| Development and reliability testing of the clinical pharmacist recommendation taxonomy. | |
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MedLine Citation:
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PMID: 17461698 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To evaluate the reliability of a newly developed taxonomy--the Clinical Pharmacist Recommendation (CPR) taxonomy--to classify clinical pharmacy interventions. DESIGN: The CPR taxonomy was developed and refined in three phases. In each phase, reviewers independently reviewed recommendations made by a clinical pharmacist-physician team and categorized them into mutually exclusive categories: priority, problem, and response. Interrater reliability was assessed for all categories during each development phase. SETTING: Primary care clinics of a Veterans Affairs Medical Center. PATIENTS: Fifty-three patients enrolled in the Veterans Affairs Enhanced Pharmacy Outpatient Clinic (EPOC) trial. MEASUREMENTS AND MAIN RESULTS: Interrater reliability was assessed using the kappa statistic. A total of 423 recommendations were evaluated during the three testing phases. In the final testing phase, agreement was moderate for pharmacotherapy problem subcategories (kappa = 0.57), substantial for pharmacotherapy problem primary categories (kappa = 0.64), and almost perfect for response categories (kappa = 0.85). Taxonomy completion time/patient averaged 4.6 minutes (range 1-11 min). CONCLUSION: The CPR taxonomy provides a reliable method to systematically evaluate clinical pharmacy recommendations based on the therapeutic problem identified and specific action recommended to resolve the problem. |
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Authors:
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Angela B Hoth; Barry L Carter; Jose Ness; Anjan Bhattacharyya; Ronald I Shorr; Gary E Rosenthal; Peter J Kaboli |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Pharmacotherapy Volume: 27 ISSN: 0277-0008 ISO Abbreviation: Pharmacotherapy Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-04-27 Completed Date: 2007-06-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8111305 Medline TA: Pharmacotherapy Country: United States |
Other Details:
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Languages: eng Pagination: 639-46 Citation Subset: IM |
Affiliation:
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Center for Research in the Implementation of Innovative Strategies in Practice, Veterans Affairs Iowa City Health Care System, Iowa City, Iowa 52246, USA. Angela.Hoth@med.va.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Drug Therapy / adverse effects, classification Female Hospitals, Veterans Humans Male Pharmacists* Pharmacy Service, Hospital / classification*, methods, organization & administration*, standards Primary Health Care Professional Role* Quality Assurance, Health Care / methods* Reproducibility of Results United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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