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Classifying pharmacists' interventions recorded in observational databases: Are they all necessary and appropriate?
Bruno Charpiat1, Pierrick Bedouch1, Michel Tod2
1University Grenoble Alpes, CNRS/TIMC-IMAG UMR5525/ThEMAS, F-38041, Grenoble, France.
This study proposes a new classification for pharmacist interventions (PIs), differentiating between those recorded in databases and those not. This framework aims to encourage critical evaluation of practice and improve drug-related problem identification.
Area of Science:
- Pharmacy practice research
- Clinical pharmacy
- Health informatics
Background:
- Extensive data exists on pharmacist interventions (PIs) recorded over 25 years.
- Little theoretical definition exists for different types of PIs.
- Current literature often assumes all PIs are appropriate, potentially biasing understanding.
Purpose of the Study:
- To propose a novel classification system for pharmacist interventions.
- To differentiate PIs based on their presence or absence in observational databases.
- To encourage critical self-evaluation of pharmacy practice and enhance drug-related problem detection.
Main Methods:
- Developing a classification framework for PIs.
- Identifying PIs present in observational databases.
- Identifying PIs absent from observational databases.
- Subdividing present and absent PIs into appropriate and inappropriate categories.
Main Results:
- A new classification system for PIs is proposed.
- Methods for identifying both present and absent PIs are outlined.
- The classification includes appropriateness as a secondary criterion.
Conclusions:
- The proposed classification offers a more nuanced view of PIs beyond simple recording.
- This approach can foster critical appraisal of pharmacy practice.
- Improved identification of drug-related problems in clinical settings is anticipated.
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