Stakenborg Jacqueline P G, de Bont Eefje G P M, Peetoom Kirsten K B, Nelissen-Vrancken Marjorie H J M G, Cals Jochen W L
Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Dutch Institute for Rational Use of Medicine, P.O. Box 3089, 3502 GB, Utrecht, The Netherlands.
Int J Clin Pharm. 2016 Oct;38(5):1200-9. doi: 10.1007/s11096-016-0353-y. Epub 2016 Jul 23.
Background While fever is mostly self-limiting, antibiotic prescription rates for febrile children are high. Although every parent who receives a prescription visits a pharmacy, we have limited insight into pharmacy employees' experiences with these parents. Pharmacy employees do however exert an important role in ensuring children receive correct dosages and in advising parents on administration of antibiotics. Objective To describe pharmacists' and pharmacy assistants' experiences with parents contacting a pharmacy for their febrile child, and to identify ways of improving medication management of these children. Setting Community pharmacies in the Netherlands. Method A qualitative study including 24 Dutch pharmacy employees was conducted, performing four focus group discussions among pharmacy employees. Analysis was based on constant comparative technique using open and axial coding. Main outcome measure Pharmacy employees' experiences with parents contacting a pharmacy for their febrile child. Results Three categories were identified: (1) workload and general experience, (2) inconsistent information on antibiotic prescriptions, (3) improving communication and collaboration. Pharmacy employees experienced that dosing errors in antibiotic prescriptions occur frequently and doctors provide inconsistent information on prescriptions. Consequently, they have to contact doctors, resulting in a higher workload for both stakeholders. They believe this can be improved by providing the indication for antibiotics on prescriptions, especially when deviating from standard dosages. Conclusion Pharmacy employees experience a high amount of dosing errors in paediatric antibiotic prescriptions. Providing the indication for antibiotics in febrile children on prescriptions, especially when deviating from standard dosages, can potentially reduce dosage errors and miscommunication between doctors and pharmacy employees.
虽然发热大多是自限性的，但发热儿童的抗生素处方率却很高。尽管每个拿到处方的家长都会去药房，但我们对药房工作人员与这些家长打交道的经历了解有限。然而，药房工作人员在确保儿童获得正确剂量以及就抗生素的服用向家长提供建议方面发挥着重要作用。
描述药剂师和药房助理与为发热儿童联系药房的家长打交道的经历，并确定改善这些儿童药物管理的方法。
荷兰的社区药房。
开展一项定性研究，纳入24名荷兰药房工作人员，在药房工作人员中进行了4次焦点小组讨论。分析基于使用开放编码和轴心编码的持续比较技术。
药房工作人员与为发热儿童联系药房的家长打交道的经历。
确定了三类问题：(1)工作量和总体经历；(2)抗生素处方信息不一致；(3)改善沟通与协作。药房工作人员发现抗生素处方中经常出现剂量错误，而且医生提供的处方信息不一致。因此，他们不得不联系医生，这给双方都带来了更高的工作量。他们认为，通过在处方上注明使用抗生素的指征，尤其是在偏离标准剂量时，可以改善这种情况。
药房工作人员发现儿科抗生素处方中存在大量剂量错误。在发热儿童的处方上注明使用抗生素的指征，尤其是在偏离标准剂量时，可能会减少剂量错误以及医生和药房工作人员之间的沟通不畅。
