DOCUMENT: a system for classifying drug-related problems in community pharmacy
MetadataShow full item record
Background: Drug-related problems (DRPs) are a major burden on the Australian healthcare system. Community pharmacists are in an ideal position to detect, prevent, and resolve these DRPs. Objective: To develop and validate an easy-to-use documentation system for pharmacists to classify and record DRPs, and to investigate the nature and frequency of clinical interventions undertaken by Australian community pharmacists to prevent or resolve them. Setting: Australian community pharmacies. Method: The DOCUMENT classification system was developed, validated and refined during two pilot studies. The system was then incorporated into software installed in 185 Australian pharmacies to record DRPs and clinical interventions undertaken by pharmacists during a 12-week trial. Main outcome measure: The number and nature of DRPs detected within Australian community pharmacies. Results: A total of 5,948 DRPs and clinical interventions were documented from 2,013,923 prescriptions dispensed during the trial (intervention frequency 0.3%). Interventions were commonly related to Drug selection problems (30.7%) or Educational issues (23.7%). Pharmacists made an average of 1.6 recommendations per intervention, commonly relating to A change in therapy (40.1%) and Provision of information (34.7%). Almost half of interventions (42.6%) were classified by recording pharmacists as being at a higher level of clinical significance. Conclusion: The DOCUMENT system provided pharmacists with a useful and easy-to-use tool for recording DRPs and clinical interventions. Results from the trial have provided a better understanding of the frequency and nature of clinical interventions performed in Australian community pharmacies, and lead to a national implementation of the system.
Showing items related by title, author, creator and subject.
Williams, M.; Peterson, G.; Tenni, P.; Bindoff, I.; Curtain, C.; Hughes, J.; Bereznicki, L.; Jackson, S.; Kong, D.; Hughes, Jeffery (2011)BACKGROUND: Drug-related problems (DRPs) are a major burden on health care systems. Community pharmacists are ideally placed to detect, prevent, and resolve these DRPs. OBJECTIVE: To determine the number and nature of ...
Non-prescription medicines and Australian community pharmacy interventions: rates and clinical significanceWilliams, K.; Emmerton, Lynne; Taylor, R.; Werner, J.; Benrimoj, S. (2011)Objective: To quantify pharmacy intervention rates for non-prescription medications (pharmacist-only and pharmacy medicines), to document the clinical significance of these interventions and to determine the adverse health ...
The introduction of the national e-health record into community pharmacy practice: Pharmacists’ perceptionsMooranian, Armin; Emmerton, Lynne; Hattingh, H. Laetitia (2013)Objective: Personally Controlled Electronic Health Records (PCEHRs) were introduced for Australian health consumers in July 2012. This study aimed to determine, in the months prior to the launch, community pharmacists’ ...