Pharmacist |
Postgraduate pharmacist |
1,426 (48.7%) |
Pharmacy resident |
1,504 (51.3%) |
Prescriber |
Postgraduate physician |
802 (27.4%) |
Medical resident |
2,128 (72.6%) |
Patient gender |
Male |
1,421 (48.5%) |
Female |
1,509 (51.5%) |
Patient age |
≤59 |
773 (26.4%) |
60–69 |
595 (20.3%) |
70–79 |
569 (19.4%) |
80–89 |
682 (23.3%) |
≥90 years |
311 (10.6%) |
Problem encountered |
Non-compliance with guidelines and contraindications |
687 (23.4%) |
Untreated indication |
329 (11.2%) |
Underdosing |
392 (13.4%) |
Overdosing |
559 (19.1%) |
Drug not indicated |
203 (6.9%) |
Drug interaction |
135 (4.6%) |
Adverse effect |
57 (1.9%) |
Inappropriate route and/or administration |
267 (9.1%) |
Treatment not received |
2 (0.1%) |
Monitoring to be followed |
299 (10.2%) |
Type of intervention |
Addition |
413 (14.1%) |
Discontinuation |
497 (17%) |
Substitution/Exchange |
358 (12.2%) |
Choice of route of administration |
14 (0.5%) |
Therapeutic follow-up |
385 (13.1%) |
Optimization of administration modalities |
255 (8.7%) |
Dosage adjustment |
1,008 (34.4%) |
Method of contact |
Verbal |
1,623 (55.4%) |
Phone call |
455 (15.5%) |
Prescription assistance software |
846 (28.9%) |
Paper |
6 (0.2%) |
Clinical impact on patient health |
None |
41 (1.4%) |
Minor |
570 (19.5%) |
Moderate |
1,317 (44.9%) |
Major |
976 (33.3%) |
Vital |
26 (0.9%) |
Organizational impact |
Unfavorable |
89 (3%) |
Nil |
2,130 (72.7%) |
Favorable |
711 (24.3%) |
Economic impact |
Unfavorable |
788 (26.9%) |
Nil |
1,172 (40%) |
Favorable |
970 (33.1%) |
ATC class |
A Digestive tract and metabolism |
409 (14%) |
B Blood and blood-forming organs |
508 (17.3%) |
C Cardiovascular system |
272 (9.3%) |
D Dermatological drugs |
8 (0.3%) |
G Genitourinary system and sex hormones |
33 (1.1%) |
H Systemic hormones, excluding sex hormones |
74 (2.5%) |
J General anti-infectives for systemic use |
887 (30.3%) |
L Antineoplastics and immunomodulators |
68 (2.3%) |
M Muscle and skeleton |
37 (1.3%) |
N Nervous system |
547 (18.7%) |
P Antiparasitic insecticides |
7 (0.2%) |
R Respiratory system |
44 (1.5%) |
S Sensory organs |
14 (0.5%) |
V Miscellaneous |
19 (0.6%) |
Z Drug with no code assigned |
3 (0.1%) |
PI at reconciliation |
No |
2,586 (88.3%) |
Yes |
344 (11.7%) |
PI using Pharmaclass® |
No |
2,786 (95.1%) |
Yes |
144 (4.9%) |
Validation setting |
Within the pharmacy |
1,096 (37.4%) |
Within the ward |
1,834 (62.6%) |
Care unit |
Nursing home |
282 (9.6%) |
Medicine-surgery-obstetrics departments, excluding resuscitation |
1,931 (65.9%) |
Resuscitation |
717 (24.5%) |
Number of drugs per PI |
1 |
2,349 (80.2%) |
2 |
499 (17%) |
3 |
51 (1.7%) |
4 |
31 (1.1%) |