Prescribing Problems and Pharmacist Interventions in Community Practice

Dados Bibliográficos

ID9102909
AutoresMichael T Rupp (0000-0002-0184-3275, Purdue University West Lafayette), Michael DeYoung (Purdue University West Lafayette), Stephen W Schondelmeyer (Purdue University West Lafayette)
Ano1992
Volume30
Fascículo10
Páginas926-940
Data de publicação1992-10-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199210000-00005
PMID1405798
OpenAlexW2073865062
IdiomaEN
Citações recebidas3
Referências citadas2

Interventions performed by 89 community pharmacists in 5 states to correct the prescribing problems they identified on new prescription orders were documented by trained observers. Pharmacists intervened to resolve a prescribing-related problem in 623 (1.9%) of 33,011 new prescription orders that were screened and dispensed during the study period. A panel of three expert evaluators concluded that 28.3% of the prescribing problems identified during the study could have caused patient harm if the pharmacist had not intervened to correct the problem. The rate at which pharmacists identified prescribing problems was negatively related to the number of prescriptions they dispensed per hour, suggesting that in pursuing distributive efficiency, some pharmacists may be exceeding their safe dispensing threshold. The authors recommend that the interprofessional system of oversight and verification (i.e., "checks and balances") in the delivery of pharmaceutical care in the community setting should be maintained and strengthened

Community practice · Family medicine · MEDLINE · Pharmacist · Political science · Psychological intervention · Medicine · Nursing · Patient Safety and Medication Errors · Pharmaceutical Practices and Patient Outcomes · Pharmacy · Reliability and Agreement in Measurement