Allan E L, Barker K N, Malloy M J, Heller W M
Department of Pharmacy Care Systems, Auburn University, Ala., USA.
Am Pharm. 1995 Dec;NS35(12):25-33.
A disguised-patient technique was used to study the nature and frequency of dispensing errors and quality of patient medication counseling in 100 randomly selected community pharmacies. Analysis of 100 prescription orders dispensed detected 24 dispensing errors, of which 4 were clinically significant. Oral counseling was provided to 64 of the patients, covering an average of 3 of the 14 categories of drug information that the Omnibus Budget Reconciliation Act of 1990 (OBRA '90) requires pharmacists to consider when counseling Medicaid patients. In addition to prescriber's label instructions, pharmacists provided written counseling information, including auxiliary labels and receipts, to 98% of the patients, but it covered only an average of six OBRA '90 categories. The results suggest that problems with the quality of community pharmacy medication counseling and dispensing accuracy require immediate attention.
采用伪装患者技术，对100家随机选取的社区药房的配药错误性质与频率以及患者用药咨询质量进行了研究。对100份已调配的处方进行分析后发现24起配药错误，其中4起具有临床显著性。为64名患者提供了口头咨询，平均涵盖了1990年《综合预算协调法案》（OBRA '90）要求药剂师在为医疗补助患者提供咨询时考虑的14类药物信息中的3类。除了处方医生标签说明外，药剂师还向98%的患者提供了书面咨询信息，包括辅助标签和收据，但平均仅涵盖6类OBRA '90要求的内容。结果表明，社区药房用药咨询质量和配药准确性问题亟待关注。
