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Pharmaceutical interventions on prescribed medicines in community pharmacies: focus on patient-reported problems
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4492892
Author(s) Maes, Karen A.; Hersberger, Kurt E.; Lampert, Markus L.
Author(s) at UniBasel Hersberger, Kurt
Lampert, Markus Leopold
Year 2018
Title Pharmaceutical interventions on prescribed medicines in community pharmacies: focus on patient-reported problems
Journal International journal of clinical pharmacy
Volume 40
Number 2
Pages / Article-Number 335-340
Mesh terms Community Pharmacy Services, standards; Humans; Medication Errors, prevention & control; Pharmacists, standards; Prescription Drugs, adverse effects; Professional Role; Prospective Studies; Self Report, standards; Switzerland, epidemiology
Abstract While dispensing prescribed medicines, pharmacists frequently encounter technical and clinical problems that require a pharmaceutical intervention. Objective To describe the pharmaceutical interventions performed by community pharmacists while dispensing prescribed medicines and to investigate, in-depth, the patient-reported problems with the prescribed medicines that triggered pharmaceutical interventions. Method Twenty-one pharmacists each collected 30 prescriptions requiring a pharmaceutical intervention on five selected days within a five-week period. All pharmaceutical interventions were classified using the PharmDISC system. Results Of all 430 pharmaceutical interventions, 286 (66.5%) pharmaceutical interventions had a clinical cause and 144 (33.5%) pharmaceutical interventions a technical cause. Pharmacists mainly intervened to substitute a drug (n†=†132, 30.7%), adjust a dose (n†=†57, 13.3%), and clarify/complete information (n†=†48, 11.2%). A total of 243 (56.5%) pharmaceutical interventions resulted in a change of the prescription. The implementation rate of pharmaceutical interventions reached 88.6%. Altogether, patient-reported problems triggered 99 (23.0%) pharmaceutical interventions. In 15 (15.2%) of these PIs, contact with the prescriber was necessary, whereas 61 (84.8%) PIs only involved the pharmacist. Conclusion While dispensing prescribed medicines, pharmacists performed individualised pharmaceutical interventions to solve or prevent drug-related problems. That almost a quarter of all pharmaceutical interventions triggered by patient-reported problems highlights the importance of direct patient-pharmacist interaction when dispensing prescribed medicines.
Publisher Springer
ISSN/ISBN 2210-7711
Full Text on edoc Restricted
Digital Object Identifier DOI 10.1007/s11096-018-0595-y
PubMed ID
ISI-Number WOS:000430990800003
Document type (ISI) Journal Article

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