title: [Design and piloting of a structured service medication dispensing process].
abstract: OBJECTIVE
  The aim of this article is to design and pilot a protocol for the dispensing of medications service.
  
  
  METHODS
  Using the requirements proposed in the Ministry of Health Pharmaceutical Care Consensus, a literature search was made applying qualitative consensus techniques. An observational, cross-sectional study was conducted from March to June 2009.
  
  
  METHODS
  A total of 53 community pharmacies from 24 Spanish counties.
  
  
  METHODS
  Patients who requested one or more particular medications with or without medical prescription for their own use or for someone in their care.
  
  
  METHODS
  The personalised medication information (IPM), the problems associated with the medications (PRM), and the negative results associated with the medication (RNM), detected by the pharmacist each time medication was dispensed, as well as the perception of the pharmacist on the operability of the protocol were recorded.
  
  
  RESULTS
  A total of 870 medications were dispensed, with 423 (48.6%) cases of lack of personalised medication information (IPM) being detected. PRM were detected in 10.11% of the dispensed medications, as well as 68 (7.81%) suspected RNM: safety (n = 35; 51.5%), effectiveness (n = 29; 42.6%) and necessity (n = 4; 5.8%). Almost two-thirds (65.21%) of the pharmacists said that the protocol is in operation.
  
  
  CONCLUSIONS
  The designed protocol helped to detect deficiencies in the information to the patients about their medications, as well as the PRM and RNM, and is shown to be tool that is easy to use and apply.
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Colegio Oficial de Farmacéuticos, Málaga, España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Abaurre
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Universidad de Granada, Granada, España. Electronic address: pgarciadelgado@yahoo.es.
authors.forename: Pilar
authors.initials: P
authors.lastname: García-Delgado
authors.affiliation: Farmacéutica comunitaria, Murcia, España.
authors.forename: M Dolores
authors.initials: MD
authors.lastname: Maurandi
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Colegio Oficial de Farmacéuticos, Málaga, España.
authors.forename: Cristóbal
authors.initials: C
authors.lastname: Arrebola
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Universidad de Granada, Granada, España.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Gastelurrutia
authors.affiliation: Grupo de investigación en Atención Farmacéutica, Universidad de Granada, Granada, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Martínez-Martínez
mesh_terms: D003157:Community Pharmacy Services / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D064420:Drug-Related Side Effects and Adverse Reactions / Q000517:prevention & control; D006801:Humans; D010865:Pilot Projects; D011795:Surveys and Questionnaires
keywords: Atención farmacéutica; Conocimiento del paciente sobre su medicación; Dispensación; Dispensing; Drug related problem; Negative clinical outcome; Patient medication knowledge; Pharmaceutical care; Problemas relacionados con los medicamentos; Resultado negativo
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