Pharmaceutical interventions on prescription problems in a Danish pharmacy setting

Pottegård, Anton; Hallas, Jesper; Søndergaard, Jens

doi:10.1007/s11096-011-9580-4

Cited by 15 publications

(15 citation statements)

References 24 publications

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“…Published studies have demonstrated that pharmacists intervene on a regular basis, especially during the initial prescription-dispensing process 10–21. The rate of interventions in our study is consistent with published rates of interventions by pharmacists of 1%–6% of prescriptions 10–15,17,19–21. This rate of intervention appears to be somewhat consistent over time 15,17…”

Section: Discussionsupporting

confidence: 90%

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Interventions performed by community pharmacists in one Canadian province: a cross-sectional study

Young¹,

Bishop²,

Conway³

2012

TCRM

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PurposeInterventions made by pharmacists to resolve issues when filling a prescription ensure the quality, safety, and efficacy of medication therapy for patients. The purpose of this study was to provide a current estimate of the number and types of interventions performed by community pharmacists during processing of prescriptions. This baseline data will provide insight into the factors influencing current practice and areas where pharmacists can redefine and expand their role.Patients and methodsA cross-sectional study of community pharmacist interventions was completed. Participants included third-year pharmacy students and their pharmacist preceptor as a data collection team. The team identified all interventions on prescriptions during the hours worked together over a 7-day consecutive period. Full ethics approval was obtained.ResultsNine student–pharmacist pairs submitted data from nine pharmacies in rural (n = 3) and urban (n = 6) centers. A total of 125 interventions were documented for 106 patients, with a mean intervention rate of 2.8%. The patients were 48% male, were mostly ≥18 years of age (94%), and 86% had either public or private insurance. Over three-quarters of the interventions (77%) were on new prescriptions. The top four types of problems requiring intervention were related to prescription insurance coverage (18%), drug product not available (16%), dosage too low (16%), and missing prescription information (15%). The prescriber was contacted for 69% of the interventions. Seventy-two percent of prescriptions were changed and by the end of the data collection period, 89% of the problems were resolved.ConclusionCommunity pharmacists are impacting the care of patients by identifying and resolving problems with prescriptions. Many of the issues identified in this study were related to correcting administrative or technical issues, potentially limiting the time pharmacists can spend on patient-focused activities.

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Section: Discussionsupporting

confidence: 90%

“…Comparison of these results with other published literature is challenging due to varying methodology and definitions of interventions. However, the top categories in our study were often included in results of other published literature, whether from older Canadian studies, or more recent studies from outside Canada 14–17,19–21…”

Section: Discussionmentioning

confidence: 99%

Interventions performed by community pharmacists in one Canadian province: a cross-sectional study

Young¹,

Bishop²,

Conway³

2012

TCRM

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“…After reading the abstracts, 336 articles were preselected for the evaluation of full text. At the end of the article selection process, 26 articles met the specific inclusion criteria. Figure illustrates the progressive selection of the studies used for this review.…”

Section: Resultsmentioning

confidence: 99%

“…Counselling, resolution of drug‐related problems and referral to other services or healthcare professionals were considered clinical interventions. Administrative interventions were considered as technical problems with prescriptions, such as incomplete or illegible prescriptions …”

Section: Methodsmentioning

confidence: 99%

Can we document the practice of dispensing? A systematic review

et al. 2016

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SUMMARYWhat is known: Documentation is a process indicator utilized to evaluate quality clinical pharmacist services. In this framework, documentation of dispensing, besides supporting patient care, allows evaluation of the impact of counselling. Objective: To identify and assess studies of documentation by pharmacists in the dispensing process. Method: A systematic review was carried out according to the following steps: (i) identification of studies in the following databases: PubMed/Medline, Web of Science, Scopus and Lilacs, using the descriptors 'counselling', 'dispensing', 'community pharmacy services', 'pharmacies' and 'pharmacists' in different combinations; (ii) evaluation of studies, in which the title, abstract and full text of the studies, and the evaluation of the methodological quality of the selected studies were analysed. Results: In total, 26 articles met the specific criteria. Few studies addressed documentation as part of the dispensing working process (3), and 16 articles reported documentation using nonelectronic systems. The main variables documented were patient information, drug therapy problems and clinical interventions. Furthermore, 20 studies showed the effects of documentation in the dispensing process and 23 studies included statistical evidence. Eight articles met between 42% and 75% of the 28 items recommended by the STROBE initiative, and two articles met approximately 60% of the 36 items recommended by the CONSORT initiative.

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“…10–12 Indeed, pharmacist intervention on prescription-related medication errors can prevent negative consequences, such as adverse drug reactions, from reaching patients. 13, 14 …”

Section: Introductionmentioning

confidence: 99%

How do community pharmacies recover from e-prescription errors?

Odukoya

Stone

Chui

2014

Research in Social and Administrative Pharmacy

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Background The use of e-prescribing is increasing annually, with over 788 million e-prescriptions received in US pharmacies in 2012. Approximately 9% of e-prescriptions have medication errors. Objective To describe the process used by community pharmacy staff to detect, explain, and correct e-prescription errors. Methods The error recovery conceptual framework was employed for data collection and analysis. 13 pharmacists and 14 technicians from five community pharmacies in Wisconsin participated in the study. A combination of data collection methods were utilized, including direct observations, interviews, and focus groups. The transcription and content analysis of recordings were guided by the three-step error recovery model. Results Most of the e-prescription errors were detected during the entering of information into the pharmacy system. These errors were detected by both pharmacists and technicians using a variety of strategies which included: (1) performing double checks of e-prescription information; (2) printing the e-prescription to paper and confirming the information on the computer screen with information from the paper printout; and (3) using colored pens to highlight important information. Strategies used for explaining errors included: (1) careful review of patient’ medication history; (2) pharmacist consultation with patients; (3) consultation with another pharmacy team member; and (4) use of online resources. In order to correct e-prescription errors, participants made educated guesses of the prescriber’s intent or contacted the prescriber via telephone or fax. When e-prescription errors were encountered in the community pharmacies, the primary goal of participants was to get the order right for patients by verifying the prescriber’s intent. Conclusion Pharmacists and technicians play an important role in preventing e-prescription errors through the detection of errors and the verification of prescribers’ intent. Future studies are needed to examine factors that facilitate or hinder recovery from e-prescription errors.

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Pharmaceutical interventions on prescription problems in a Danish pharmacy setting

Abstract: We found an intervention rate substantially higher than reported in previous Danish studies.

Cited by 15 publications

References 24 publications

Interventions performed by community pharmacists in one Canadian province: a cross-sectional study

Interventions performed by community pharmacists in one Canadian province: a cross-sectional study

Can we document the practice of dispensing? A systematic review

How do community pharmacies recover from e-prescription errors?

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