Prescribing Problems and Pharmacist Interventions in Community Practice
Interventions performed by 89 community pharmacists in 5 states to correct the prescribing problems they identified on new prescription orders were documented by trained observers. Pharmacists intervened to resolve a prescribing-related problem in 623 (1.9%) of 33,011 new prescription orders that we...
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| Veröffentlicht in: | Medical care 1992-10, Vol.30 (10), p.926-940 |
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| container_title | Medical care |
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| creator | Rupp, Michael T. DeYoung, Michael Schondelmeyer, Stephen W. |
| description | Interventions performed by 89 community pharmacists in 5 states to correct the prescribing problems they identified on new prescription orders were documented by trained observers. Pharmacists intervened to resolve a prescribing-related problem in 623 (1.9%) of 33,011 new prescription orders that were screened and dispensed during the study period. A panel of three expert evaluators concluded that 28.3% of the prescribing problems identified during the study could have caused patient harm if the pharmacist had not intervened to correct the problem. The rate at which pharmacists identified prescribing problems was negatively related to the number of prescriptions they dispensed per hour, suggesting that in pursuing distributive efficiency, some pharmacists may be exceeding their safe dispensing threshold. The authors recommend that the interprofessional system of oversight and verification (i.e., "checks and balances") in the delivery of pharmaceutical care in the community setting should be maintained and strengthened. |
| doi_str_mv | 10.1097/00005650-199210000-00005 |
| format | Article |
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Pharmacists intervened to resolve a prescribing-related problem in 623 (1.9%) of 33,011 new prescription orders that were screened and dispensed during the study period. A panel of three expert evaluators concluded that 28.3% of the prescribing problems identified during the study could have caused patient harm if the pharmacist had not intervened to correct the problem. The rate at which pharmacists identified prescribing problems was negatively related to the number of prescriptions they dispensed per hour, suggesting that in pursuing distributive efficiency, some pharmacists may be exceeding their safe dispensing threshold. The authors recommend that the interprofessional system of oversight and verification (i.e., "checks and balances") in the delivery of pharmaceutical care in the community setting should be maintained and strengthened.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-199210000-00005</identifier><identifier>PMID: 1405798</identifier><language>eng</language><publisher>United States: J. B. Lippincott-Raven Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Communication ; Communities ; Community Pharmacy Services - standards ; Dosage ; Drug Interactions ; Drug prescriptions ; Drug Prescriptions - standards ; Drug Therapy - standards ; Education, Pharmacy - standards ; Evaluation Studies as Topic ; Female ; Humans ; Interprofessional Relations ; Male ; Medical practice ; Medication Errors - statistics & numerical data ; Medications ; Middle Aged ; Pharmaceutical services ; Pharmacies ; Pharmacists ; Pharmacists - standards ; Physicians ; Preceptorship ; Prescription drugs ; United States</subject><ispartof>Medical care, 1992-10, Vol.30 (10), p.926-940</ispartof><rights>Copyright 1992 J. B. 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Pharmacists intervened to resolve a prescribing-related problem in 623 (1.9%) of 33,011 new prescription orders that were screened and dispensed during the study period. A panel of three expert evaluators concluded that 28.3% of the prescribing problems identified during the study could have caused patient harm if the pharmacist had not intervened to correct the problem. The rate at which pharmacists identified prescribing problems was negatively related to the number of prescriptions they dispensed per hour, suggesting that in pursuing distributive efficiency, some pharmacists may be exceeding their safe dispensing threshold. The authors recommend that the interprofessional system of oversight and verification (i.e., "checks and balances") in the delivery of pharmaceutical care in the community setting should be maintained and strengthened.