Table 3.

Immediate review by pharmacist.

Issue Category	Common thought Processes	Example from Data
Nature of Medication	Does the drug have a narrow therapeutic window? Is this a new medication with limited experience, or one that I have not dispensed before? Will this medication require additional/specific counselling requirements such as device demonstration?	‘Amoxycillin is a common medication with a wide margin of safety’ ‘The patient has not used insulin before and there is lots of information I will need to go through including demonstrating the injection’
Patient	Is this for an adult or a child? Is this patient acutely unwell? Do I know the patient—am I likely to have a good dispensing history? Is the patient in a hurry?	‘The prescription appears to be for an adult—they are a local patient so may have been to this pharmacy before’
Prescription	Is the prescription legal? Is there any information missing? Does the medication attract financial subsidy or is it expensive for the patient?	‘My first concern is if the prescription is legitimate and legal’ ‘I usually glance at the prescription to see if there is anything that stands out as unusual or if there is missing information’ ‘I always check if it is a medication that attracts a government subsidy because then there will be extra details that I need to check such as concession details’