Building a Hospital Pharmacist Workforce by a Diversified and Position-Oriented Learning System

Figures & data

Figure 1 Pharmacist position classification and main responsibilities.

Abbreviation: SAHZU, The Second Affiliated Hospital Zhejiang University School of Medicine.

Figure 2 Overview of the pharmacist training based on diversified position-oriented learning system.

Table 1 Participation Details of Various Learning Groups

People Counting	Prescription Review Pharmacist	Clinical Pharmacist	Management Pharmacist	Clinical Research Pharmacist	Basic Science Research Pharmacist	Informatics Pharmacist
Applicants	89	59	27	38	10	6
Enrollment	86	57	27	34	10	4
Completed	55	47	21	13	8	2
Proportion of completion	64%	82%	78%	38%	80%	50%

Note: “Completed” means that the attendance rate was greater than 60% and passed the practical competency assessment.

Table 2 The Change of Pharmacist Workforce

Staff allocation	2020	2021	2022
Number of clinical pharmacists per 100 beds	0.53	0.51	0.58
Number of pharmacists per 100 beds	6.99	7.05	6.48
Number of hospital beds	3218	3714	4154

Table 3 The Impact of the Learning System on Pharmaceutical Care

Pharmaceutical Care Metrics	2020	2021	2022
Percentage of inpatients received pharmaceutical care	9.33%	10.95%	11.66%
Number of outpatient who visited to pharmacist clinics	255	648	1081
Percentage of outpatient and emergency prescriptions that received comments from pharmacists	4.47%	4.19%	8.82%
Percentage of inpatient prescriptions that received comments from pharmacists	6.92%	7.10%	8.19%
Incidence of medication errors	104	132	48
Number of inappropriate prescriptions intercepted by pharmacists	7166	8634	5906
Number of inappropriate prescriptions intercepted by the prescription software	Not yet introduced	Outpatient 7646 Inpatient 40,493	Outpatient 3651 Inpatient 48,634
Intervention acceptance rate for potentially inappropriate prescriptions	0.12%	0.28%	1.50%