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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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University of Minnesota Libraries Publishing
2021
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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. |
format | Online Article Text |
id | pubmed-8102976 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | University of Minnesota Libraries Publishing |
record_format | MEDLINE/PubMed |
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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