Abstract
Documentation of pharmaceutical care has been advocated for close to 30 years for a number of reasons, not least to enable patient follow-up of managed or resolved drug-related problems (DRPs). The first pharmaceutical care documentation was performed in the US, followed by the Netherlands and Sweden, and has also been performed in Canada, in additional countries in Europe and in Australia . The creation of DRP classification systems was necessary for a systematized documentation of pharmaceutical care , which in turn was facilitated by the development of computerized documentation instruments, incorporated into software programs. Statistics on documented DRP data and free text information may serve as educational material for continuing professional development , aimed at further improving the DRP detection skills. The documentation may also be used to get a deeper understanding of both causes and characteristics of DRPs and to demonstrate the potential societal cost savings of pharmaceutical care .
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Schaefer M. Discussing basic principles for a coding system of drug-related problems: the case of PI-Doc®. Pharm World Sci. 2002;24(4):120–7.
Strand LM, Cipolle RJ, Morley PC. Documenting the clinical pharmacist’s activities: back to the basics. Drug Intell Clin Pharm. 1988;22(1):63–7.
Chase PA, Bainbridge J. Care plan for documenting pharmacist activities. Am J Hosp Pharm. 1993;50:1885–8.
Brown G. Documentation by pharmacists in the health care record: justification and implementation. Can J Hosp Pharm. 1994;47(1):28–31.
Canaday BR, Yarborough PC. Documenting pharmaceutical care: creating a standard. Ann Pharmacother. 1994;28(11):1292–6.
de Gier JJ. The Electronic Pharmaceutical Dossier, an effective aid to documenting pharmaceutical care data. Pharm World Sci. 1996;18(6):241–3.
van Horsen H, de Smet PAGM, Hermans HWA, van Mil JWF, Sessink FGM, Stutterheim KF. Registratie van farmaceutische patiëntensorg [Registration of pharmaceutical care] Dutch Pharm Weekbl. 1996;131:1410–90.
van Mil JWF, de Smet PGAM. Zorgrecords in de praktijk [Care records in practice]. Dutch Pharm Weekbl. 2001;136:430–1.
van Mil JWF, Tromp TFJ. Coding frequently asked questions during the pharmaceutical care process with the PASr system. J Appl Therap. 1997;1:351–5.
van Horssen N. Leg zorg vast [Document care]. Dutch Pharm Weekbl. 2001;135:1098–9.
de Gier JJ, Leendertse AJ. De, Nieuwe SOEP-codesystematiek [The new SOAP coding systematics]. Dutch Pharm Weekbl. 2002;137:540–4.
Shen W, Wong B, Chin JY, Lee M, Coulter C, Braund R. Comparison of documentation of patient reported adverse drug reactions on both paper-based medication charts and electronic medication charts at a New Zealand hospital. N Z Med J. 2016;129(1444):90–6.
Westerlund LOT, Handl WHA, Marklund BRG, Allebeck P. Pharmacy practitioners’ views on computerized documentation of drug-related problems. Ann Pharmacother. 2003;37:354–60.
Westerlund T, Gelin U, Pettersson E, Skärlund F, Wågström K, Ringbom C. A retrospective analysis of drug-related problems documented in a national database. In J Clin Pharm. 2013;35:202–9.
Westerlund T, Marklund B. Assessment of the clinical and economic outcomes of pharmacy interventions in drug-related problems. J Clin Pharm Ther. 2009;34:319–27.
American Society of Hospital Pharmacists. ASHP guidelines on documenting pharmaceutical care in patient medical records. Am J Health Syst Pharm. 2003;60(7):705–7.
Maes K, Bruch S, Hersberger KE, Lampert ML. Documentation of pharmaceutical care: development of an intervention oriented classification system. Int J Clin Pharm. 2017;39(2):354–63.
Westerlund T, Brånstad JO. GPs’ views on patient drug use and the pharmacist’s role in DRP management. Pharm World Sci. 2010;32(5):562–5.
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Westerlund, T. (2019). Documenting Pharmaceutical Care. In: Alves da Costa, F., van Mil, J., Alvarez-Risco, A. (eds) The Pharmacist Guide to Implementing Pharmaceutical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-92576-9_8
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DOI: https://doi.org/10.1007/978-3-319-92576-9_8
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