No. | Statement | % of maximum points | Pharmacists | Patients | HCP |
---|---|---|---|---|---|
Maximum agreement among all groups | |||||
5.11 | Hospital pharmacists should support and implement systems that allow traceability of all medicines dispensed by the pharmacy. | 95.0 | 93.5 | 100 | 92.9 |
3.4 | Hospital pharmacists must ensure that an appropriate system for quality control, quality assurance and traceability is in place for pharmacy prepared and compounded medicines. | 94.9 | 91.9 | 95.8 | 100 |
5.6 | Hospital pharmacists should identify high-risk medicines and ensure appropriate procedures are implemented in procurement, prescribing, preparing. dispensing, administration and monitoring processes to minimise risk. | 94.3 | 98.4 | 87.5 | 92.9 |
1.1 | The overarching goal of the hospital pharmacy service is to optimise patient outcomes through working collaboratively within multidisciplinary teams in order to achieve the responsible use of medicines across all settings. | 93.6 | 95.0 | 91.7 | 92.9 |
5.10 | Hospital pharmacists should ensure that medicines stored throughout the hospital are packaged and labelled so to assure identification, maintain integrity until immediately prior to use and permit correct administration. | 93.0 | 96.8 | 100 | 78.6 |
4.6 | Hospital pharmacists, as an integral part of all patient care teams, should ensure that patients and carers are offered information about their clinical management options, and especially about the use of their medicines, in terms they can understand. | 92.1 | 91.9 | 91.7 | 92.9 |
4.5 | Hospital pharmacists should promote seamless care by contributing to transfer of information about medicines whenever patients move between and within healthcare settings. | 91.5 | 98.4 | 83.3 | 85.7 |
2.1 | Hospital pharmacists should be involved in the complex process of procurement of medicines. They should ensure transparent procurement processes are in place in line with best practice and national legislation, and based on the principles of safety, quality and efficacy of medicines. | 91.1 | 91.9 | 87.5 | 92.9 |
Minimum agreement among all groups | |||||
1.5 | Hospital pharmacists should work with all relevant stakeholders to develop hospital pharmacy human resource plans covering the breadth of hospital pharmacy practice. These should be aligned to engage hospital pharmacists as supervisors in all steps of all medicine use processes to meet health needs and priorities across public and private sectors that optimise medicines use and patient outcomes. | 74.7 | 87.9 | 59.1 | 64.3 |
1.6 | Hospital pharmacists should take the lead in coordinating the activities of multi-disciplinary, organisation-wide Drug & Therapeutics Committees or equivalent. They should have appropriate representation as full members of these Committees which should oversee and improve all medicines management policies. | 74.3 | 88.7 | 62.5 | 57.1 |
4.4 | All the medicines used by patients should be entered on the patient's medical record and reconciled by the hospital pharmacist on admission. Hospital pharmacists should assess the appropriateness of all patients’ medicines, including herbal and dietary supplements. | 73.7 | 85.5 | 66.7 | 57.1 |
3.1 | Before pharmacy manufacture or preparation of a medicine, the hospital pharmacist should ascertain whether there is a suitable commercially available pharmaceutical equivalent, and if necessary, discuss the rationale for this decision with the relevant stakeholders. | 73.2 | 80.6 | 59.1 | 71.4 |
2.2 | Hospital pharmacists should take the lead in developing, monitoring, reviewing and improving medicine use processes and the use of medicine related technologies. Responsibility for using these processes may rest with other health care professionals and may vary according to the medicine, the medicine related technology, the health care setting and the multidisciplinary team delivering care. | 72.8 | 88.3 | 58.3 | 57.1 |
5.3 | Hospital pharmacists should ensure their hospitals seek review of their medicines use processes by an external quality assessment accreditation programme, and act on reports to improve the quality and safety of these processes. | 72.0 | 87.1 | 70.8 | 42.9 |
4.2 | All prescriptions should be reviewed and validated as soon as possible by a hospital pharmacist. Whenever the clinical situation allows. this review should take place prior to the supply and administration of medicines. | 69.7 | 83.9 | 58.3 | 50.0 |
Ranking by agreement among pharmacists | |||||
6.5 | Hospital pharmacists should be actively involved in clinical trials of medicines. | 88.4 | 100 | 81.8 | 71.4 |
4.5 | Hospital pharmacists should promote seamless care by contributing to transfer of information about medicines whenever patients move between and within healthcare settings. | 91.5 | 98.4 | 83.3 | 85.7 |
5.1 | The ‘seven rights’ (the right patient, right medicine, right dose, right route, right time, right information and right documentation) should be fulfilled in all medicines-related activities in the hospital. | 86.3 | 98.4 | 83.3 | 64.3 |
