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Medication Risk Management in Routine Dispensing in Community Pharmacies

Author

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  • Sonja Kallio

    (Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland
    Hyvinkää 3rd Pharmacy, 05830 Hyvinkää, Finland)

  • Tiina Eskola

    (Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland
    Forssa 1st Pharmacy, 30100 Forssa, Finland)

  • Marika Pohjanoksa-Mäntylä

    (Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland)

  • Marja Airaksinen

    (Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland)

Abstract

Community pharmacists have a duty to contribute to medication risk management in outpatient care. This study aimed to investigate the actions taken by pharmacists in routine dispensing to manage medication risks. The study was conducted as a national cross-sectional online survey targeted at all community pharmacies in Finland ( n = 576) in October 2015. One pharmacist from each pharmacy was recommended to be the spokesperson for the outlet to describe their practices. Responses were received from 169 pharmacies (response rate of 29%). Pharmacists were oriented to solving poor adherence and technical problems in prescriptions, whereas responsibility for therapeutic risks was transferred to the patient to resolve them with the physician. Pharmacists have access to a wide range of electronic medication risk management tools, but they are rarely utilized in daily dispensing. Attention was paid to drug–drug interactions and the frequency of dispensing with regard to high-risk medicines. Pharmacies rarely had local agreements with other healthcare providers to solve medication-related risks. In routine dispensing, more attention needs to be given to the identification and solving of therapeutic risks in medications, especially those of older adults. Better participation of community pharmacists in medication risk management requires stronger integration and an explicit mandate to solve the therapeutic risks.

Suggested Citation

  • Sonja Kallio & Tiina Eskola & Marika Pohjanoksa-Mäntylä & Marja Airaksinen, 2020. "Medication Risk Management in Routine Dispensing in Community Pharmacies," IJERPH, MDPI, vol. 17(21), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8186-:d:440601
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    References listed on IDEAS

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    1. Dedan Opondo & Saied Eslami & Stefan Visscher & Sophia E de Rooij & Robert Verheij & Joke C Korevaar & Ameen Abu-Hanna, 2012. "Inappropriateness of Medication Prescriptions to Elderly Patients in the Primary Care Setting: A Systematic Review," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-9, August.
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