Community Pharmacists' Perspectives on Dispensing Medications With the Potential for Misuse, Diversion, and Intentional Overdose: Results of a Province-Wide Survey of Community Pharmacists in Canada

Leong, Christine; Alessi‐Severini, Silvia; Sareen, Jitender; Enns, Murray W.; Bolton, James M.

doi:10.1080/10826084.2016.1197261

Cited by 15 publications

(30 citation statements)

References 11 publications

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“…Attitudes and practice strategies of pharmacists towards drug misuse management and the relevance of years of practice experience were discussed in seven studies . The majority of pharmacists recruited by Leong et al and Patel et al had greater than 10 years pharmacy practice experience, and 50% of the respondents interviewed by Fendrich et al had greater than 20 years practice experience. Butler and Sheridan reported that community pharmacists with greater practice experience were more willing to confront patients about drug misuse.…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen articles reported that pharmacists felt they had gaps in knowledge related to addiction and pain management, or in the misuse potential of over‐the‐counter and opioid medications . Pharmacists in a qualitative study by Hagemeier et al, that specifically explored pharmacists' perceptions of the behaviours of patients who were misusing drugs and the associated challenges reported that they felt they lacked the knowledge to deal with aggressive and intimidating patient behaviour .…”

Section: Resultsmentioning

confidence: 99%

“…The included studies were published between 1999 and 2018. Eight of the studies were conducted in the United States of America, five studies in the United Kingdom and two studies conducted in Australia, Canada and New Zealand …”

Section: Methodsmentioning

confidence: 99%

“…Eleven of the studies used cross‐sectional quantitative surveys for data collection . There was one case study, four qualitative studies, one mixed‐method design study and two studies that employed a modified Delphi approach …”

Section: Methodsmentioning

confidence: 99%

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The attitudes and practice strategies of community pharmacists towards drug misuse management: A scoping review

2019

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What is known and objective: Community pharmacists have a key role to play in addressing drug misuse. The objective of this research was to systematically review the current evidence and investigate the attitudes and practice strategies of community pharmacists towards drug misuse management.Methods: Data were extracted from 19 studies retrieved via a three-step search strategy using the Arksey and O'Malley methodological framework for conducting scoping reviews. Results and Discussion: The attitudes and practice strategies of pharmacists towards drug misuse management and relevance to years of practice experience were discussed in seven of the 19 studies. Pharmacists reported gaps in knowledge and insufficient education and training on drug misuse-related topics. Barriers to the effective management of drug misuse included lack of time and staff training. The most commonly reported strategy to address drug misuse was referral back to the doctor. Eight of the studies identified the benefits of real-time prescription monitoring systems. Pharmacists have a key role to play in addressing drug misuse. Opportunities exist in the development of new and innovative approaches for harm minimization led by pharmacists, and in the examination and evaluation of the pharmacists' role in referral services, interventions and screening.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The attitudes and practice strategies of community pharmacists towards drug misuse management: A scoping review

2019

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“…To thwart drug diversion, physicians are helped by the development of new tools before prescribing, such as ‘prescription drug monitoring programs’, even if some practitioners disagree with the idea of using it (usability, dissatisfaction, erosion of physician autonomy) [7]. Community pharmacists also use educational supports and data-sharing projects for the management of patients suspected to be at high risk for drug diversion [8, 9]. In hospitals, pharmacists are responsible for the safe use of medications by reducing the risk of adverse events through medication reconciliation.…”

Section: Discussionmentioning

confidence: 99%

Hazardous Drug Diversion of Valproate from a General Practitioner to his Patient’s Dog

Morice

Alexandre

Cesbron

et al. 2017

Drug Saf - Case Rep

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General practitioners are key stakeholders in good prescribing practices. More than half of patients have at least one unintended medication discrepancy upon hospital admission, some of which have the potential to cause severe discomfort or clinical deterioration. We report a case of a drug mistakenly administered to a 66-year-old man with cirrhosis and chronic alcoholism. Based on his regular prescription, he received 1 g/day of valproate during a hospitalization for cardiac valve surgery. This anticonvulsant was initially prescribed by his general practitioner for his epileptic dog and has been added to his own prescription to be covered by the French national health insurance. The aim of this article is to emphasize that general practitioners, physicians, and pharmacists have a major role to play in preventing the diversion of prescription drugs and limiting the risk of adverse drug events.

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Community pharmacists’ experiences and people at risk of suicide in Canada and Australia: a thematic analysis

Murphy

Ataya

Himmelman

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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Community pharmacists are caring for patients at risk of suicide frequently, and often with patients seeking the help of pharmacists directly. Pharmacists engage in activities and actions that would be considered outside of the traditional dispensing roles and provide support and intervention to people at risk of suicide through collaboration and other mechanisms. Further research to determine appropriate education and training and postvention supports is required.

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Community Pharmacists' Perspectives on Dispensing Medications With the Potential for Misuse, Diversion, and Intentional Overdose: Results of a Province-Wide Survey of Community Pharmacists in Canada

Cited by 15 publications

References 11 publications

The attitudes and practice strategies of community pharmacists towards drug misuse management: A scoping review

The attitudes and practice strategies of community pharmacists towards drug misuse management: A scoping review

Hazardous Drug Diversion of Valproate from a General Practitioner to his Patient’s Dog

Community pharmacists’ experiences and people at risk of suicide in Canada and Australia: a thematic analysis

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