5.6 | Hospital pharmacists should identify high-risk medicines and ensure appropriate procedures are implemented in procurement, prescribing, preparing, dispensing, administration and monitoring processes to minimise risk. | 94.3 | 98.4 | 87.5 | 92.9 |
3.6 | When the reconstitution or mixing of medicines takes place in a patient care area, a hospital pharmacist should approve written procedures to ensure staff involved in these procedures are appropriately trained. | 88.2 | 96.8 | 100 | 64.3 |
5.10 | Hospital pharmacists should ensure that medicines stored throughout the hospital are packaged and labelled so to assure identification, maintain integrity until immediately prior to use and permit correct administration. | 93.0 | 96.8 | 100 | 78.6 |
1.2 | At a European level. ‘Good Hospital Pharmacy Practice’ guidelines based on the best available evidence should be developed and implemented. These guidelines will include corresponding human resources and training requirements and assist national efforts to define recognised standards across the scope and levels of hospital pharmacy services. | 82.6 | 96.7 | 66.7 | 71.4 |
1.7 | Hospital pharmacists must be involved in the design, specification of parameters and evaluation of ICT within the medicines processes. This will ensure that pharmacy services are integrated within the general Information and Communication Technology (ICT) framework of the hospital including electronic health (eHealth) and mobile health (mHealth) procedures. | 80.3 | 95.2 | 66.7 | 64.3 |
2.4 | Procurement should be according to the medicine formulary and informed by the formulary selection process. A robust process should also be in place to appropriately procure medicines not included in the formulary where their use is indicated for the safe and effective care of individual patients. | 78.2 | 95.2 | 58.3 | 64.3 |
1.1 | The overarching goal of the hospital pharmacy service is to optimise patient outcomes through working collaboratively within multidisciplinary teams in order to achieve the responsible use of medicines across all settings. | 93.6 | 95.0 | 91.7 | 92.9 |
4.2 | All prescriptions should be reviewed and validated as soon as possible by a hospital pharmacist. Whenever the clinical situation allows, this review should take place prior to the supply and administration of medicines. | 69.7 | 83.9 | 58.3 | 50.0 |
2.6 | Hospital pharmacies should have responsibility for all medicines logistics in hospitals. This includes proper storage, preparation, dispensing, distribution and disposal conditions for all medicines, including investigational medicines. | 82.6 | 82.3 | 87.5 | 78.6 |
6.1 | Undergraduate pharmacy curricula should include experience of hospital pharmacy practice. The role of all hospital healthcare practitioners, including hospital pharmacists, should be integrated into the curricula of other health professionals. | 76.4 | 82.3 | 62.5 | 78.6 |
3.1 | Before pharmacy manufacture or preparation of a medicine, the hospital pharmacist should ascertain whether there is a suitable commercially available pharmaceutical equivalent, and if necessary, discuss the rationale for this decision with the relevant stakeholders. | 73.2 | 80.6 | 59.1 | 71.4 |
Ranking by agreement among patients | |||||
3.6 | When the reconstitution or mixing of medicines takes place in a patient care area, a hospital pharmacist should approve written procedures to ensure staff involved in these procedures are appropriately trained. | 88.2 | 96.8 | 100 | 64.3 |
4.7 | Hospital pharmacists should inform, educate and advise patients, carers and other health care professionals when medicines are used outside of their marketing authorisation. | 82.7 | 90.3 | 100 | 50.0 |
5.9 | Hospital pharmacists should ensure that the information needed for safe medicines use, including both preparation and administration, is accessible at the point of care. | 87.0 | 91.9 | 100 | 64.3 |
5.10 | Hospital pharmacists should ensure that medicines stored throughout the hospital are packaged and labelled so to assure identification, maintain integrity until immediately prior to use and permit correct administration. | 93.0 | 96.8 | 100 | 78.6 |
5.11 | Hospital pharmacists should support and implement systems that allow traceability of all medicines dispensed by the pharmacy. | 95.0 | 93.5 | 100 | 92.9 |
3.4 | Hospital pharmacists must ensure that an appropriate system for quality control, quality assurance and traceability is in place for pharmacy prepared and compounded medicines. | 94.9 | 91.9 | 95.8 | 100 |
1.1 | The overarching goal of the hospital pharmacy service is to optimise patient outcomes through working collaboratively within multidisciplinary teams in order to achieve the responsible use of medicines across all settings. | 93.6 | 95.0 | 91.7 | 92.9 |
2.5 | Each hospital pharmacy should have contingency plans for shortages of medicines that it procures. | 87.1 | 85.5 | 91.7 | 85.7 |
3.5 | Hazardous medicines should be prepared under appropriate conditions to minimise the risk of contaminating the product and exposing hospital personnel, patients and the environment to harm. | 89.7 | 87.1 | 91.7 | 92.9 |
