Table 3. Drug Therapy Problem Category Results.

Table 3. Drug Therapy Problem (DTP) Category Results (n = 3,010a DTPs)
INDICATION 48.3 (1,453/3,010), % (no.)
Unnecessary Drug Therapy Duplicate therapy No medical indication at this time Non-drug therapy more appropriate Addiction/recreational drug use Treating avoidable adverse reaction	6.7 (202/3,010)
Needs Additional Drug Therapy Preventive therapy Untreated condition Synergistic therapy	41.6 (1,251/3,010)
EFFECTIVENESS – 14.9 (447/3,010) - excludes monitoring, % (no.)b
Ineffective Drug More effective drug available Condition refractory to drug Dosage form inappropriate Contraindications present Drug not effective for condition	5.5 (165/3,010)
Dosage Too Low, no. (%) Dose too low Frequency inappropriate Incorrect administration Drug interaction Incorrect storage Duration inappropriate	9.4 (282/3,010)
Needs Additional Monitoring, no. (%)a Medication requires monitoring	14.5 (438/3,010)
SAFETY – 12.4 (374/3,010) - excludes monitoring, % (no.)b
Adverse Drug Reaction Undesirable effect Unsafe drug for the patient Drug interaction Incorrect administration Allergic reaction Dosage increase/decrease too fast	7.3 (220/3,010)
Dosage Too High Dose too high Frequency inappropriate Duration inappropriate Drug interaction	5.1 (154/3,010)
Needs Additional Monitoringb Medication requires monitoring	14.5 (438/3,010)
ADHERENCE 9.9 (298/3,010), % (no.)
Adherence Does not understand instructions More cost-effective drug available Cannot afford drug product Patient prefers not to take Patient forgets to take Drug product not available Cannot swallow/administer drug	9.9 (298/3,010)

^a3,010/3,057 (98.5%) of DTPs were documented such that category could be extracted from electronic health record and included in this analysis.

^bThis analysis was unable to attribute “Needs Additional Monitoring” to either Effectiveness or Safety due to the limitations of the EHR documentation template during the time frame of this analysis.

Adapted from Cipolle RJ, Strand LM, Morley PC. Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management. 3rd ed. New York, NY: McGraw-Hill; 2012, p 157).