QUALITY ASSURANCE OF CLINICAL PHARMACY SERVICES

1. QUALITYASSURANCE
OF CLINICAL
PHARMACY SERVICES
CLINICAL PHARMACY PRACTICE
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2. CONTENT
 DEFINITION
 OBECTIVE AND FUNTIONS
 QUALITY ASSURANCE SERVICE
 ASSESMENT OF SERVICES
 AUDIT
 EVALUATION OF PATIENT COUNCELLING
 QUALITY ASSURANCE IN DI SERVICES
 EVALUATION METHODS AND MONITORING
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3. DEFINITION
Quality assurance in clinical pharmacy is a technique
used to ensure quality of practice and its outcome in
clinical pharmacy.
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4. OBJECTIVE AND FUNCTIONS
The main goal for clinical pharmacy services
• To ensure provision of an appropriate service to patients (and those
involved in patient care).
• To ensure medicine needs.
• Monitor and evaluate standards of services provided.
• To identify and minimize the risks
•To identify area of development.
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5. QUALITYASSURANCE SERVICES
 ADR reporting
 Ward round participation
 Drug information services
 Patient interview
 Case note review
 Medication chart review
 Therapeutic consultation
 Drug interactions
 pharmacoeconomic
 Poison management
 News letters
Initiation and conducting
pharmaceutical research
and development
Hospital formulary
Dosage adjustment
calculations
Therapeutic drug monitoring
Therapeutic guideline
preparations.
Patient counselling
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6. ASSESSMENT OF QUALITYASSURANCE SERVICE
Performance appraisal
Peer review
 Professional audit and clinical audit
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7. AUDIT
Clinical audit is a quality improvement process that seeks to improve
patient care and outcomes. Types of audit :-
1) Self audit ; community pharmacist
2) Peer or group audit; pharmacist from one hospital look at the
services provided from other hospital
3) External audit
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8. It involves a cycle of measurment,evaluation and improvement.
desire for improvement (or) evidence of poor quality services
set of improve standards
Identify problems observe & implement changes
observe practice
compare practice to standard
AUDIT CYCLE
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9. EVALUATION OF PATIENT COUNSELLING
Self introduction and patient’s introduction
o Purpose of counselling
o Use of patient profile information
o Assess about reason for therapy
o Use of verbal language
o Non-verbal behaviors
o Discuss about present facts
o Provide complete information
o Information about therapy.
o Summarize using key points.
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10. QUALITYASSURANCE IN QA SERVICES
Quality assurance in drug information services should
implement standard procedures. Evaluate every aspect of
practice and to improve existing services. Assessment
techniques
1) Work load statistics
2) Auditing
3) enquirer’s assessment
4) Peer review
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11. EVALUATING METHODS & MONITORING
Input level Staff Resources organizations Process
level Receiving queries Search strategy Data
collection Literature evaluation storage Output level
Patient outcome DI publication Problem identification
Corrective actions Effectiveness of corrections
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12. THANK YOU !
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