discrepancies. During the study, clinical pharmacists validated 8 693 changes or initiations of prescriptions. 12% of cases justified clinical pharmacist’s interventions. In 23% of interventions, they were confronted with discrepancies in coding. Inattention or ignorance of the software prescribing errors are neither appropriate nor relevant to criterias of the tool. Criterias finally used are overestimated. Moreover, requests for information to doctors in order to review treatment or to prevent drug iatrogenic disease are not included. The tool proposed by The French Society of Clinical Pharmacy is a major advance because it is the only validated and standardized way to generate activity report, to valorize the daily activity of Clinical Pharmacy. However, in a daily use, documenting the tool is difficult. An evolution of a data collection to a qualitative instrument to enhance the quality of the activity is essential.
Keywords : clinical pharmacy, pharmaceutical interventions, codification, tool, SFPC

Quantification of activities of clinical pharmacy: daily use of document proposed by the French society of clinical pharmacy