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Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing

BACKGROUND: Community pharmacists increasingly contribute to medication risk management while dispensing medicines to outpatients. Their risk management actions are shifting from medication counselling towards reviewing medications and following-up their therapeutic effects and outcomes. Acquiring t...

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Autores principales: Kallio, Sonja, Eskola, Tiina, Airaksinen, Marja, Pohjanoksa-Mäntylä, Marika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of Minnesota Libraries Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102976/
https://www.ncbi.nlm.nih.gov/pubmed/34007683
http://dx.doi.org/10.24926/iip.v12i1.3510
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author Kallio, Sonja
Eskola, Tiina
Airaksinen, Marja
Pohjanoksa-Mäntylä, Marika
author_facet Kallio, Sonja
Eskola, Tiina
Airaksinen, Marja
Pohjanoksa-Mäntylä, Marika
author_sort Kallio, Sonja
collection PubMed
description BACKGROUND: Community pharmacists increasingly contribute to medication risk management while dispensing medicines to outpatients. Their risk management actions are shifting from medication counselling towards reviewing medications and following-up their therapeutic effects and outcomes. Acquiring these more clinical tasks require more patient care-oriented competences. OBJECTIVE: To identify gaps in community pharmacists’ competence in medication risk management in routine dispensing. SETTING: All community pharmacies in Finland. METHOD: A national cross-sectional online survey was conducted through the Association of Finnish Pharmacies (n=574 community pharmacies) and the university pharmacies (n=2) in 2015. One pharmacist from each pharmacy was recommended to report on behalf of their outlet. MAIN OUTCOME MEASURE: Community pharmacists’ self-assessed competence to: 1) identify medication-related risks, 2) utilise electronic tools in medication risk management, and 3) identify their perceived needs for developing competence in medication risk management. RESULTS: Responses were received from 169 community pharmacies (response rate 29%). The highest proportion of good competency estimates were self-assessed in confirming doses (98% of the respondents evaluated their competence to be good) and identifying drug-drug interactions (83%). Competence to identify adverse effects, such as serotonergic load (10%) and anticholinergic load (12%), was most seldomly perceived as good. Of the wide range of electronic databases available, respondents most commonly reported using daily summaries of product characteristics (97% of the respondents), the checklist-type generic medicines information database that supports in medication counselling (85%), and the programme assisting in identifying drug-drug interactions (83%). The most commonly reported training needs were related to the identification of serotonergic load (63%), anticholinergic load (62%), and evaluating the clinical significance of drug-drug interactions (54%). CONCLUSION: The results indicate remarkable gaps in community pharmacists’ current competence in medication risk management, particularly in their competence in applied and geriatric pharmacotherapy.
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spelling pubmed-81029762021-05-17 Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing Kallio, Sonja Eskola, Tiina Airaksinen, Marja Pohjanoksa-Mäntylä, Marika Innov Pharm Original Research BACKGROUND: Community pharmacists increasingly contribute to medication risk management while dispensing medicines to outpatients. Their risk management actions are shifting from medication counselling towards reviewing medications and following-up their therapeutic effects and outcomes. Acquiring these more clinical tasks require more patient care-oriented competences. OBJECTIVE: To identify gaps in community pharmacists’ competence in medication risk management in routine dispensing. SETTING: All community pharmacies in Finland. METHOD: A national cross-sectional online survey was conducted through the Association of Finnish Pharmacies (n=574 community pharmacies) and the university pharmacies (n=2) in 2015. One pharmacist from each pharmacy was recommended to report on behalf of their outlet. MAIN OUTCOME MEASURE: Community pharmacists’ self-assessed competence to: 1) identify medication-related risks, 2) utilise electronic tools in medication risk management, and 3) identify their perceived needs for developing competence in medication risk management. RESULTS: Responses were received from 169 community pharmacies (response rate 29%). The highest proportion of good competency estimates were self-assessed in confirming doses (98% of the respondents evaluated their competence to be good) and identifying drug-drug interactions (83%). Competence to identify adverse effects, such as serotonergic load (10%) and anticholinergic load (12%), was most seldomly perceived as good. Of the wide range of electronic databases available, respondents most commonly reported using daily summaries of product characteristics (97% of the respondents), the checklist-type generic medicines information database that supports in medication counselling (85%), and the programme assisting in identifying drug-drug interactions (83%). The most commonly reported training needs were related to the identification of serotonergic load (63%), anticholinergic load (62%), and evaluating the clinical significance of drug-drug interactions (54%). CONCLUSION: The results indicate remarkable gaps in community pharmacists’ current competence in medication risk management, particularly in their competence in applied and geriatric pharmacotherapy. University of Minnesota Libraries Publishing 2021-02-11 /pmc/articles/PMC8102976/ /pubmed/34007683 http://dx.doi.org/10.24926/iip.v12i1.3510 Text en © Individual authors https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial License, which permits noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Kallio, Sonja
Eskola, Tiina
Airaksinen, Marja
Pohjanoksa-Mäntylä, Marika
Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing
title Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing
title_full Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing
title_fullStr Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing
title_full_unstemmed Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing
title_short Identifying Gaps in Community Pharmacists’ Competence in Medication Risk Management in Routine Dispensing
title_sort identifying gaps in community pharmacists’ competence in medication risk management in routine dispensing
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102976/
https://www.ncbi.nlm.nih.gov/pubmed/34007683
http://dx.doi.org/10.24926/iip.v12i1.3510
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