Background and importance The clinical tasks of telepharmacy practice must adhere to a standardised procedure and revolve around the patient’s clinical record. Single clinical acts must be favoured. A pre-delivery validation procedure must be established before drugs reach the patients’ home. It is also essential to ensure no discrimination, confidentiality, security and traceability of the whole process (Spanish Society of Hospital Pharmacy Statement on Telepharmacy).
Indicators monitoring is necessary to assess whether we are at pre-established levels of quality and to detect the existence of problematic situations.
We started a new programme by which ‘Hospital-Use Medication’ is provided to outpatients through the community pharmacy, using an app to request medication by the patient and telephone communication for follow-up by the hospital pharmacist.
Aim and objectives To monitor the quality of an informed drug delivery telepharmacy programme (CPDDTP) from the hospital pharmacy to the patient, through the community pharmacy.
Material and methods Design: quality monitoring study using the LQAS method and a satisfaction survey.
Scope: dispensations made through CPDDTP are monitored by means of a random sample from January–August 2021.
Criteria evaluated: C1: validation by the pharmacist based on the clinical sheet; C2: correct dose, frequency and administration route; C3: hospital pharmacist–patient communication; C4: adherence; C5: dispensing according to protocol, single clinical act if possible; C6: time to get the medicine from request; S1: assessment of patient satisfaction by telephone survey.
Starting from a 95% compliance standard, assuming a minimum threshold of 80%, an alpha error = 5% and a beta error = 20%, a sample size of 27 cases and the minimum number of protocol compliance of 23 were calculated (85%).
Results A random sampling of 14 092 dispensations was made. 25 of 27 cases of protocol compliance were obtained (92.59%). The survey of the selected patients showed 97.4% global satisfaction. Areas to improve: a mobile app to contact patients, and diffusion of the hospital pharmacy contact e-mail and usefulness.
Conclusion and relevance The results show the absence of a quality problem in the initial procedure studied and the patient satisfaction. The LQAS method gives us a quick way to decide if we are in a quality problem situation using a small sample. In future follow-ups, pharmaceutical care interventions should be evaluated.
References and/or acknowledgements The authors thank their fellow pharmacy technicians at FISEVI for their collaboration.
Conflict of interest No conflict of interest