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Standards of Practice for Pharmaceutical Care

Standards of practice for pharmaceutical care are:

  1. Standards of care:

    • A set of expectations of the performance of an individual practitioner

  1. Professional standards:

    • A set of expectations for a community of practitioners

Standard of Care 1: Collection of Patient-Specific Information

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Standard 1: The Practitioner Collects Relevant Patient-Specific Information to Use in Decision Making Concerning All Drug Therapies.

Measurement criteria

  1. Pertinent data are collected using appropriate interview techniques.

  2. Data collection involves the patient, family and caregivers, and other health care providers when appropriate.

  3. The medication experience is elicited by the practitioner and incorporated as the context for decision making.

  4. The data are used to develop a pharmacologically relevant description of the patient, the patient's health status, and the patient's drug-related needs.

  5. The relevance and significance of the data collected are determined by the patient's present conditions, illnesses, wants, needs, and preferences.

  6. The medication history is complete and accurate.

  7. The current medication record is complete, accurate, and includes indication, drug product, dosage regimen, and result to date.

  8. The data collection process is systematic, comprehensive, and ongoing.

  9. Only data that are required and used by the practitioner are elicited from the patient.

  10. Relevant data are documented in a retrievable form.

  11. All data collection and documentation is conducted in a manner that ensures patient confidentiality.

Standard of Care 2: Assessment of Drug-Related Needs

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Standard 2: The Practitioner Analyzes the Assessment Data to Determine If the Patient's Drug-Related Needs Are Being Met, that All the Patient's Medications Are Appropriately Indicated, the Most Effective Available, the Safest Possible, and the Patient Is Able and Willing to Take the Medication as Intended.

Measurement criteria

  1. The patient-specific data collected in the assessment are used to decide if all of the patient's medications are appropriately indicated.

  2. The data collected are used to decide if the patient needs additional medications that are not presently being taken.

  3. The data collected are used to decide if all of the patient's medications are the most effective products available for the conditions.

  4. The data collected are used to decide if all of the patient's medications are dosed appropriately to achieve the goals of therapy.

  5. The data collected are used to decide if any of the patient's medications are causing adverse effects.

  6. The data collected are used to decide if any of the patient's medications are dosed excessively and causing toxicities.

  7. The patient's behavior is assessed to determine if all medications are being taken appropriately in order to achieve the established goals of therapy.

Standard of Care 3: Identification of Drug Therapy Problems

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Standard 3: The Practitioner Analyzes the Assessment Data to Determine If Any Drug Therapy Problems Are Present.

Measurement criteria

  1. Drug therapy problems are identified from the assessment findings.

  2. Drug therapy problems are validated with the patient, family, caregivers, and/or health ...

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