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Leemans, Liesbeth; L, Veroeveren; Bulens, Jef; Hendrickx, Christiane; Keyenberg, Williame; Niesten, Frie; Vandeberg, Jules; Hoof, Jacques Van; Laekeman, Gert

doi:10.1023/a:1023253132487

Cited by 29 publications

(5 citation statements)

References 19 publications

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“…It is of particular importance since many prescribed medications are not taken according to a physician’s recommendations, which contributes to an increase in the number of hospitalized patients and therefore increased expenditure on health care (Waserfallen et al, 2011). However, appropriate pharmacist’s intervention enables to prevent medication problems, resulting in obtaining right effects of prescribed pharmacotherapy (Leemans et al, 2003; Van Mil et al, 2004; Williams et al, 2008). According to Szalonka studies (2010), half of responding physicians determined the actual odds in favor of PC implementation, and the most considerable obstacle indicated by respondents was lack of a consistent computer application and inappropriate system of communication between physicians and pharmacists (Szalonka, 2010).…”

Section: Discussionmentioning

confidence: 99%

Physicians’ and patients’ valuation of pharmaceutical care implementation in Poznan (Poland) community pharmacies

Waszyk-Nowaczyk

Nowaczyk

Simon

2014

Saudi Pharmaceutical Journal

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Implementation of pharmaceutical care (PC) in Poland is of great importance to patients, who, on the one hand, often follow complex pharmacological treatment regimens recommended by several physicians of different specialties, and, on the other, take up the decision on self-treatment due to availability of OTC medications. The aim of the present study was to assess the opinion of both patients and physicians about implementation of PC service in Polish community pharmacies. A cross sectional study was carried out from September 2009 to September 2010 by a pharmacist (author of the study) on the basis of an anonymous questionnaire, where demand of physicians (n = 104) and patients (n = 202) for implementation of PC in a community pharmacy was assessed. The study was planned to determine the relationship between implementation of PC, cost and time of this service and patients' and physicians' socio-economic information. Responding patients (85.64%) and physicians (76.92%) unanimously confirmed the need for implementation of PC. Most people convinced of the service implementation were 88.89% of physicians under the age of 35 and all the respondents were over 65 years of age (p = 0.027), just as 93.33% with service lesser than 5 years and 73.68% of respondents working a maximum of 20 years (p = 0.023). Mainly according to 90.00% of physicians with specialty in internal medicine and 92.59% of physicians of the group "Others" (p = 0.012), PC should be implemented in pharmacies. Women more frequently than men reckoned that appointments with a pharmacist should last up to 15 min (p = 0.012). According to 77.78% of the youngest physicians and 83.33% of the oldest ones, appointments should last from 5 to 15 min (p = 0.049), and a similar opinion was shared by 80.77% of physicians without specialty and 77.78% of physicians of the group "Others" (p = 0.0009). According to patients, the mean cost of the visit should be USD 7. Physicians most often assessed the mean cost of the appointment at USD 14. This study provides new data about implementation of PC in Poland. The increased patients' and physicians' willingness to benefit from this service provides pharmacists with opportunities to develop PC in community pharmacies.

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Section: Discussionmentioning

confidence: 99%

Physicians’ and patients’ valuation of pharmaceutical care implementation in Poznan (Poland) community pharmacies

Waszyk-Nowaczyk

Nowaczyk

Simon

2014

Saudi Pharmaceutical Journal

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“…In Belgium, pharmacists could access patients' records and this increased their professional independence in handling prescription errors, a result supported by the other studies. 28 …”

Section: Discussionmentioning

confidence: 99%

Use of a generic protocol in documentation of prescription errors in Estonia, Norway and Sweden

Volmer¹,

Haavik²,

Ekedahl³

2012

Pharmacy Practice (Internet)

