Pharmacists' participation in the documentation of medication history in a developing setting: An exploratory assessment with new criteria
- PMID: 25132882
- PMCID: PMC4133068
- DOI: 10.4321/s1886-36552010000200009
Pharmacists' participation in the documentation of medication history in a developing setting: An exploratory assessment with new criteria
Abstract
Objective: To assess the impact of pharmacists' participation on the frequency and depth of medication history information documented in a developing setting like Nigeria.
Method: The study consisted of two phases. The first phase was a baseline cross-sectional assessment of the frequency and depth of medication history information documented by physicians in case notes of systematic samples of 900 patients that were stratified over 9 Medical outpatients Units at a premier teaching hospital in south western Nigeria. The second phase was an exploratory study involving 10 pharmacists who conducted cross-sectional medication history interview for 324 randomly selected patients.
Results: 49.2% of patients, whose medication history were documented at the baseline, by physicians, were males; while 50.3% of patient interviewed by pharmacists were male. Mean age (SD) of males and females whose medication histories were documented by physicians and pharmacists were 43.2 (SD=18.6), 43.1 (SD=17.9) years and 51.5 (SD=17.6), 52.1 (SD=17.4) years respectively. The frequency of medication history information documented by pharmacists was significantly higher for twelve of the thirteen medication history components (P < 0.0001). These include prescription medicines; over the counter medicines; source of medicines; adverse drug reactions; allergy to drugs, allergy to foods, allergy to chemicals; patient adherence; alcohol use; cigarette smoking; dietary restrictions and herbal medicine use. The depth of medication history information acquired and documented by pharmacist was significantly better for all the thirteen medication history components (P<0.0001).
Conclusion: Pharmacists' participation resulted in significant increase in frequency and depth of medication history information documented in a developing setting like Nigeria. The new medication history evaluation criteria proved useful in assessing the impact of pharmacists' participation.
Keywords: Medical Records; Nigeria; Pharmacists.
Conflict of interest statement
We declare that there is no conflict of interest on this research study. This research study did not receive fund or support from any source.
References
-
- Covington TR. Interviewing and advising patients. In: Francke DE, Whitney HAK Jr, editors. Perspectives in Clinical Pharmacy. 1st edition. Illinois: Hamilton; 1972.
-
- Tietzie K. Mosby-year book inc. St Loius, Missouri. USA: 1997. Clinical skills for pharmacists, a patient-focused approach; pp. 39–40.
-
- Cohen J, Wilson C, Ward F. Improve drug history taking. Pharmacy in Practice. 1998;1:13–16.
-
- Gandhi TK, Weingart SN, Borus J, Seger AC, Peterson J, Burdick E, Seger DL, Shu K, Federico F, Leape L, Bates DW. Adverse drug events in ambulatory care. N Engl J Med. 2003;348:1556–1564. - PubMed
-
- Wilcock M, Lawrence J. Is there a role for community pharmacists in identifying discrepancies in medication histories for patients admitted to hospital? Pharm J. 2004;272:253–256.
LinkOut - more resources
Full Text Sources