Advertisement

International Journal of Clinical Pharmacy

, Volume 33, Issue 1, pp 66–69 | Cite as

Detection of prescribing related problems at the community pharmacy

  • Alina Martínez SánchezEmail author
  • Ramona Mateos Campos
Short Research Report

Abstract

Objective The objective of this study was to detect prescribing-related problems at a community pharmacy in Madrid (Spain) and to analyze these problems from the perspective of their prevention and patient safety. Method A descriptive study was conducted at a community pharmacy during a 6-month period. The data collection was generated by the pharmacists reviewing all the prescriptions, and dispensed medication. All prescriptions, prescribing-related problems, and pharmacist interventions were recorded. Means, standard deviation, and frequency were calculated. Results A total of 23,995 prescriptions were evaluated, and 355 prescribing errors were detected. The most common problems were incomplete prescriptions or incorrect information, and prescriptions for unavailable items 70% (247/355). Inappropriate doses were reported in 27 cases (7.61%), followed by inappropriate direction/ instruction in 25 cases (8%). Fifty-four percent (195/355) of the errors were resolved without any contact with the general practices. Conclusions The incidence of prescribing problems reported by community pharmacy was relatively low compared with other studies. This study has contributed to illustrate the role that community pharmacy has in the detection and rectification of prescribing problems to ensure maximum patient safety at the community setting.

Keywords

Community pharmacy Drug - related problem Patient safety Prescribing related problems Spain 

Notes

Acknowledgments

We gratefully acknowledge the assistance of Dr. Joseph Dipiro, Editor in Chief of The American Journal of Pharmaceutical Education for his assistance to preparing this manuscript.

Funding

None

Conflicts of interest

The authors have no conflict of interests to declare.

References

  1. 1.
    Kohn L, Corrigan J, Donaldson M. Committee on Quality of Health Care in America. To err is human; building a safer health system. Washington: National Academy Press; 1999. p. 26–48.Google Scholar
  2. 2.
    Gandhi T, Weingart S. Outpatient prescribing problems and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837–41.PubMedCrossRefGoogle Scholar
  3. 3.
    Rupp M, DeYoung M, Schondelmeyer S. Prescribing problems and pharmacist interventions in community practice. Med Care. 1992;30:926–40.PubMedCrossRefGoogle Scholar
  4. 4.
    Iglesias JC, Rodríguez NF, Fornos JA. Community pharmacy-based research in Spain (1995–2005): a bibliometric study. Pharm Pract. 2007;5(1):21–30.Google Scholar
  5. 5.
    Leape LL, Bates DW, Cullen DJ. Systems analysis of adverse drug events. JAMA. 1995;274:35–43.PubMedCrossRefGoogle Scholar
  6. 6.
    Szeinbach S, Seoane-Vázquez E, Parekh A, Herderick M. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19:203–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Barber N, Rawlins M, Dean F. Reducing prescribing related problems: competence, control, and culture. Qual Saf Health Care. 2003;12:29–32.CrossRefGoogle Scholar
  8. 8.
    Sard BE, Walsh KE, Doros G, Hannon M. Retrospective Evaluation of a Computerized Physician Order Entry Adaptation to Prevent Prescribing problems in a Paediatric Emergency Department. Pediatrics. 2008;122(4):782–7.PubMedCrossRefGoogle Scholar
  9. 9.
    Bates DW, Cullen DJ, Laird N. Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA. 1995;274:29–34.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Alina Martínez Sánchez
    • 1
    Email author
  • Ramona Mateos Campos
    • 2
  1. 1.Community SettingMadridSpain
  2. 2.Departamento de Medicina Preventiva y Salud PúblicaUniversidad de SalamancaSalamancaSpain

Personalised recommendations