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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 Type:	Refereed Article
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