Table 6.

Findings Summary of System and Structure Redesigning Interventions

Country	Author	The Issue	Findings
USA	(Gilson et al 2021)73	OTC medication safety	Pharmacy staff believed that the Senior Section facilitated their ability to engage with older adults to support safe OTC medicines selection and use, thus reducing OTC-related harms.
Kingdom of Saudi Arabia	(Thorakkattil et al 2021)70	COVID-19 pandemic	Pharmacy services during the COVID-19 pandemic reflected increased online health prescriptions. Also, pharmacy call center utilization increased by 10% calls with fewer physical contacts. However, waiting time to fill prescriptions increased due to decreased staff members.
UK	(Nazar et al 2016)71	Emergency Medication Service	Community pharmacists completed more than half of percent referrals providing 2297 medications while 412 were at high risk.
USA	(Gilson et al 2021)73	OTC medication misuse	Misuse decreased significantly after the system implementation.
UK	(Willis et al 2019)74	Community Pharmacists role expanding	Participants prefer a structured history taking to a clinical examination.
USA	(Schiff et al 2018)75	Electronic prescribing errors	Indication incorporation, a single medication list, safety assurance, and clinical decision support are vital for the system’s reliability and patient safety.