Community Setting, Av. Concejal Francisco JJ Martín 152, 28047 Madrid, Spain.
Int J Clin Pharm. 2011 Feb;33(1):66-9. doi: 10.1007/s11096-010-9459-9. Epub 2011 Jan 13.
The objective of this study was to detect prescribing-related problems at a community pharmacy in Madrid (Spain) and to analyze these problems from the perspective of their prevention and patient safety.
A descriptive study was conducted at a community pharmacy during a 6-month period. The data collection was generated by the pharmacists reviewing all the prescriptions, and dispensed medication. All prescriptions, prescribing-related problems, and pharmacist interventions were recorded. Means, standard deviation, and frequency were calculated.
A total of 23,995 prescriptions were evaluated, and 355 prescribing errors were detected. The most common problems were incomplete prescriptions or incorrect information, and prescriptions for unavailable items 70% (247/355). Inappropriate doses were reported in 27 cases (7.61%), followed by inappropriate direction/ instruction in 25 cases (8%). Fifty-four percent (195/355) of the errors were resolved without any contact with the general practices.
The incidence of prescribing problems reported by community pharmacy was relatively low compared with other studies. This study has contributed to illustrate the role that community pharmacy has in the detection and rectification of prescribing problems to ensure maximum patient safety at the community setting.
本研究旨在检测马德里（西班牙）一家社区药房的用药相关问题，并从预防和患者安全的角度分析这些问题。
在一家社区药房进行了为期 6 个月的描述性研究。通过药剂师审查所有处方和配发药物来生成数据收集。记录所有处方、用药相关问题和药剂师干预措施。计算平均值、标准差和频率。
共评估了 23995 张处方，发现 355 个用药错误。最常见的问题是处方不完整或信息不正确，以及开出处方的药品缺货，占 70%（247/355）。报告了 27 例（7.61%）不适当的剂量，其次是 25 例（8%）不适当的用药指导/说明。54%（195/355）的错误在未与全科医生联系的情况下得到解决。
与其他研究相比，社区药房报告的用药问题发生率相对较低。本研究有助于说明社区药房在检测和纠正用药问题方面的作用，以确保社区环境下患者的最大安全。
