Assessment of drug therapy problems (DTPS) in out-patient pharmacy prescriptions at the National Orthopaedic Hospital, Igbobi
Main Article Content
Abstract
Background: Pharmaceutical care is a philosophy and model of pharmacy practice and Drug Therapy Problems (DTPs) are the heart and soul of pharmaceutical care.
Objectives: To determine the drug therapy problems identified and corresponding pharmaceutical care interventions carried out at the out -patient pharmacy unit as well as the drug therapy problem and pharmaceutical care intervention with the highest frequency.
Methods: A Drug Therapy Problem assessment/intervention form which was designed by the Out Patient Pharmacy Department was used for the purpose of this research. Drug therapy problems encountered over a five month period were assessed and the appropriate intervention carried out and documented in the form. A total of 50 drug therapy problems were encountered during the research period on the basis of documentation of each drug therapy problem as it is encountered. Filled drug therapy problem assessment/intervention forms were analyzed using descriptive statistics with the aid of Epi-info version 3.5.1 statistical package.
Results: An analysis of the drug therapy problems revealed that drug interaction accounted for the highest number of drug therapy problems of 14(28%) while non adherence accounted for the lowest number of drug therapy problems of 1(2%), while the remaining classes of drug therapy problems ranges between these values; dosage too high 9(18%),dosage too low 8(16%), Adverse Drug Reaction/Adverse Drug Event 4(8%), Wrong Drug 8(16%),unnecessary drug therapy 10(20%).
Conclusion: Drug interaction accounted for a simple majority of the drug therapy problems, while nonadherence was the least common of the drug therapy problems and instructions on how drugs are to be used as well as change of dosage were the major pharmaceutical care interventions.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
How to Cite
Share
References
Hepler CD, Strand LM (1990). Opportunities and responsibilities in pharmaceutical care. American Journal Hospital Pharmacy 47: 533-543
Oparah AC (2010). Drug Therapy Problems. In: Essentials of Pharmaceutical Care. Lagos: ACybex Publications. pp 83-92
Van-Mil J (2007). PCNE classification for drug related problems. http://www.pcne.org.
Basger B, Moles R, Chen T (2015). Development of an aggregated system for classifying causes of drugrelated problems. Annals of Pharmacotherapy 49(4): 405 - 418.
Mahmoud MA (2008). Drug therapy problems and quality of life in patients with chronic kidney disease. M.Sc. thesis of the University of Malaysia. Page 1
Ojeh BV, Naima N, Abah OI, Falang DK, Lucy O, London I, Dady C, Agaba P, Agbaji O(2015). Pattern of drug therapy problems and interventions in ambulatory patients receiving antiretroviral therapy in Nigeria. Pharmacy practice 13(2): 566.
Kempen TG, Van de Steeg-van Gompel CH, Hoogland P, Liu Y, Bouvy ML(2014). Large scale implementation of clinical medication reviews in Dutch community pharmacies: drug-related problems and interventions. International Journal of Clinical Pharmacy 36(3):630- 635
Al-arfi M, Abu-Hashem H, Al-Meziny M, Said R, Aljadhey H(2014). Emergency department visits and admissions due to drug related problems at Riyadh military hospital (RMH), Saudi Arabia. Saudi Pharmacy Journal 22 (1):17 - 25.
Adams RE, Boscarino JA (2004). A community survey of medical errors in New York. International Journal of Qualitative Health Care 16(5): 353-362
British National Formulary (2017). Musculoskeletal system: Pain and inflammation in musculoskeletal disorders. British National Formulary 72(10):975-976
Zhao P, Wang C, Qin L, Yuan M, Qian X, Guo Y-H, Wen A-D(2012). Effects of clinical pharmacists' pharmaceutical care interventions to control hypertensive outpatients in china. African Journal of Pharmacy and Pharmacology 6(1):48-56
West African Postgraduate College of Pharmacists (WAPCP) (2009): Pharmacovigilance and the role of the pharmacist. WAPCP Nigeria Chapter Newsletter 1(1):1, 6.
Khan AU, Ali I, Zafar R, Khalil A (2015). Identification of drug-related problems and pharmacist's interventions in asthmatic patients at a private tertiary care facility-Pakistan. Archives of Pharmacy Practice 6:33-37