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[Prescription changes in pharmacies].

Ingunn Mandt1, Anne Marie Horn, Anne Gerd Granås

  • 1Institutt for apotekforskning AS, Postboks 5070 Majorstuen, 0301 Oslo. ingunnma@online.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 24, 2006
PubMed
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Pharmacists frequently intervene on prescriptions for reasons like unavailable drugs or dosage clarification, but often fail to communicate these changes to prescribers. Improved communication and system compliance are needed to enhance patient safety.

Area of Science:

  • Pharmaceutical practice
  • Medication safety
  • Healthcare communication

Context:

  • Community pharmacy practice involves critical prescription interventions to ensure patient safety.
  • Pharmacists address issues such as drug availability and dosage clarification.
  • Effective communication of interventions to prescribers is essential but often lacking.

Purpose:

  • To categorize prescription interventions performed by community pharmacists.
  • To identify the reasons behind these interventions.
  • To assess the documentation and communication of interventions to prescribers.

Summary:

  • A study of 1,084 prescription interventions in a Norwegian community pharmacy identified "drugs not available" (37%) and "clarification of drug choice and dosage" (22%) as the most common reasons.

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  • Many interventions were not communicated to prescribers, despite pharmacists' belief in the importance of such feedback.
  • Focus groups confirmed the categorization and highlighted challenges in communication and workflow.

    • Impact:

    • Highlights a gap in pharmacist-prescriber communication regarding prescription modifications.
    • Suggests that improved electronic health record systems and standardized feedback protocols could reduce unnecessary interventions.
    • Emphasizes the need for professional dialogue to optimize prescription intervention feedback processes for better medication safety.