Pharmacy

Pharmacists have increasingly become integrated into interprofessional health care teams within the Ambulatory Care practice setting. Pharmacists provide pharmaceutical care services primarily to identify potential and actual drug-related problems, resolve actual drug related problems and prevent potential drug-related problems. As part of a study to examine pharmacist documentation practices, it became evident that a uniform documentation system for the profession of pharmacy is needed for pharmacists to document their practice activities to ensure quality patient-centered care and to support communication with other disciplines.With a goal to specify best practices within pharmacy for documentation of pharmaceutical care services, This study examined randomly selected, de-identified pharmacist SOAP notes from an ambulatory care clinic Minneapolis, MN. We then used the Omaha System as a framework for mapping pharmacists SOAP notes for the creation of an interprofessional care plan to address Medication regimen-related patient problems.