title: Patient assessment and documentation integrated in community practice: chat, check, and chart.
abstract: OBJECTIVE
  To explore how pharmacists integrated the Chat, Check and Chart (CCC) tools in community practice and to identify barriers and facilitators to use.
  
  
  METHODS
  Concurrent nested mixed-method study. Open-ended, semi-structured qualitative interviews on tools use and a quantitative survey were completed via telephone.
  
  
  METHODS
  Community-based pharmacy practice.
  
  
  METHODS
  39 community pharmacists consented to interviews 2 months after the CCC training workshop; 22 completed an interview.
  
  
  METHODS
  Workshop training on CCC tools and workplace implementation strategies.
  
  
  METHODS
  Barriers, facilitators and implementation strategies for CCC tools.
  
  
  RESULTS
  More pharmacists were implementing or had made patient assessment part of their practice (54%) than documentation of patient care (36%). Integration was facilitated by patient success, collaborative worksite, personal beliefs, and provincial regulations. Lack of routines, patient expectations, reimbursement, and time were familiar barriers. Strategies to overcome these barriers included practicing new habits, using technology, starting small, using physical reminders, and recognizing benefits.
  
  
  CONCLUSIONS
  Patient care tools for assessment and documentation had both positive and negative effects on patients, pharmacists, and community pharmacies because of demands on time, lack of resources, and limited personal, external, and patient expectations of pharmacists' care. Findings resulted in Alberta College of Pharmacists academic detailing of the CCC tools during onsite pharmacy assessments to help pharmacists meet or exceed provincial practice standards.
authors.affiliation: Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Canada. lisa.guirguis@ualberta.ca
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Guirguis
authors.forename: Shao
authors.initials: S
authors.lastname: Lee
mesh_terms: D001291:Attitude of Health Personnel; D003157:Community Pharmacy Services; D004282:Documentation; D005260:Female; D006801:Humans; D008297:Male; D005791:Patient Care / Q000295:instrumentation*