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Communication</subject><subject>Communities</subject><subject>Community Pharmacy Services - standards</subject><subject>Dosage</subject><subject>Drug Interactions</subject><subject>Drug prescriptions</subject><subject>Drug Prescriptions - standards</subject><subject>Drug Therapy - standards</subject><subject>Education, Pharmacy - standards</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Interprofessional Relations</subject><subject>Male</subject><subject>Medical practice</subject><subject>Medication Errors - statistics & numerical data</subject><subject>Medications</subject><subject>Middle Aged</subject><subject>Pharmaceutical services</subject><subject>Pharmacies</subject><subject>Pharmacists</subject><subject>Pharmacists - standards</subject><subject>Physicians</subject><subject>Preceptorship</subject><subject>Prescription drugs</subject><subject>United States</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFOwzAMhiMEGmPwBiD1BQpJ2zTNEU0wJk1iBzhHiZOxjDadkoxpb7-Wwjjhi-Xf-iz5Qygh-J5gzh5wV7SkOCWcZ6Sf0u_oDI0JzVkXF9U5GmOc0ZRhxi_RVQgbjAnLaTZCI1Jgyng1RrOlNwG8VdZ9JEvfqto0IZFOJ8u19I0EG2Iyd9H4L-OibV1IrEumbdPsnI2HDpEQLZhrdLGSdTA3P32C3p-f3qYv6eJ1Np8-LlLIWUnTjFZQSlgRoLTvXLGsMJTojHOlDUiQ2lANpMy1AoZLrZUsAEvNlNYmzyeoGu6Cb0PwZiW23jbSHwTBolcjftWIk5oh6tC7Ad3uVGP0Hzi46PbFsN-3dfdv-Kx3e-PF2sg6rsV_xjvsdsA2Ibb-dLV_l7MsPwIBVHoW</recordid><startdate>199210</startdate><enddate>199210</enddate><creator>Rupp, Michael T.</creator><creator>DeYoung, Michael</creator><creator>Schondelmeyer, Stephen W.</creator><general>J. 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Lippincott-Raven Publishers</general><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>199210</creationdate><title>Prescribing Problems and Pharmacist Interventions in Community Practice</title><author>Rupp, Michael T. ; DeYoung, Michael ; Schondelmeyer, Stephen W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3765-258c6acf1c556acf9b724e51d299bdecacade5dc163dbc706ddba4c0ad7bdde33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Communication</topic><topic>Communities</topic><topic>Community Pharmacy Services - standards</topic><topic>Dosage</topic><topic>Drug Interactions</topic><topic>Drug prescriptions</topic><topic>Drug Prescriptions - standards</topic><topic>Drug Therapy - standards</topic><topic>Education, Pharmacy - standards</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Interprofessional Relations</topic><topic>Male</topic><topic>Medical practice</topic><topic>Medication Errors - statistics & numerical data</topic><topic>Medications</topic><topic>Middle Aged</topic><topic>Pharmaceutical services</topic><topic>Pharmacies</topic><topic>Pharmacists</topic><topic>Pharmacists - standards</topic><topic>Physicians</topic><topic>Preceptorship</topic><topic>Prescription drugs</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rupp, Michael T.</creatorcontrib><creatorcontrib>DeYoung, Michael</creatorcontrib><creatorcontrib>Schondelmeyer, Stephen W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rupp, Michael T.</au><au>DeYoung, Michael</au><au>Schondelmeyer, Stephen W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prescribing Problems and Pharmacist Interventions in Community Practice</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>1992-10</date><risdate>1992</risdate><volume>30</volume><issue>10</issue><spage>926</spage><epage>940</epage><pages>926-940</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><abstract>Interventions performed by 89 community pharmacists in 5 states to correct the prescribing problems they identified on new prescription orders were documented by trained observers. Pharmacists intervened to resolve a prescribing-related problem in 623 (1.9%) of 33,011 new prescription orders that were screened and dispensed during the study period. A panel of three expert evaluators concluded that 28.3% of the prescribing problems identified during the study could have caused patient harm if the pharmacist had not intervened to correct the problem. The rate at which pharmacists identified prescribing problems was negatively related to the number of prescriptions they dispensed per hour, suggesting that in pursuing distributive efficiency, some pharmacists may be exceeding their safe dispensing threshold. The authors recommend that the interprofessional system of oversight and verification (i.e., "checks and balances") in the delivery of pharmaceutical care in the community setting should be maintained and strengthened.</abstract><cop>United States</cop><pub>J. B. 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| ispartof | Medical care, 1992-10, Vol.30 (10), p.926-940 |
| issn | 0025-7079 1537-1948 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; Jstor Complete Legacy |
| subjects | Adolescent Adult Aged Child Communication Communities Community Pharmacy Services - standards Dosage Drug Interactions Drug prescriptions Drug Prescriptions - standards Drug Therapy - standards Education, Pharmacy - standards Evaluation Studies as Topic Female Humans Interprofessional Relations Male Medical practice Medication Errors - statistics & numerical data Medications Middle Aged Pharmaceutical services Pharmacies Pharmacists Pharmacists - standards Physicians Preceptorship Prescription drugs United States |
| title | Prescribing Problems and Pharmacist Interventions in Community Practice |
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