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Pharmacists have an important role in detecting, preventing, and solving prescription problems, which if left unresolved, may pose a risk of harming the patient.ObjectiveThe objectives of this study were to evaluate the feasibility of a generic study instrument for documentation of prescription problems requiring contact with prescriber before dispensing. The study was organized: 1) by countries: Estonia, Norway and Sweden; 2) by type of prescriptions: handwritten prescriptions, printouts of prescriptions in the electronic medical record and electronically transmitted prescriptions to pharmacies; and 3) by recording method - self-completion by pharmacists and independent observers.MethodsObservational study with independent observers at community pharmacies in Estonia (n=4) and Sweden (n=7) and self-completed protocols in Norway (n=9).ResultsPharmacists’'in Estonia contacted the prescriber for 1.47% of the prescriptions, about 3 times as often as in Norway (0.45%) and Sweden (0.38%). Handwritten prescriptions dominated among the problem prescriptions in Estonia (73.2%), printouts of prescriptions in the electronic medical record (89.1%) in Norway and electronically transmitted prescriptions to pharmacies (55.9%) in Sweden. More administrative errors were identified on handwritten prescriptions and printouts of prescriptions in the electronic medical record in Estonia and in Norway compared with electronically transmitted prescriptions to pharmacies in Sweden (p<0.05 for prescription types and p<0.01 for countries). However, clinically important errors and delivery problems appeared equally often on the different types of prescriptions. In all three countries, only few cases of drug interactions and adverse drug reactions were identified. ConclusionsDespite the different patterns of prescription problems in three countries, the instrument was feasible and can be regarded appropriate to document and classify prescription problems necessitating contact with prescriber before dispensing, irrespective of the type of prescription or recording method.

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“…Of the over 3.5 billion prescriptions received in community pharmacies annually, it is estimated that prescription error rates range from as low as 0.23% to as high as 11% [6], [8], [9], [10], [11], [12], [13], [14] and [15]. Despite the recent introduction of electronic prescribing (e-prescribing) in community pharmacies, the rate of medication errors has remained the same [16].…”

Section: Introductionmentioning

confidence: 99%

E-prescribing errors in community pharmacies: Exploring consequences and contributing factors

Odukoya

Stone

Chui

2014

International Journal of Medical Informatics

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Objective To explore types of e-prescribing errors in community pharmacies and their potential consequences, as well as the factors that contribute to e-prescribing errors. Methods Data collection involved performing 45 total hours of direct observations in five pharmacies. Follow-up interviews were conducted with 20 study participants. Transcripts from observations and interviews were subjected to content analysis using NVivo 10. Results Pharmacy staff detected 75 e-prescription errors during the 45 hour observation in pharmacies. The most common e-prescribing errors were wrong drug quantity, wrong dosing directions, wrong duration of therapy, and wrong dosage formulation. Participants estimated that 5 in 100 e-prescriptions have errors. Drug classes that were implicated in e-prescribing errors were antiinfectives, inhalers, ophthalmic, and topical agents. The potential consequences of e-prescribing errors included increased likelihood of the patient receiving incorrect drug therapy, poor disease management for patients, additional work for pharmacy personnel, increased cost for pharmacies and patients, and frustrations for patients and pharmacy staff. Factors that contribute to errors included: technology incompatibility between pharmacy and clinic systems, technology design issues such as use of auto-populate features and dropdown menus, and inadvertently entering incorrect information. Conclusion Study findings suggest that a wide range of e-prescribing errors are encountered in community pharmacies. Pharmacists and technicians perceive that causes of e-prescribing errors are multidisciplinary and multifactorial, that is to say e-prescribing errors can originate from technology used in prescriber offices and pharmacies.

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Abstract: Interventions by community pharmacists in medication management have been recorded in this study. The results should be translated into a process of integrated pharmaceutical care.

Cited by 29 publications

References 19 publications

Physicians’ and patients’ valuation of pharmaceutical care implementation in Poznan (Poland) community pharmacies

Physicians’ and patients’ valuation of pharmaceutical care implementation in Poznan (Poland) community pharmacies

Use of a generic protocol in documentation of prescription errors in Estonia, Norway and Sweden

E-prescribing errors in community pharmacies: Exploring consequences and contributing factors

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