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DOCUMENT: a system for classifying drug-related problems in community pharmacy


Williams, M and Peterson, GM and Tenni, PC and Bindoff, IK and Stafford, AC, DOCUMENT: a system for classifying drug-related problems in community pharmacy, International Journal of Clinical Pharmacy, 34, (1) pp. 43-52. ISSN 2210-7703 (2012) [Refereed Article]

Copyright Statement

Copyright 2011 Springer Science+Business Media B.V

Official URL: Science+Business Media ...

DOI: doi:10.1007/s11096-011-9583-1


Abstract Background Drug-related problems (DRPs) are a major burden on the Australian healthcare system. Community pharmacists are in an ideal position to detect, prevent, and resolve these DRPs. Objective To develop and validate an easy-to-use documentation system for pharmacists to classify and record DRPs, and to investigate the nature and frequency of clinical interventions undertaken by Australian community pharmacists to prevent or resolve them. Setting Australian community pharmacies. Method The DOCUMENT classification system was developed, validated and refined during two pilot studies. The system was then incorporated into software installed in 185 Australian pharmacies to record DRPs and clinical interventions undertaken by pharmacists during a 12-week trial. Main outcome measure The number and nature of DRPs detected within Australian community pharmacies. Results A total of 5,948 DRPs and clinical interventions were documented from 2,013,923 prescriptions dispensed during the trial (intervention frequency 0.3%). Interventions were commonly related to Drug selection problems (30.7%) or Educational issues (23.7%). Pharmacists made an average of 1.6 recommendations per intervention, commonly relating to A change in therapy (40.1%) and Provision of information (34.7%). Almost half of interventions (42.6%) were classified by recording pharmacists as being at a higher level of clinical significance. Conclusion The DOCUMENT system provided pharmacists with a useful and easy-to-use tool for recording DRPs and clinical interventions. Results from the trial have provided a better understanding of the frequency and nature of clinical interventions performed in Australian community pharmacies, and lead to a national implementation of the system.

Item Details

Item Type:Refereed Article
Keywords:Documentation system
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacy and pharmacy practice
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Williams, M (Dr Mackenzie Williams)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
UTAS Author:Tenni, PC (Dr Peter Tenni)
UTAS Author:Bindoff, IK (Dr Ivan Bindoff)
UTAS Author:Stafford, AC (Dr Andrew Stafford)
ID Code:83446
Year Published:2012
Web of Science® Times Cited:50
Deposited By:Pharmacy
Deposited On:2013-03-14
Last Modified:2017-11-02

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