4.6 | Hospital pharmacists, as an integral part of all patient care teams, should ensure that patients and carers are offered information about their clinical management options, and especially about the use of their medicines, in terms they can understand. | 92.1 | 91.9 | 91.7 | 92.9 |
1.5 | Hospital pharmacists should work with all relevant stakeholders to develop hospital pharmacy human resource plans covering the breadth of hospital pharmacy practice. These should be aligned to engage hospital pharmacists as supervisors in all steps of all medicine use processes to meet health needs and priorities across public and private sectors that optimise medicines use and patient outcomes. | 74.7 | 87.9 | 59.1 | 64.3 |
3.1 | Before pharmacy manufacture or preparation of a medicine, the hospital pharmacist should ascertain whether there is a suitable commercially available pharmaceutical equivalent, and if necessary, discuss the rationale for this decision with the relevant stakeholders. | 73.2 | 80.6 | 59.1 | 71.4 |
2.2 | Hospital pharmacists should take the lead in developing, monitoring, reviewing and improving medicine use processes and the use of medicine related technologies. Responsibility for using these processes may rest with other health care professionals and may vary according to the medicine, the medicine related technology, the health care setting and the multidisciplinary team delivering care. | 72.8 | 88.3 | 58.3 | 57.1 |
2.4 | Procurement should be according to the medicine formulary and informed by the formulary selection process. A robust process should also be in place to appropriately procure medicines not included in the formulary where their use is indicated for the safe and effective care of individual patients. | 78.2 | 95.2 | 58.3 | 64.3 |
4.2 | All prescriptions should be reviewed and validated as soon as possible by a hospital pharmacist. Whenever the clinical situation allows, this review should take place prior to the supply and administration of medicines. | 69.7 | 83.9 | 58.3 | 50.0 |
Ranking by agreement among healthcare professionals | |||||
3.4 | Hospital pharmacists must ensure that an appropriate system for quality control, quality assurance and traceability is in place for pharmacy prepared and compounded medicines. | 94.9 | 91.9 | 95.8 | 100 |
1.1 | The overarching goal of the hospital pharmacy service is to optimise patient outcomes through working collaboratively within multidisciplinary teams in order to achieve the responsible use of medicines across all settings. | 93.6 | 95.0 | 91.7 | 92.9 |
1.4 | All hospitals should have access to a hospital pharmacist who has overall responsibility for the safe, effective and optimal use of medicines. Health authorities should ensure that each hospital pharmacy is supervised by a pharmacist with appropriate working experience in the hospital setting, and explicit demonstration of competence in hospital pharmacy. | 86.3 | 88.7 | 75.0 | 92.9 |
2.1 | Hospital pharmacists should be involved in the complex process of procurement of medicines. They should ensure transparent procurement processes are in place in line with best practice and national legislation, and based on the principles of safety, quality and efficacy of medicines. | 91.1 | 91.9 | 87.5 | 92.9 |
3.5 | Hazardous medicines should be prepared under appropriate conditions to minimise the risk of contaminating the product and exposing hospital personnel, patients and the environment to harm. | 89.7 | 87.1 | 91.7 | 92.9 |
4.6 | Hospital pharmacists, as an integral part of all patient care teams, should ensure that patients and carers are offered information about their clinical management options, and especially about the use of their medicines, in terms they can understand. | 92.1 | 91.9 | 91.7 | 92.9 |
5.2 | Hospital pharmacists should ensure the development of appropriate quality assurance strategies for medicines use processes to detect errors and identify priorities for improvement. | 88.7 | 93.5 | 75.0 | 92.9 |
5.6 | Hospital pharmacists should identify high-risk medicines and ensure appropriate procedures are implemented in procurement, prescribing, preparing, dispensing, administration and monitoring processes to minimise risk. | 94.3 | 98.4 | 87.5 | 92.9 |
5.11 | Hospital pharmacists should support and implement systems that allow traceability of all medicines dispensed by the pharmacy. | 95.0 | 93.5 | 100 | 92.9 |
1.6 | Hospital pharmacists should take the lead in coordinating the activities of multi-disciplinary, organisation-wide Drug & Therapeutics Committees or equivalent. They should have appropriate representation as full members of these Committees which should oversee and improve all medicines management policies. | 74.3 | 88.7 | 62.5 | 57.1 |
2.2 | Hospital pharmacists should take the lead in developing, monitoring, reviewing and improving medicine use processes and the use of medicine related technologies. Responsibility for using these processes may rest with other health care professionals and may vary according to the medicine, the medicine related technology, the health care setting and the multidisciplinary team delivering care. | 72.8 | 88.3 | 58.3 | 57.1 |
