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Identifying health-system pharmacy operational process categories and corresponding tasks across a diverse health system using a modified Delphi process.
Zeeman, Jacqueline M; Petersen, Autumn E; Colmenares, Evan W; Schenkat, Daniel H; Vest, Mary-Haston.
  • Zeeman JM; Division of Practice Advancement and Clinical Education and Office of Organizational Effectiveness, Planning, and Assessment, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Petersen AE; UNC Health, Chapel Hill, NC, USA.
  • Colmenares EW; UNC Health, Chapel Hill, NC.
  • Schenkat DH; Division of Pharmaceutical Outcomes and Policy (as PhD student), UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Vest MH; UNC Health, Chapel Hill, NC, USA.
Am J Health Syst Pharm ; 79(13): 1070-1078, 2022 06 23.
Article in English | MEDLINE | ID: covidwho-1730641
ABSTRACT

PURPOSE:

The purpose of this study was to identify and build consensus on operational tasks that occur within a health-system pharmacy.

METHODS:

An expert panel of 8 individuals was invited to participate in a 3-round modified Delphi process. In the first round, the expert panel independently reviewed an initial list and provided feedback. All feedback was incorporated into the second round and then reviewed and discussed as a group. The expert panel reviewed an updated list based on feedback from the second round and reached consensus on a final list of operational processes and corresponding tasks.

RESULTS:

All 8 participants agreed to serve on the Delphi expert panel and reviewed an initial list of 9 process categories (hazardous intravenous [IV] medications, nonhazardous IV medications, hazardous oral medications, nonhazardous oral medications, controlled substances, total parenteral nutrition [TPN]/fluid preparations, distribution and delivery, clinical tasks, and miscellaneous operational tasks) and 44 corresponding tasks. Through the Delphi process, 72 new tasks were identified in the first round, while 34 new tasks were identified in the second round. In the third and final round, the expert panel reviewed the updated list of 9 process categories and 150 corresponding tasks, made additional edits, and reached consensus on a final list of 9 processes and 138 corresponding tasks that represented operational work within a health-system pharmacy.

CONCLUSION:

The modified Delphi process effectively identified operational processes and corresponding tasks occurring within hospital pharmacies in a diverse health system. This process facilitated consensus building, and the findings may inform development of an operational workload model.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pharmacies / Pharmacy / Pharmaceutical Services Type of study: Experimental Studies / Prognostic study Limits: Humans Language: English Journal: Am J Health Syst Pharm Journal subject: Pharmacy / Hospitals Year: 2022 Document Type: Article Affiliation country: Ajhp

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pharmacies / Pharmacy / Pharmaceutical Services Type of study: Experimental Studies / Prognostic study Limits: Humans Language: English Journal: Am J Health Syst Pharm Journal subject: Pharmacy / Hospitals Year: 2022 Document Type: Article Affiliation country: Ajhp