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Competency developement using GLF in community pharmacy in Croatia Arijana Meštrović Živka Staničić Iva Mucalo Maja Ortner Hadžiabdić Ian Bates FIP,Lisabon, 2010. Excellency in pharmaceutical care Development of competences in pharmacy Responsibility for patient treatment outcome Global trends in pharmacy competency framework General Level Framework Delivery of Patient Care Patient consultation Need for the drug Personal Problem Solving Management and Organisation Organisation Gathering information Clinical governance Effective Knowledge Service Provision Analysing information Budget setting and reimbursement Providing information Organisations communication Selection of the drug Teamwork Drug specific issues Professionalism Provision of drug product Training Follow up Medicines information Monitoring drug therapy Evaluation of outcomes Staff management Procurement Croatia in GLF testing map Competency rating 2009. Figure 1 : Competency rating • • • • • 4 poorest performance Monitoring drug therapy 3 Use of guidelince average Patient consultation 2 Evaluation of outcomes • • • best performance Drug specific issues Provision of drug product 1 1 2 3 4 5 6 7 8 9 1011121314 151617181920212223242526 competency (C) The greatest discrepancies among pharmacists were found in … 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0 variance 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 • ensuring that the prescription is legal • prioritizing medicine management problems • identifying drug-drug interactions to develop standard operating procedures to develop frameworks for data collection to provide more written information for patient safety to document pharmacy intervention What have we collected in our Portfolios? • 406 clinicaly significant side effects • 332 documented medical interventions • 146 documented medication errors • 184 false prescriptions • 252 students • 17 young pharmacists • 3 research public health projects * antibiotic resistence * knowledge about herbal drugs *do the patient really read medical instructions? Education and Continuing Pharmacists Developement • using GLF /12 month period • 46 professional educations • 20 workshops • 12 apprentices` moduls • 6 communication trainings • 110 learning portfolios Performance development 4,0 • Patient consultation 3,5 • Monitoring drug therapy 3,0 • Medicine information 2,5 • Patient education • Evaluation of outcomes 2,0 1,5 1,0 0,5 0,0 -0,5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Competencies Mean-2009 Mean-2010 Variance-2009 Variance-2010 starting point … …for future development