Research Article

Development of Key Performance Indicators for Capturing Impact of Pharmaceutical Care in Palestinian Integrative Healthcare Facilities: A Delphi Consensus Study

Table 3

Activities rated by ≥ 60% of the panel members in the first Delphi round as potential key performance indicators (KPIs).

#ActivitiesFirst Delphi round
% of panel members who rated the activity as potential KPI

1Number of best possible medications histories taken88.0
2Number of best possible CAM histories taken84.0
3Number of best possible medications history reviews conducted86.0
4Number of best possible CAM history reviews conducted84.0
5Number of medication reconciliations at admission conducted76.0
6Number of medication reconciliations at transition (between wards/services/hospitals) of care conducted74.0
7Number of medication reconciliations at discharge conducted72.0
8Number of CAM reconciliations at admission conducted72.0
9Number of CAM reconciliations at transition (between wards/services/hospitals) of care conducted70.0
10Number of CAM reconciliations at discharge conducted74.0
11Number of identified/resolved discrepancies/problems related to medications80.0
12Number of identified/resolved discrepancies/problems related to CAM76.0
13Number of collaborative, direct, and comprehensive patient care services provided72.0
14Number of therapeutic care plans developed/prepared/implemented/completed74.0
15Number of interprofessional discussions initiated/participated in62.0
16Number of suggestions accepted by other healthcare professionals like physicians60.0
17Number of meetings attended60.0
18Number of patient education sessions conducted68.0
19Number of formal inquiries answered66.0
20Number of medication orders reviewed74.0
21Number of CAM orders reviewed72.0
22Number of medication monitoring ordered/followed up/reviewed60.0
23Number of CAM monitoring ordered/followed up/reviewed60.0
24Number of contraindications related to medications identified/resolved80.0
25Number of contraindications related to CAM identified/resolved82.0
26Number of allergies to medications identified/resolved84.0
27Number of allergies to CAM identified/resolved84.0
28Number of drug-drug interactions identified/resolved88.0
29Number of drug-food interactions identified/resolved78.0
30Number of drug-CAM interactions identified/resolved84.0
31Number of CAM-CAM interactions identified/resolved80.0
32Number of CAM-food interactions identified/resolved78.0
33Number of inappropriate medication doses to the patient's renal function identified/resolved64.0
34Number of inappropriate CAM doses to the patient's renal function identified/resolved62.0
35Number of medication underdoses identified/resolved62.0
36Number of CAM underdoses identified/resolved60.0
37Number of medication overdoses identified/resolved66.0
38Number of CAM overdoses identified/resolved64.0
39Number of medication doses titrated to produce a desirable therapeutic effect60.0
40Number of CAM doses titrated to produce a desirable therapeutic effect60.0
41Number of adverse drug reactions identified/resolved72.0
42Number of adverse CAM reactions identified/resolved70.0
43Number of duplicate medications identified/resolved66.0
44Number of duplicate CAMs identified/resolved64.0
45Number of ineffective medications identified/resolved62.0
46Number of ineffective CAMs identified/resolved62.0
47Number of ambiguous medication orders identified/resolved66.0
48Number of ambiguous CAM orders identified/resolved64.0
49Number of misspelled medication orders identified/resolved60.0
50Number of misspelled CAM orders identified/resolved60.0
51Number of illegibly written medication orders identified/resolved60.0
52Number of illegibly written CAM orders identified/resolved62.0
53Number of missing medications (that should have been prescribed) identified/resolved66.0
54Number of missing CAMs (that should have been prescribed) identified/resolved64.0
55Number of missing medication doses identified/resolved78.0
56Number of missing CAM doses identified/resolved76.0
57Number of missing medication frequencies of administration identified/resolved74.0
58Number of missing CAM frequencies of administration identified/resolved76.0
59Number of missing medication routes of administration identified/resolved72.0
60Number of missing CAM routes of administration identified/resolved76.0
61Number of missing medication durations of therapy identified/resolved74.0
62Number of missing CAM durations of therapy identified/resolved72.0
63Number of missing recommendations to take medications in relation to meal identified/resolved68.0
64Number of missing recommendations to take CAM in relation to meal identified/resolved66.0
65Number of medication-related problems for high alert medications identified/resolved80.0
66Number of CAM-related problems for highly toxic CAM identified/resolved78.0
67Number of documented assessments of response to a therapeutic plan involving medications initiated/implemented/completed62.0
68Number of documented assessments of response to a therapeutic plan involving CAM initiated/implemented/completed60.0
69Number of complaints on the services of pharmacists and CAM practitioners received60.0
70Number of errors related to medications committed66.0
71Number of errors related to CAM committed64.0
72Number of continuing educational/training sessions attended60.0
73Number of educational/training sessions delivered60.0

CAM: complementary and alternative medicine.