Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Determinants of pharmacists' interventions linked to prescription processing
Autore:
Westein, MPD; Herings, RMC; Leufkens, HGM;
Indirizzi:
Utrecht Inst Pharmaceut Sci, Dept Pharmacoepidemiol & Pharmacotherapy, NL-3508 TB Utrecht, Netherlands Utrecht Inst Pharmaceut Sci Utrecht Netherlands NL-3508 TB , Netherlands
Titolo Testata:
PHARMACY WORLD & SCIENCE
fascicolo: 3, volume: 23, anno: 2001,
pagine: 98 - 101
SICI:
0928-1231(200106)23:3<98:DOPILT>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMMUNITY PHARMACISTS; HOSPITAL ADMISSIONS; DRUG-THERAPY; ERRORS;
Keywords:
community pharmacy; drug related problems; medication surveillance; pharmacoepidemiology; pharmaceutical care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Leufkens, HGM Utrecht Inst Pharmaceut Sci, Dept Pharmacoepidemiol & Pharmacotherapy, POB80 082, NL-3508 TB Utrecht, Netherlands Utrecht Inst Pharmaceut Sci POB 80 082 Utrecht Netherlands NL-3508 TB
Citazione:
M.P.D. Westein et al., "Determinants of pharmacists' interventions linked to prescription processing", PHARM WORLD, 23(3), 2001, pp. 98-101

Abstract

Aim of study: The role of pharmacists in today's healthcare is changing rapidly. As they are close to the prescribing process, pharmacists are in theposition to identify and adjust prescribing errors before dispensing. The objective of this study was to identify relevant determinants of interventions directly linked to prescription processing in community pharmacy. Methods: As part of a yearly continuing education programme, all communitypharmacies in the region of 'Zeeland' (N=23) in the south-west of The Netherlands kept detailed records of all interventions directly linked to prescription processing during one week in May 1998. For every patient involved in an intervention, a control-patient was matched on pharmacy practice, date, gender and age. Results: A total of 39,357 prescriptions were evaluated by the 23 pharmacies during the one-week intervention programme. Out of these, one out of 10 resulted into an intervention. Being a first prescription in a new treatment episode was found to be a significant determinant (OR 1.75, 95 CI% 1.18-2.33). Variables reflecting drug therapy complexity (> 3 prescribers, > 15 prescriptions in 3 months before, > 3 different medications) showed all ORs higher than 1.00, but not significant. When looking at the individual drug categories, anti-infectives, respiratory drugs and cardiovascular medicinescame out as important drug classes for intervention risk. We could not find any association between the number of signals per pharmacy and the numberof interventions. Conclusion: The 'whistle-blower'-model of pharmacy based interventions is a valid one but needs a targeted and integral way of implemented thinking and use of information technology. In such an environment, interventions area logical step of in-process quality control in the drug usage system.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/01/20 alle ore 15:22:01