Learning from Our Mistakes: A Pilot Study to Explore the Perceptions and Implementation of Continuous Quality Improvement in Ontario Community Pharmacies
Author(s): ,
Mi Qi Liu
Affiliations:
PharmD Candidate
Janice Law
Affiliations:
BSc PharmD Candidate
Canadian Pharmacists Conference ePoster Library. Law J. Jun 4, 2017; 174277
Janice Law
Janice Law
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Abstract
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Objectives
Despite the potential and significant benefits to overall patient care associated with continuous quality improvement (CQI) programs, the only Canadian province that has successfully implemented a standardized community pharmacy CQI program is Nova Scotia. The objective of this study was to explore the current perceptions and implementation of CQI programs in Ontario community pharmacies

Methods
A 28-item online questionnaire was administered to community pharmacists and pharmacy technicians in Ontario who have provided consent to the Ontario College of Pharmacists to be contacted for research purposes during their annual registration. We conducted descriptive statistics and qualitative thematic analysis, accordingly, on the responses collected.

Results
We collected 299 responses. Pharmacy professionals had an overall fairly positive perceptions of CQI programs and the associated benefits to patient care and safety. However, the concern of blame and shame associated with medication incident reporting and discussion was still dominant. With respect to CQI program implementation, time was considered to be the greatest challenge. Respondents shared a wide range of experiences regarding CQI implementation, time taken for CQI program adoption, and the specific CQI elements that were being executed at their pharmacy practice sites.

Conclusion
The great variations in the responses imply that individual pharmacy is currently at different stages with respect to CQI implementation and there is a lack of a standardized, formal CQI process in place. Although the benefits of CQI programs are resonated with the pharmacy professionals, the current landscape is a reminder that there is still a long way to go for implementing a standardized CQI program across the province, which would ultimately contribute to the delivery of safe and quality patient care.

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