PMID- 9248602
OWN - NLM
STAT- MEDLINE
DCOM- 19971008
LR  - 20190221
IS  - 1079-2082 (Print)
IS  - 1079-2082 (Linking)
VI  - 54
IP  - 14
DP  - 1997 Jul 15
TI  - Reliability and validity of hospital pharmacists' clinical intervention data.
PG  - 1596-603
AB  - The reliability and validity of pharmacist intervention data documented at a 
      hospital in England were studied. The study involved intervention data recorded 
      from September 1 to December 31 in 1990 (a pilot study), 1991, and 1992 by a 
      total of 23 pharmacists. The interventions in 1990 were coded by a single 
      pharmacist manager and compared with coding by pharmacists of their own 
      interventions during 1991 and 1992. To test for internal reliability of the 
      intervention data, 25% (584) of the 2342 interventions recorded in 1991 and 1992 
      were randomly sampled after interventions by the 11 pharmacists no longer at the 
      site were eliminated. In September 1993 the 12 remaining pharmacists were asked 
      to recode the interventions they had previously entered. In March 1994 a panel of 
      12 pharmacists recoded 62 interventions randomly selected from the 684 recoded 
      interventions. Each panel member also assigned financial values to interventions. 
      Medical records corresponding to the 62 recoded interventions were inspected for 
      evidence of the interventions. The distribution of interventions among the 
      drug-use-process (DUP) indicators used in the coding differed significantly 
      between 1990 (when a manager assigned all codes) and 1991 plus 1992 (when 
      pharmacists coded their own interventions). There were similar differences 
      between 1991 and 1992. Results from code-recode and panel testing showed the DUP 
      indicators to be reliable. Clinical outcome indicators were unreliable, as were 
      financial indicators. Medical records verified the occurrence of 50 (81%) of the 
      62 interventions selected, but in only one case was there evidence that the 
      change in drug therapy was initiated by a pharmacist. The capacity of pharmacists 
      at a British hospital to reliably code interventions was poor.
FAU - Cousins, D
AU  - Cousins D
AD  - Pharmacy Department, Derbyshire Royal Infirmary, Derby, England. 
      100013.1422@compuserve.com
FAU - Gerrett, D
AU  - Gerrett D
FAU - Luscombe, D
AU  - Luscombe D
LA  - eng
PT  - Journal Article
PL  - England
TA  - Am J Health Syst Pharm
JT  - American journal of health-system pharmacy : AJHP : official journal of the 
      American Society of Health-System Pharmacists
JID - 9503023
SB  - IM
MH  - Chi-Square Distribution
MH  - *Clinical Pharmacy Information Systems
MH  - Documentation
MH  - Drug Therapy/*standards
MH  - England
MH  - Forms and Records Control
MH  - Humans
MH  - *Pharmacists
MH  - *Pharmacy Service, Hospital
MH  - *Quality Assurance, Health Care
MH  - Reproducibility of Results
MH  - Statistics, Nonparametric
EDAT- 1997/07/15 00:00
MHDA- 1997/07/15 00:01
CRDT- 1997/07/15 00:00
PHST- 1997/07/15 00:00 [pubmed]
PHST- 1997/07/15 00:01 [medline]
PHST- 1997/07/15 00:00 [entrez]
AID - 10.1093/ajhp/54.14.1596 [doi]
PST - ppublish
SO  - Am J Health Syst Pharm. 1997 Jul 15;54(14):1596-603. doi: 
      10.1093/ajhp/54.14.1596.