Advances in International Clinical Pharmacy Practice, Education, or Training
Saturday, October 12, 2024
11:30 AM–01:00 PM
Abstract
Service or Program:
The impact of pharmaceutical care is proportional to physicians’ acceptance rates of pharmacist interventions, yet research on maximizing these rates is limited. At Vinmec Healthcare System in Vietnam, the approval rate of surgeons for interventions on antibiotic duration in appendectomy was only 31%, highlighting a need for improvement. To address this, our clinical pharmacists developed a 7-step systematic intervention program to reduce discrepancies in patient care plans between pharmacists and surgeons. This program, based on Quality Improvement methodologies such as the Plan-Do-Study-Act (PDSA) model, was overseen by the Chief Medical Officer for execution support and quality assurance.
Justification/Documentation:
The 7-step systematic intervention program followed this order: 1) Audit and detect problems, 2) Collect physicians’ and experts’ opinions, 3) Review guidelines and research, 4) Propose a protocol using the Delphi technique, 5) Analyze outcomes of a proposal, 6) Furnish a protocol, and 7) Routinely assess outcomes of a new protocol. Implementing this program led to significant improvements, notably resolving contentious issues between pharmacists and surgeons. Following the systematic intervention, the acceptance rate for interventions on antibiotic duration in appendectomy surged to 94%, demonstrating the efficacy of this approach.
Adaptability:
With a well-structured methodology and proven positive results, this program has been widely implemented at Vinmec’s Med-Surg unit to boost provider approval of pharmacist interventions. Depending on the detected clinical problem, additional stakeholders beyond surgeons and pharmacists, such as the AMS team or infection prevention and control, may be necessary. Successful program execution relies on identifying and engaging relevant stakeholders, with a clinical pharmacist taking a leadership role.
Significance:
The 7-step systematic intervention program developed by Vinmec clinical pharmacists has yielded prominent outcomes in enhancing physician acceptance rates of pharmacist interventions and improving pharmaceutical care delivery. This highlights the crucial role of structured, evidence-based strategies in optimizing inter-professional collaboration and ensuring high-quality patient care.
Presenting Author
Huong Duong Doctor of PharmacyVinmec Healthcare System
Authors
Trang Le Master of Pharmacy
Vinmec Healthcare System
Thang Nguyen Master of Pharmacy
Vinmec Healthcare System
Lan Phan Doctor of Philosophy in Pharmacy
Vinmec Healthcare System