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• W2912462355 abstract "This study aims to: (i) quantify the number of pharmaceutical interventions (PIs) linked to spontaneous requests for the two oral target molecules, ibuprofen and pseudoephedrine (ii) analyse the causes and proposed solutions (iii) quantify the number of registrations in the patient's pharmaceutical record and identify the various causes of non-registration. The study was conducted over a 2 weeks’ period in the months of February and April 2014 in 482 pharmacies affiliated to the training supervisor associations of 8 French Faculties of Pharmacy. Data regarding spontaneous requests for the target molecules was collected, with due respect to a patient care flow chart at the pharmacy, by incorporating the systematic proposal for registration of the medication in the patient's pharmaceutical record. Each PI was the subject of a notification made with reference to a standardized grid. A total of 12,160 dispensations were made over the two weeks of the study. Overall 815 of them gave rise to an PI (6.7%), justified in almost half of the cases by a contraindication. The alternative proposed by the dispensing pharmacist was accepted in more than 9 out of 10 cases. In half of the cases, the dispensing pharmacist had access to the patient's French healthcare card; more than 2/3 of the dispensations thus led to the registration of the medication in the patient's pharmaceutical record. The pairing of the two tools, these being the notification grid and the pharmaceutical record, aims to maximize dispensation security while patients are being guided in their approach to self-medication. L’étude a visé à : (i) chiffrer le nombre d’interventions pharmaceutiques (IP) liées à la demande spontanée des deux molécules cibles, ibuprofène et pseudoéphédrine per os (ii) analyser les causes et solutions proposées (iii) quantifier le nombre d’inscriptions dans le dossier pharmaceutique des molécules concernées et identifier les différentes causes de non inscription. L’étude s’est déroulée sur deux semaines entre février et avril 2014, dans 482 officines du réseau des maîtres de stage de 8 facultés de pharmacie françaises. La collecte des données s’est effectuée en respectant un logogramme de prise en charge à l’officine d’une demande spontanée des molécules cibles, intégrant la proposition systématique d’inscription du médicament au dossier pharmaceutique du patient. Chaque IP a fait l’objet d’une notification à l’aide d’une grille standardisée. Un total de 12 160 dispensations sur demande spontanée des deux molécules cibles ont été effectuées pendant les deux semaines d’étude. Un total de 815 d’entre elles ont généré une IP (6,7 %), justifiée dans près de la moitié des cas par une contre-indication. L’alternative proposée par le dispensateur a été acceptée dans plus de 9 cas sur 10. Une fois sur deux, le dispensateur a eu accès à la carte vitale du patient ; plus de 2/3 des dispensations ont alors abouti à l’inscription du médicament sur un dossier pharmaceutique déjà ouvert ou après sa création. Le couplage des deux outils, grille de notification et dossier pharmaceutique, vise à optimiser la sécurisation de la dispensation, lors de l’accompagnement du patient dans sa démarche d’automédication." @default.
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• W2912462355 date "2019-05-01" @default.
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• W2912462355 title "IPADAM “Pharmaceutical interventions on the issue of pharmaceutical records and self-medication” quanti survey in 482 French pharmacies" @default.
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• W2912462355 doi "https://doi.org/10.1016/j.pharma.2018.12.002" @default.
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