Título:	Indicadores-chave de desempenho (Key Performance Indicators) para a avaliação de serviços clínicos providos por farmacêuticos em ambiente hospitalar
Autor(es):	Magedanz, Lucas
Orientador(es):	Galato, Dayani Somoza, Fernando Fernandez-Llimos
Assunto:	Ambiente hospitalar Indicadores de desempenho Farmacêuticos Serviços clínicos Farmacologia clínica
Data de publicação:	19-Mai-2025
Data de defesa:	10-Jan-2024
Referência:	MAGEDANZ, Lucas. Indicadores-chave de desempenho (Key Performance Indicators) para a avaliação de serviços clínicos providos por farmacêuticos em ambiente hospitalar. 2024. 165 f., il. Tese (Doutorado em Ciências e Tecnologias em Saúde) — Universidade de Brasília, Brasília, 2024.
Abstract:	Introduction: The main objective of clinical services provided by pharmacists is to promote the safe, effective, and rational use of medicines, contributing to improving people's health and quality of life. Despite their importance and expansion in recent decades, there is still no validated list of key performance indicators (KPIs) that include clinical, economic, and humanistic results capable of comprehensively assessing the impact of these services in the hospital environment. Objective: To define an agreed list of KPIs for monitoring the clinical, economic, and humanistic outcomes of clinical services provided by pharmacists in the hospital environment. Method: This study used a two-stage approach. First, a systematic literature review was carried out to identify KPIs proposed for the evaluation of clinical services provided by pharmacists in a hospital environment. This review served as the basis for drawing up a proposal for KPIs, which was used as the starting point for the second phase, in which a consensus study using the Delphi technique was employed. This survey involved healthcare professionals and representatives of patient associations to establish consensus on a core set of KPIs. Results: The systematic review identified 225 KPIs, of which 19 (8.4%) were structure indicators, 193 (85.8%) were process indicators, and only 13 (5.7%) were related to outcomes, highlighting a gap in the development of outcome-based metrics. Based on this trial, a proposal was drawn up for 12 outcome KPIs, seven of which were clinical, three economic, and one humanistic. The Delphi survey, carried out in three rounds, involved 49 internationally recruited stakeholders from all continents. Throughout the rounds, the stakeholders evaluated the proposed KPIs regarding relevance, and the KPIs were improved based on the stakeholders’ suggestions. New KPIs could also be suggested. The final consensus consisted of five KPIs: three clinical (“Adverse drug event rate”, “Medication-related near miss event rate”, and “Medication goal achievement rate”), one economical (“Average optimized treatment cost difference”), and one humanistic (“Patient satisfaction survey results”). Conclusion: The study found a low prevalence of outcome indicators among the KPIs described in the literature addressing the performance evaluation of clinical services provided by pharmacists in the hospital environment. This study defined a consensus of KPIs composed of clinical, economic, and humanistic outcome indicators. This core set of KPIs aims to support the management and continuous improvement of clinical services provided by clinical pharmacists in hospitals, highlighting their impact on both patient care and the performance of health services.
Unidade Acadêmica:	Faculdade de Ciências e Tecnologias em Saúde (FCTS) – Campus UnB Ceilândia
Informações adicionais:	Tese (doutorado) — Universidade de Brasília, Faculdade de Ceilândia, Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, 2024.
Programa de pós-graduação:	Programa de Pós-Graduação em Ciências e Tecnologias em Saúde
Licença:	A concessão da licença deste item refere-se ao termo de autorização impresso assinado pelo autor com as seguintes condições: Na qualidade de titular dos direitos de autor da publicação, autorizo a Universidade de Brasília e o IBICT a disponibilizar por meio dos sites www.unb.br, www.ibict.br, www.ndltd.org sem ressarcimento dos direitos autorais, de acordo com a Lei nº 9610/98, o texto integral da obra supracitada, conforme permissões assinaladas, para fins de leitura, impressão e/ou download, a título de divulgação da produção científica brasileira, a partir desta data.
Agência financiadora:	Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).
Aparece nas coleções:	Teses, dissertações e produtos pós-doutorado

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