School of Pharmacy, University of Tasmania, Private Bag 26, Hobart, TAS, 7001, Australia.
Int J Clin Pharm. 2012 Feb;34(1):43-52. doi: 10.1007/s11096-011-9583-1. Epub 2011 Nov 19.
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.
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.
The number and nature of DRPs detected within Australian community pharmacies.
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.
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.
药物相关问题（DRP）是澳大利亚医疗保健系统的主要负担。社区药剂师处于发现、预防和解决这些 DRP 的理想位置。目的：开发和验证一种易于使用的文档系统，供药剂师对 DRP 进行分类和记录，并调查澳大利亚社区药剂师为预防或解决这些问题而采取的临床干预的性质和频率。地点：澳大利亚社区药房。
在两项试点研究中，开发、验证和完善了 DOCUMENT 分类系统。然后，该系统被纳入安装在 185 家澳大利亚药房的软件中，以记录药剂师在 12 周试验期间发现的 DRP 和临床干预。
在澳大利亚社区药房中发现的 DRP 的数量和性质。
在试验期间，从 2013923 份配药中记录了 5948 个 DRP 和临床干预（干预频率为 0.3%）。干预通常与药物选择问题（30.7%）或教育问题（23.7%）有关。药剂师平均对每项干预措施提出 1.6 项建议，通常与治疗方案的改变（40.1%）和信息的提供（34.7%）有关。近一半的干预措施（42.6%）被记录为药剂师认为具有更高临床意义的干预措施。
DOCUMENT 系统为药剂师提供了一个有用且易于使用的工具，用于记录 DRP 和临床干预。试验结果使我们更好地了解了澳大利亚社区药房中进行的临床干预的频率和性质，并导致该系统在全国范围内的实施。
