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Prescribing problems and pharmacist interventions in community practice.

M T Rupp1, M DeYoung, S W Schondelmeyer

  • 1Department of Pharmacy Practice, School of Pharmacy and Pharmacal Sciences, Purdue University, West Lafayette, IN 47907.

Medical Care
|October 1, 1992
PubMed
Summary
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Community pharmacists identified prescribing errors in 1.9% of prescriptions, with 28.3% potentially causing patient harm. Increased dispensing speed correlated with fewer identified problems, highlighting the need for robust pharmaceutical care oversight.

Area of Science:

  • Pharmacy Practice
  • Patient Safety
  • Medication Error Analysis

Background:

  • Community pharmacists play a crucial role in ensuring medication safety.
  • Prescribing errors are a significant concern in healthcare delivery.
  • Existing systems for verifying prescriptions are essential for patient well-being.

Purpose of the Study:

  • To document interventions made by community pharmacists to correct prescribing problems.
  • To evaluate the potential patient harm averted by pharmacist interventions.
  • To explore the relationship between dispensing volume and the identification of prescribing errors.

Main Methods:

  • Trained observers documented pharmacist interventions on new prescriptions across 5 states.
  • A panel of expert evaluators assessed the severity of identified prescribing problems.

Related Experiment Videos

  • Statistical analysis examined the correlation between dispensing rate and error detection.

    • Main Results:

    • Pharmacists intervened in 623 (1.9%) of 33,011 screened prescriptions.
    • Expert evaluators determined that 28.3% of identified problems could have led to patient harm without intervention.
    • A negative relationship was observed between dispensing speed and the rate of identified prescribing problems.

    Conclusions:

    • Community pharmacist interventions are vital for preventing potential patient harm from prescribing errors.
    • High dispensing volumes may compromise the identification of medication safety issues.
    • Strengthening interprofessional oversight in community pharmacy is recommended to maintain and enhance pharmaceutical care quality.