Protocol Development and Quality Improvement
Learning Objectives
Determine the steps involved in the development of
a guideline and/or policy.
selection of an appropriate medication and/or medi-
cation-related process suitable for an MUE.
Determine the appropriate quality improvement tool
to use in order to optimize outcomes in a critically
ill patient population.
Identify processes or quality improvement initia-
tives that would benefit from a gap analysis.
Describe the types of pharmacotherapeutic inter-
ventions and documentation processes to justify the
value of clinical pharmacy services.
Adverse drug event
| ASHP | American Society of Health-System |
|---|
Pharmacists
CMS
Centers for Medicare & Medicaid Services
| CPOE | Computerized provider order entry |
|---|
CPS
Clinical pharmacy services
DUE
Drug use evaluation
EBM
Evidence-based medicine
EHR
Electronic health record
ICU
Intensive care unit
LOS
Length of stay
MUE
Medication use evaluation
PAI
Practice Advancement Initiative
PI
Performance improvement
P&T
Pharmacy and therapeutics (committee)
QA
Quality assurance
QI
Quality improvement
SUP
Stress ulcer prophylaxis
TJC
The Joint Commission
Self-Assessment Questions
Answers and explanations to these questions may be
found at the end of this chapter.
As the clinical coordinator/manager, you have
received a request to add the critical care pharma-
cist’s review of all intensive care unit (ICU) patients.
You recognize that you lack the necessary person-
nel to accomplish this request. Which justification
method would offer the most significant financial
impact on the institution to justify the position?
stewardship program.
a delirium screening tool in critically ill patients
guidelines. Which would best be described as a
practice environment barrier to implementing delir-
ium screening in your ICU?
delirium screening.
time.
delirium screening.
delirium is adequate and does not require a
screening tool.
The pharmacy and therapeutics (P&T) committee
would like to assess the use of pharmacotherapy in
stress ulcer prophylaxis (SUP) in the ICU. Which is
the best method for making this evaluation?
initiative.
the ICU.