Classification of drug-related problems with new prescriptions using a modified PCNE classification system

Abstract

Clinical and technical DRPs are frequently observed in primary care as well as in hospital discharge prescriptions. The modified PCNE classification system, especially the amendment with a technical DRP category, proved to be useful and allowed the classification of all DRPs. Neither the setting (hospital discharge vs. primary care) nor the quality of electronically printed prescriptions, but only the number of prescribed drugs influenced the occurrence of clinical or technical DRPs.

DOCUMENT: a system for classifying drug-related problems in community pharmacy

“…This was consistent with the range of categories and subcategories which were documented throughout the PROMISe II study [15,18]. The variation between the DRP classification systems in international literature again makes direct comparisons difficult; however, most studies show drug selection, drug-drug interactions (which are classified as a Drug selection or Toxicity issue in the DOCUMENT system, depending on whether symptoms have occurred) and dosage problems as the most common interventions [12,[19][20][21]. During the trial, the most common recommendations were a Counselling or education session for the patient and Referral to the prescriber.…”

“…Previous research has led to the design of several DRP classification systems that allow community pharmacists to consistently record the interventions occurring within their daily practice. These include PI-Doc [10], PCNE Classification for DRPs [11,12], and systems developed by Westerlund [13] and Hepler and Strand [1]. However, they have deficiencies.…”

Drug-related problems in diabetes and transplant patients: an observational study with home visits

“…These findings as well as results of a previous study of DRPs [21] and a literature review allowed developing a first draft of a structured interview guide whose usefulness was tested with patients who were recruited through direct contact by fifth-year pharmacy students during internship in community pharmacies. Of 70 individuals contacted, 20 agreed to be visited at home by the researcher.…”

Improving medication safety and diabetes management in Hong Kong: a multidisciplinary approach

“…7 This is an established system that has been revised several times with tested validity and reproducibility 11,31 and has been used in many studies. 9,32,33 When a single drug was associated with more than one possible DRP category, the one that best described the clinical scenario was chosen. Drugs involved in DRPs were categorised according to their British National Formulary classification.…”