4.4 | All the medicines used by patients should be entered on the patient's medical record and reconciled by the hospital pharmacist on admission. Hospital pharmacists should assess the appropriateness of all patients’ medicines, including herbal and dietary supplements. | 73.7 | 85.5 | 66.7 | 57.1 |
4.2 | All prescriptions should be reviewed and validated as soon as possible by a hospital pharmacist. Whenever the clinical situation allows, this review should take place prior to the supply and administration of medicines. | 69.7 | 83.9 | 58.3 | 50.0 |
4.7 | Hospital pharmacists should inform, educate and advise patients, carers and other health care professionals when medicines are used outside of their marketing authorisation. | 82.7 | 90.3 | 100 | 50.0 |
5.3 | Hospital pharmacists should ensure their hospitals seek review of their medicines use processes by an external quality assessment accreditation programme, and act on reports to improve the quality and safety of these processes. | 72.0 | 87.1 | 70.8 | 42.9 |
Statements with relevant differences between groups | |||||
1.2 | At a European level. ‘Good Hospital Pharmacy Practice’ guidelines based on the best available evidence should be developed and implemented. These guidelines will include corresponding human resources and training requirements and assist national efforts to define recognised standards across the scope and levels of hospital pharmacy services. | 82.6 | 96.7 | 66.7 | 71.4 |
1.5 | Hospital pharmacists should work with all relevant stakeholders to develop hospital pharmacy human resource plans covering the breadth of hospital pharmacy practice. These should be aligned to engage hospital pharmacists as supervisors in all steps of all medicine use processes to meet health needs and priorities across public and private sectors that optimise medicines use and patient outcomes. | 74.7 | 87.9 | 59.1 | 64.3 |
1.7 | Hospital pharmacists must be involved in the design. specification of parameters and evaluation of ICT within the medicines processes. This will ensure that pharmacy services are integrated within the general Information and Communication Technology (ICT) framework of the hospital including electronic health (eHealth) and mobile health (mHealth) procedures. | 80.3 | 95.2 | 66.7 | 64.3 |
2.2 | Hospital pharmacists should take the lead in developing, monitoring, reviewing and improving medicine use processes and the use of medicine related technologies. Responsibility for using these processes may rest with other health care professionals and may vary according to the medicine, the medicine related technology, the health care setting and the multidisciplinary team delivering care. | 72.8 | 88.3 | 58.3 | 57.1 |
2.3 | Hospital pharmacists should coordinate the development, maintenance and use of a medicines formulary system, which may be local, regional and/or national. The medicine formulary system should be linked to guidelines, protocols and treatment pathways based on the best available evidence including patient outcomes and pharmacoeconomic evaluations where these are available. | 79.7 | 91.9 | 70.8 | 64.3 |
2.4 | Procurement should be according to the medicine formulary and informed by the formulary selection process. A robust process should also be in place to appropriately procure medicines not included in the formulary where their use is indicated for the safe and effective care of individual patients. | 78.2 | 95.2 | 58.3 | 64.3 |
3.6 | When the reconstitution or mixing of medicines takes place in a patient care area, a hospital pharmacist should approve written procedures to ensure staff involved in these procedures are appropriately trained. | 88.2 | 96.8 | 100 | 64.3 |
4.3 | Hospital pharmacists should have access to the patients’ health record. Their clinical interventions should be documented in the patients’ health record and analysed to inform quality improvement interventions. | 77.7 | 91.9 | 62.5 | 64.3 |
4.7 | Hospital pharmacists should inform, educate and advise patients, carers and other health care professionals when medicines are used outside of their marketing authorisation. | 82.7 | 90.3 | 100 | 50.0 |
5.1 | The ‘seven rights’ (the right patient, right medicine, right dose, right route, right time, right information and right documentation) should be fulfilled in all medicines-related activities in the hospital. | 86.3 | 98.4 | 83.3 | 64.3 |
5.3 | Hospital pharmacists should ensure their hospitals seek review of their medicines use processes by an external quality assessment accreditation programme, and act on reports to improve the quality and safety of these processes. | 72.0 | 87.1 | 70.8 | 42.9 |
5.9 | Hospital pharmacists should ensure that the information needed for safe medicines use, including both preparation and administration, is accessible at the point of care. | 87.0 | 91.9 | 100 | 64.3 |
6.4 | Hospital pharmacists should actively engage in and publish research, particularly on hospital pharmacy practice. Research methods should be part of undergraduate and postgraduate training programmes for hospital pharmacists. | 79.5 | 93.5 | 66.7 | 64.3 |
Percentages are based on the maximum number of achievable points (ie, 124).
HCP, healthcare professionals.