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The quality of advice provided by pharmacists to patients taking direct oral anticoagulants: a mystery shopper study
Citation
Ertl, J and Chalmers, L and Bereznicki, L, The quality of advice provided by pharmacists to patients taking direct oral anticoagulants: a mystery shopper study, Pharmacy, 8, (3) Article 164. ISSN 2226-4787 (2020) [Refereed Article]
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Copyright Statement
Copyright 2020 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/
DOI: doi:10.3390/pharmacy8030164
Abstract
Pharmacists report being less confident in their knowledge of direct acting oral anticoagulants (DOACs) than of vitamin K antagonists, which may influence their ability to detect and manage complications arising from DOAC use. In a mystery shopper study, patient agents were sent into community pharmacies with symptom or product-related requests related to common complications that might arise during treatment with oral anticoagulants, with each visit being assessed for the preferred outcome. Only 10/41 (24.4%) visits resulted in the preferred outcome. A complete history-taking process, obtaining a medical history, patient characteristics and pharmacist involvement were strong predictors of the preferred outcome being achieved. The preferred outcome was not consistently achieved without pharmacist involvement. The potential for strategies that support comprehensive pharmacist involvement in over-the-counter requests should be considered to ensure the provision of optimal care to patients taking high-risk medications such as DOACs.
Item Details
Item Type: | Refereed Article |
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Keywords: | direct oral anticoagulant, patient agent, pharmacist, preferred outcome, community pharmacy |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Pharmacology and pharmaceutical sciences |
Research Field: | Clinical pharmacology and therapeutics |
Objective Division: | Health |
Objective Group: | Provision of health and support services |
Objective Field: | Allied health therapies (excl. mental health services) |
UTAS Author: | Chalmers, L (Dr Leanne Chalmers) |
UTAS Author: | Bereznicki, L (Professor Luke Bereznicki) |
ID Code: | 140974 |
Year Published: | 2020 |
Deposited By: | Pharmacy |
Deposited On: | 2020-09-17 |
Last Modified: | 2021-03-09 |
Downloads: | 9 View Download Statistics |
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