Pharmaceutical interventions on prescribed medicines in community pharmacies: focus on patient-reported problems
- 275 Downloads
Background 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.
KeywordsClassification system Community pharmacy practice Drug-related problem Pharmaceutical care Pharmaceutical intervention Switzerland
The authors thank the participating community pharmacists who contributed to our findings and Helene Studer and Jasmine Ruppanner for their help in the data analysis. We thank Dr. Roland Preston for proof-reading.
Conflicts of interest
- 2.Picton C, Wright H. Medicines optimisation: helping patients to make the most of medicines. Good practice guidance for healthcare professionals in England. London: Royal Pharmaceutical Society; 2013.Google Scholar
- 5.Strand LM, Cipolle RJ, Morley PC, editors. Drug therapy problems. In: Pharmaceutical care practice: the patient-centered approach to medication management services. 3rd. ed. New York: The McGraw-Hill Companies; 1998.Google Scholar