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dc.contributor.authorJøsendal, Anette Vik
dc.contributor.authorBergmo, Trine Strand
dc.contributor.authorGranås, Anne Gerd
dc.date.accessioned2021-12-22T08:53:59Z
dc.date.available2021-12-22T08:53:59Z
dc.date.issued2021-01-06
dc.description.abstractMultidose drug dispensing (MDD) is an adherence aid used by one-third of patients receiving home care services in Norway. The system can increase patient safety by reducing dispensing errors and increase adherence, however it has also been criticised for unclear routines and distribution of responsibilities. We investigated prescription problems which pharmacists have detected, and the responsibilities they adopt regarding MDD. For two consecutive weeks, 11 pharmacies used a self-completion form to register prescription problems identified with MDD. Of the 4121 MDD prescriptions, problems were identified on 424 (11%). The most common issues were expired prescriptions (29%), drug shortages (19%), missing prescriber signatures (10%) and unclear/missing medication names or strengths (10%). Compared to ordinary prescriptions, the pharmacist took on additional responsibility for renewing MDD prescriptions. However, because these patients received their medications via the home care service, there was limited patient counselling during dispensing. To increase the efficiency and patient safety of the MDD system, the roles and responsibilities of the pharmacist, GP, and home care nurses in the MDD system should be clearly defined. This seems most urgent for the renewal of prescriptions and patient counselling, where the responsibilities and work practice seem to differ from ordinary prescriptions.en_US
dc.identifier.citationJøsendal AV, Bergmo TS, Granås AG. The Practice Guidelines for Multidose Drug Dispensing Need Revision—An Investigation of Prescription Problems and Interventions. Pharmacy. 2021en_US
dc.identifier.cristinIDFRIDAID 1943129
dc.identifier.doi10.3390/pharmacy9010013
dc.identifier.issn2226-4787
dc.identifier.urihttps://hdl.handle.net/10037/23472
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.journalPharmacy
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Basic medical, dental and veterinary science disciplines: 710::Pharmacology: 728en_US
dc.subjectVDP::Medisinske Fag: 700::Basale medisinske, odontologiske og veterinærmedisinske fag: 710::Farmakologi: 728en_US
dc.titleThe Practice Guidelines for Multidose Drug Dispensing Need Revision—An Investigation of Prescription Problems and Interventionsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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