Evaluation of a continuous quality improvement program in anticoagulant therapy: Feasibility, satisfaction and perception.
BACKGROUND
The ACO Program (Programme ACO), a continuous quality improvement program (CQIP) in anticoagulation therapy, was offered in community pharmacies as a pilot project.


OBJECTIVE
To evaluate the participants' appreciation for the various activities of the program.


METHODS
Participants had access to training activities, including an audit with feedback, online training activities (OTA), clinical tools and support from facilitators. Cognitive behavioural learning determinants were evaluated before and 5 months after the beginning of the program. Participants' satisfaction and perception were documented via online questionnaires and a semistructured interview.


RESULTS
Of the 52 pharmacists in the ACO Program, 47 participated in this evaluation. Seventy-seven percent of the participants completed at least 1 OTA and 6% published on the forum. The feeling of personal effectiveness rose from 8.01 (7.67-8.35) to 8.62 (8.24-8.99). The audit and feedback, as well as the high-quality OTA and their lecturers, were the most appreciated elements.


CONCLUSIONS
There was a high OTA participation rate. The facilitators seemed to play a key role in the CQIP. The low level of participation in the forum reflects the known phenomenon of social loafing. Technical difficulties affecting the platform and data collection for the audit with feedback constituted limitations.


CONCLUSIONS
The CQIP in anticoagulation therapy is appreciated by community pharmacists and is associated with an improved feeling of personal effectiveness.
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Ariane
A
Cantin
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Alexandre
A
Lahaie
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Bojan
B
Odobasic
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Marie-Philip
MP
Tremblay
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Dana
D
Wazzan
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Stéphanie
S
Caron
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Caroline
C
Leblanc
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Josée
J
Martineau
Faculty of Pharmacy (Cantin, Lahaie, Odobasic, Tremblay, Wazzan, Lalonde), Université de Montréal, Montreal, and the Department of Pharmacy (Caron, Leblanc, Martineau), Hôpital de la Cité de la Santé, Laval, Québec (at the time the original draft was written).
Lyne
L
Lalonde