Clinical pharmacy key performance indicators for hospital inpatient setting: a systematic review

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2024

Autores

Magedanz, L (Autor) Outra; Silva, HL (Autor) Outra; Galato, D (Autor) Outra; Fernandez-Llimos, F (Autor) FFUP

Revista

Título: International Journal of Clinical Pharmacy

Vol. 46

Páginas: 602-613

ISSN: 2210-7703

Editora: Springer Nature

Indexação

ISI Web of Knowledge - 2 Citações

Scopus - 3 Citações

Outras Informações

ID Authenticus: P-010-8DF

DOI: 10.1007/s11096-024-01717-x

Abstract (EN): Background Key performance indicators (KPIs) are quantifiable measures used to monitor the quality of health services. Implementation guidelines for clinical pharmacy services (CPS) do not specify KPIs.Aim To assess the quality of the studies that have developed KPIs for CPS in inpatient hospital settings.Method A systematic review was conducted by searching in Web of Science, Scopus, and PubMed, supplemented with citation analyses and grey literature searches, to retrieve studies addressing the development of KPIs in CPS for hospital inpatients. Exclusions comprised drug- or disease-specific studies and those not written in English, French, Portuguese, or Spanish. The Appraisal of Indicators through Research and Evaluation (AIRE) instrument assessed methodological quality. Domain scores and an overall score were calculated using an equal-weight principle. KPIs were classified into structure, process, and outcome categories. The protocol is available at https://doi.org/10.17605/OSF.IO/KS2G3.Results We included thirteen studies that collectively developed 225 KPIs. Merely five studies scored over 50% on the AIRE instrument, with domains #3 (scientific evidence) and #4 (formulation and usage) displaying low scores. Among the KPIs, 8.4% were classified as structure, 85.8% as process, and 5.8% as outcome indicators. The overall methodological quality did not exhibit a clear association with a major focus on outcomes. None of the studies provided benchmarking reference values.Conclusion The KPIs formulated for evaluating CPS in hospital settings primarily comprised process measures, predominantly suggested by pharmacists, with inadequate evidence support, lacked piloting or validation, and consequently, were devoid of benchmarking reference values.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 12