Braund Rhiannon, Furlan Heidi M, George Katherine, Havell Maria M A, Murphy Jenna L, West Melissa K
School of Pharmacy, University of Otago, P.O. Box 56, Dunedin, New Zealand.
Pharm World Sci. 2010 Feb;32(1):22-5. doi: 10.1007/s11096-009-9343-7. Epub 2009 Oct 29.
To investigate the number and type of interventions performed by New Zealand community pharmacists when dispensing new prescriptions.
All community pharmacies in Dunedin, New Zealand (29) were asked to use a tally system to record the types of interventions performed, the time taken and the number of prescription items processed per day. Data was collected for one full week for 20 pharmacies.
In total 24,059 prescription items were dispensed by the 20 pharmacies over one week. There were 1,551 separate interventions recorded with a recorded time of 1,684 min. These interventions occurred at a rate of 64 interventions per 1,000 prescription items. Of recorded interventions, bureaucratic and generic substitution problems accounted for 81%. These combined interventions occurred at a rate of 52 per 1,000 prescription items and totalled 50% of the time spent on prescription interventions. Whilst clinical interventions were recorded at a rate of 13 per 1,000 items, they accounted for the remaining 50% of time spent.
Half of the time spent by community pharmacists in Dunedin, New Zealand on prescription interventions consists of correcting bureaucratic and legal issues, limiting the time pharmacists can spend on clinical services.
调查新西兰社区药剂师在配发新处方时所进行干预措施的数量和类型。
要求新西兰达尼丁市的所有社区药房（共29家）使用一种计数系统来记录所进行干预措施的类型、花费的时间以及每天处理的处方药品数量。20家药房进行了为期一整周的数据收集。
这20家药房在一周内共配发了24,059份处方药品。记录到1,551次单独的干预措施，记录时间为1,684分钟。这些干预措施的发生率为每1000份处方药品64次。在记录的干预措施中，官僚程序和通用名替换问题占81%。这些综合干预措施的发生率为每1000份处方药品52次，占处方干预总时间的50%。虽然临床干预措施的记录发生率为每1000份药品13次，但却占了剩余50%的时间。
新西兰达尼丁市社区药剂师在处方干预上花费的时间有一半用于纠正官僚程序和法律问题，这限制了药剂师可用于临床服务的时间。
