Type of drug-related problem |
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D |
Drug choice |
Duplication (D1); Drug interaction (D2); Wrong drug (D3); Wrong dosage form (D4); Other drug selection problem (D0) |
O |
Over/underdose prescribed |
Dose too high (O1); Dose too low (O2); Other dose problem (O0) |
C |
Compliance |
Taking too little (C1); Taking too much (C2); Intentional drug misuse (C3); Difficulty using dosage form (C4); Other compliance problem (C0) |
U |
Untreated indications |
Condition not adequately treated (U1); Preventive therapy required (U2); Other untreated indication problem (U0) |
M |
Monitoring required |
Laboratory monitoring (M1); Nonlaboratory monitoring (M3); Other monitoring problem (M0) |
E |
Education or counselling advice |
Patient drug information request (E1); Confusion about therapy (E2); Demonstration of device (E3); Disease management or advice (E4); Other education or information problem (E0) |
N |
Non-clinical |
Non-clinical (N0) |
T |
Toxicity/adverse effect |
Toxicity caused by dose (T1); Toxicity caused by drug interaction (T2); Toxicity evident (T3);Other toxicity/adverse effect problem (T0) |
Actions to investigate the problem |
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Action |
Investigation: written material (A1); Investigation: software (A2); Investigation: patient history (A3); Investigation: other (A4); Contacted prescriber (A5); Discussion with patient or carer (A6); Corrected without discussion (A7) |
Recommendations to resolve the problem |
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Recommendation |
Dose change (R1); Drug change (R2); Drug formulation change (R3); Drug brand change (R4); Dose frequency/schedule change (R5); Prescription not dispensed (R6); Other changes to therapy (R7); Refer to prescriber (R8); Refer to hospital (R9); Refer for medication review (R10); Other referral required (R11); Education/counselling session (R12); Written summary of medications (R13); Commence dose administration aid (R14); Other written information (R15); Monitoring: nonlaboratory (R16); Monitoring: laboratory test (R17); No recommendation necessary (R18) |
Outcome – acceptance of pharmacist's resolution of the problem |
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Outcome |
Unknown (O0); Accepted (O1); Partially accepted (O2); Not accepted (O3) |
Clinical significance of the problem |
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Significance |
Nil (S0); Low (S1); Mild (S2); Moderate (S3); High (S4) |