Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Int J Pharm Pract. 2022 Aug 9;30(4):342-347. doi: 10.1093/ijpp/riac047.
The ability to read and interpret a prescription is a crucial and rate-determining step for the provision of correct medicine(s), appropriate instructions to patients and for good practice of pharmacy in general. However, both in public and private healthcare settings, pharmacists continue to receive numerous illegible handwritten prescriptions. This is time consuming, and it poses serious legal and health consequences if prescriptions are read incorrectly, resulting in wrong medicines being dispensed.
This study investigated the impact of using a WhatsApp Group to request assistance to read and interpret illegible prescriptions by pharmacists in South Africa.
Communication records that span between June 2018 and October 2020 were included in this study. Two registered and practising pharmacists, who were not members of WhatsApp Group, verified the correctness of the responses to enquiries.
The WhatsApp Group had 189 participants during the period of this study, and 136 enquiries were made. Only 10 enquiries did not receive responses, while 62, 32 and 32 enquiries received one, two and ≥3 responses, respectively. None of the responses to 29 images, or prescriptions that had received three or more responses, were deemed incorrect. The medians for the period of the first and subsequent responses were two minutes (with interquartile range of 1-4 min) and six minutes (with interquartile range of 3-14 min), respectively; and the difference (i.e., four minutes) was statistically significant (P <0.0001).
The findings of this study suggest that social media platforms such as WhatsApp Groups can be used effectively as tools for aiding in the interpretation of illegible prescriptions.
阅读和解释处方是提供正确药物、向患者提供适当指导以及一般良好药学实践的关键和决定性步骤。然而,在公共和私营医疗保健环境中,药剂师仍然收到许多难以辨认的手写处方。这既费时又费力,如果处方解读不正确,会导致配发错误的药物,从而带来严重的法律和健康后果。
本研究调查了在南非,药剂师使用 WhatsApp 群组请求协助阅读和解释难以辨认的处方对其产生的影响。
本研究纳入了 2018 年 6 月至 2020 年 10 月期间的通讯记录。两名未加入 WhatsApp 群组的注册执业药剂师对查询的回复正确性进行了验证。
在本研究期间,该 WhatsApp 群组有 189 名参与者,共进行了 136 次查询。只有 10 次查询未收到回复,而 62、32 和 32 次查询分别收到了 1、2 和≥3 次回复。没有一次对 29 张图片或收到 3 次以上回复的处方的回复被认为是不正确的。首次回复和后续回复的中位数分别为 2 分钟(四分位距 1-4 分钟)和 6 分钟(四分位距 3-14 分钟),差异(即 4 分钟)具有统计学意义(P<0.0001)。
本研究结果表明,社交媒体平台(如 WhatsApp 群组)可有效用作辅助解读难以辨认处方的工具。