The prevention of adverse drug reactions--a potential role for pharmacists in the primary care team?
Medication record cards were kept for 1,366 patients over a three-year period at a neighbourhood pharmacy in north-west London. Eighty-six potential adverse drug reactions were detected. In 53 cases the general practitioner changed the prescription after being contacted by the pharmacist. In a further 15 cases advice intended to reduce the likelihood of an adverse drug reaction was given to the patients by the pharmacist. Seventy-six errors on prescriptions were also detected; these were mainly unintended changes in dose or strength of medication. Pharmacists could have a useful role to play in monitoring for potential drug reactions in general practice. Closer collaboration between the two professions would be of mutual benefit.
D000368:Aged; D011307:Drug Prescriptions; D064420:Drug-Related Side Effects and Adverse Reactions; D005194:Family Practice; D005260:Female; D006801:Humans; D008131:London; D008297:Male; D008499:Medical Records; D008508:Medication Errors; D008875:Middle Aged; D010348:Patient Care Team; D010604:Pharmacy / Q000379:methods*