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

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 DR...

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Main Authors: Williams, M., Peterson, G., Tenni, P., Bindoff, I., Stafford, Andrew
Format: Journal Article
Published: Springer Science + Business Media 2011
Online Access:http://hdl.handle.net/20.500.11937/15385
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author Williams, M.
Peterson, G.
Tenni, P.
Bindoff, I.
Stafford, Andrew
author_facet Williams, M.
Peterson, G.
Tenni, P.
Bindoff, I.
Stafford, Andrew
author_sort Williams, M.
building Curtin Institutional Repository
collection Online Access
description 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.
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spelling curtin-20.500.11937-153852017-09-13T16:07:33Z DOCUMENT: a system for classifying drug-related problems in community pharmacy Williams, M. Peterson, G. Tenni, P. Bindoff, I. Stafford, Andrew 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. 2011 Journal Article http://hdl.handle.net/20.500.11937/15385 10.1007/s11096-011-9583-1 Springer Science + Business Media restricted
spellingShingle Williams, M.
Peterson, G.
Tenni, P.
Bindoff, I.
Stafford, Andrew
DOCUMENT: a system for classifying drug-related problems in community pharmacy
title DOCUMENT: a system for classifying drug-related problems in community pharmacy
title_full DOCUMENT: a system for classifying drug-related problems in community pharmacy
title_fullStr DOCUMENT: a system for classifying drug-related problems in community pharmacy
title_full_unstemmed DOCUMENT: a system for classifying drug-related problems in community pharmacy
title_short DOCUMENT: a system for classifying drug-related problems in community pharmacy
title_sort document: a system for classifying drug-related problems in community pharmacy
url http://hdl.handle.net/20.500.11937/15385