Documentation of drug related problems and their management in community pharmacy: Data evolution over six years.

Amador-Fernández, N; Baechler, T; Quintana-Bárcena, P; Berger, J

Documentation of drug related problems and their management in community pharmacy: Data evolution over six years.

Amador-Fernández, N Baechler, T Quintana-Bárcena, P Berger, J

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Publisher:: ELSEVIER SCIENCE INC
Publication Type:: Journal Article
Citation:: Res Social Adm Pharm, 2023, 19, (11), pp. 1480-1485
Issue Date:: 2023-11

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Field	Value	Language
dc.contributor.author	Amador-Fernández, N
dc.contributor.author	Baechler, T
dc.contributor.author	Quintana-Bárcena, P
dc.contributor.author	Berger, J
dc.date.accessioned	2023-11-08T05:20:06Z
dc.date.available	2023-07-02
dc.date.available	2023-11-08T05:20:06Z
dc.date.issued	2023-11
dc.identifier.citation	Res Social Adm Pharm, 2023, 19, (11), pp. 1480-1485
dc.identifier.issn	1551-7411
dc.identifier.issn	1934-8150
dc.identifier.uri	http://hdl.handle.net/10453/173246
dc.description.abstract	BACKGROUND: Documentation of pharmacists' activities, such as drug related problems (DRPs) management, is necessary to estimate fair remuneration but is rarely done in community pharmacies. OBJECTIVE: To document and evaluate the evolution of DRPs prevalence and management over six years. METHODS: Observational study carried out since 2016 in a community pharmacy. Documentation was made yearly for 21 days (depending on seasons, holidays and medical internship rotations) using the ClinPhADoc tool. Pharmacists documented: medication, DRP type, intervention, implied partner and time for DRP management. A subanalysis was made depending on the medical rotation. RESULTS: A total of 171 437 prescriptions were received and 6 844 (4.0%) documented with 1 550 DRPs. Most frequent DRPs were procedural (n = 506, 32.6%), dosage/posology (n = 263, 17.0%) and drug-drug interaction (n = 153, 9.9%). Mean time dedicated to DRP management was 6.9 min, the longest time was for clinical DRPs (11.0 min, SD = 6.6). Most DRPs (n = 726, 44.6%) were managed by the pharmacist alone taking less working time than when involving other stakeholders (p < 0.01). Statistically significant differences were found in DRPs between the beginning and end of medical rotation (p < 0.05). CONCLUSIONS: Documentation of DRP management allowed consistent results over the years. Patterns of DRPs can be used to develop inter-professional interventions to prevent DRPs.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCIENCE INC
dc.relation.ispartof	Res Social Adm Pharm
dc.relation.isbasedon	10.1016/j.sapharm.2023.07.001
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
dc.subject	1115 Pharmacology and Pharmaceutical Sciences, 1117 Public Health and Health Services
dc.subject.classification	Pharmacology & Pharmacy
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Humans
dc.subject.mesh	Pharmacies
dc.subject.mesh	Documentation
dc.subject.mesh	Pharmacists
dc.subject.mesh	Prescriptions
dc.subject.mesh	Remuneration
dc.subject.mesh	Humans
dc.subject.mesh	Documentation
dc.subject.mesh	Pharmacists
dc.subject.mesh	Pharmacies
dc.subject.mesh	Prescriptions
dc.subject.mesh	Remuneration
dc.title	Documentation of drug related problems and their management in community pharmacy: Data evolution over six years.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	United States
utslib.for	1115 Pharmacology and Pharmaceutical Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-08T05:20:04Z
pubs.issue	11
pubs.publication-status	Published
pubs.volume	19
utslib.citation.issue	11

Abstract:

BACKGROUND: Documentation of pharmacists' activities, such as drug related problems (DRPs) management, is necessary to estimate fair remuneration but is rarely done in community pharmacies. OBJECTIVE: To document and evaluate the evolution of DRPs prevalence and management over six years. METHODS: Observational study carried out since 2016 in a community pharmacy. Documentation was made yearly for 21 days (depending on seasons, holidays and medical internship rotations) using the ClinPhADoc tool. Pharmacists documented: medication, DRP type, intervention, implied partner and time for DRP management. A subanalysis was made depending on the medical rotation. RESULTS: A total of 171 437 prescriptions were received and 6 844 (4.0%) documented with 1 550 DRPs. Most frequent DRPs were procedural (n = 506, 32.6%), dosage/posology (n = 263, 17.0%) and drug-drug interaction (n = 153, 9.9%). Mean time dedicated to DRP management was 6.9 min, the longest time was for clinical DRPs (11.0 min, SD = 6.6). Most DRPs (n = 726, 44.6%) were managed by the pharmacist alone taking less working time than when involving other stakeholders (p < 0.01). Statistically significant differences were found in DRPs between the beginning and end of medical rotation (p < 0.05). CONCLUSIONS: Documentation of DRP management allowed consistent results over the years. Patterns of DRPs can be used to develop inter-professional interventions to prevent DRPs.

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