ArticleInternational journal of clinical pharmacy2015
Pharmacists' role in handling problems with prescriptions for antithrombotic medication in Belgian community pharmacies.
Article in International journal of clinical pharmacy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Exploring the role of community pharmacists in perioperative management of antithrombotic agents: a qualitative study of barriers, facilitators, and future directions.International journal of clinical pharmacy · 2025Article
- Drug-related problems associated with direct oral anticoagulants: an observational cross-sectional study of medical record review by pharmacists in a large teaching hospital.Research and practice in thrombosis and haemostasis · 2024Article
- Comparing the Prevalence of Polypharmacy and Potential Drug-Drug Interactions in Nursing Homes and in the Community Dwelling Elderly of Emilia Romagna Region.Frontiers in pharmacology · 2020Article
- Creating an Interprofessional guideline to support patients receiving oral anticoagulation therapy: a Delphi exercise.International journal of clinical pharmacy · 2019Article
- Preventability of serious thromboembolic and bleeding events related to the use of oral anticoagulants: a prospective study.British journal of clinical pharmacology · 2018Observational
- Pharmaceutical interventions on prescribed medicines in community pharmacies: focus on patient-reported problems.International journal of clinical pharmacy · 2018Observational
- Inappropriate prescribing of antithrombotic therapy in Ethiopian elderly population using updated 2015 STOPP/START criteria: a cross-sectional study.Clinical interventions in aging · 2016Article
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Authors and funding
4 authors.
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Abstract
backgroundCommunity pharmacists have an important task in the follow-up of patients treated with antithrombotics. When delivering these medicines, pharmacists can encounter drug-related problems (DRPs) with substantial clinical and economic impact.
objectiveTo investigate the amount and type of antithrombotic related DRPs as well as how community pharmacists handled these DRPs.
settingBelgian community pharmacies.
methodsMSc pharmacy students of six Belgian universities collected data about all DRPs encountered by a pharmacist during ten half days of their pharmacy internship. Data were registered about DRPs detected at delivery and in an a posteriori setting, when consulting the medical history of the patient. Classification of the DRP, cause of the DRP, intervention and result of the intervention were registered.
main outcome measureAmount and type of antotrombitocs related DRPs occurring in community pharmacies, as well as how community pharmacists handled these DRPs.
results3.1 % of the 15,952 registered DRPs concerned antithrombotics. 79.3 % of these DRPs were detected at delivery and 20.7 % were detected a posteriori. Most antithrombotic-related DRPs concerned problems with the choice of the drug (mainly because of drug-drug interactions) or concerned logistic problems. Almost 80 % of the antithrombotic-related DRPs were followed by an intervention of the pharmacist, mainly at the patient's level, resulting in 90.1 % of these DRPs partially or totally solved.
conclusionDifferent DRPs with antithrombotic medication occurred in Belgian community pharmacies. About 20 % was detected in an a posteriori setting, showing the benefit of medication review. Many of the encountered DRPs were of technical nature (60.7 %). These DRPs were time-consuming for the pharmacist to resolve and should be prevented. Most of the DRPs could be solved, demonstrating the added value of the community pharmacist as first line healthcare provider.
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