TABLE 2.
Pharmacist interventions, all | Percentage of acceptance | Univariate percentage difference adjusted for pharmacist (%) | p univariate | Multivariate percentage difference (%) | p multivariate |
---|---|---|---|---|---|
Pharmacist | |||||
Postgraduate pharmacist | 1158/1426 (81.2%) | 0 (Reference) | — | 0 (Reference) | — |
Pharmacy resident | 1257/1504 (83.6%) | −3 (−21.2; 15.1) | 0.73 | −3 (−15.7; 9.8) | 0.64 |
Prescriber | |||||
Postgraduate physician | 586/802 (73.1%) | 0 (Reference) | — | 0 (Reference) | — |
Medical resident | 1829/2,128 (85.9%) | 5.4 (2.2; 8.6) | 0.0008 | 4.4 (1.2; 7.6) | 0.007 |
Patient gender | |||||
Male | 1190/1421 (83.7%) | 0 (Reference) | — | 0 (Reference) | — |
Female | 1225/1509 (81.2%) | 1.9 (−0.5; 4.3) | 0.13 | 2.5 (0.1; 4.9) | 0.0412 |
Patient age | |||||
≤59 | 716/773 (92.6%) | 0 (Reference) | — | 0 (Reference) | — |
60–69 | 545/595 (91.6%) | −0.7 (−4.3; 2.8) | 0.68 | −0.4 (−3.8; 3.1) | 0.82 |
70–79 | 465/569 (81.7%) | −3.7 (−7.4; 0) | 0.0529 | −2.6 (−6.2; 1) | 0.16 |
80–89 | 485/682 (71.1%) | 0.3 (−3.8; 4.4) | 0.88 | 1.2 (−2.8; 5.2) | 0.56 |
≥90 years | 204/311 (65.6%) | −1.9 (−7; 3.3) | 0.48 | 0.8 (−4.3; 5.9) | 0.75 |
Problem encountered a | |||||
Non-compliance with guidelines and contraindications | 540/687 (78.6%) | −6.3 (−11.6; −0.9) | 0.021 | −4.4 (−9.9; 1) | 0.11 |
Untreated indication | 274/329 (83.3%) | 0.4 (−5.4; 6.1) | 0.90 | 4 (−3.3; 11.3) | 0.29 |
Underdosing | 323/392 (82.4%) | −4 (−9.6; 1.6) | 0.16 | −3.1 (−9.3; 3.2) | 0.34 |
Overdosing | 475/559 (85%) | 0.8 (−4.6; 6.2) | 0.77 | 1.1 (−4.6; 6.9) | 0.70 |
Drug not indicated | 145/203 (71.4%) | −4.1 (−10.4; 2.1) | 0.20 | −5.2 (−11.9; 1.5) | 0.13 |
Drug interaction | 120/135 (88.9%) | −2.6 (−9.6; 4.4) | 0.47 | −3 (−10.1; 4) | 0.40 |
Adverse effect | 49/57 (86%) | 1.2 (−7.8; 10.3) | 0.79 | −5.4 (−14.3; 3.5) | 0.23 |
Inappropriate route and/or administration | 205/267 (76.8%) | −2.8 (−8.7; 3.2) | 0.36 | −2.5 (−9.5; 4.6) | 0.49 |
Treatment not received | 2/2 (100%) | 15.8 (−25.1; 56.8) | 0.45 | 17.7 (−22.1; 57.6) | 0.38 |
Monitoring to be followed | 282/299 (94.3%) | 1.6 (−4.3; 7.6) | 0.59 | 0.7 (−6.3; 7.8) | 0.84 |
Type of Intervention | |||||
Addition | 346/413 (83.8%) | −1.6 (−5.4; 2.3) | 0.43 | −6.5 (−12.1; −0.9) | 0.024 |
Discontinuation | 412/497 (82.9%) | 0.7 (−3; 4.4) | 0.71 | 1 (−3.4; 5.5) | 0.65 |
Substitution/Exchange | 276/358 (77.1%) | −4.7 (−8.7; −0.7) | 0.02 | −1 (−5.3; 3.4) | 0.66 |
Choice of route of administration | 12/14 (85.7%) | 8.8 (−6.1; 23.6) | 0.25 | 5.1 (−10; 20.3) | 0.51 |
Therapeutic follow-up | 352/385 (91.4%) | 1.2 (−2.8; 5.2) | 0.55 | 2.4 (−2.9; 7.8) | 0.37 |
Optimization of administration modalities | 202/255 (79.2%) | −2.6 (−7; 1.8) | 0.25 | −0.1 (−5.7; 5.4) | 0.96 |
Dosage adjustment | 815/1008 (80.9%) | −1.8 (−5; 1.4) | 0.26 | −1 (−5.4; 3.3) | 0.64 |
Method of contact | |||||
Verbal | 1545/1623 (95.2%) | 0 (Reference) | — | 0 (Reference) | — |
Phone call | 424/455 (93.2%) | −1.3 (−5.6; 3.1) | 0.57 | 1.2 (−4.1; 6.4) | 0.66 |
Prescription assistance software | 441/846 (52.1%) | −30 (−34.2; −25.8) | <0.0001 | −27.7 (−32.1; −23.2) | <0.0001 |
Paper | 5/6 (83.3%) | −16.9 (−42.5; 8.8) | 0.20 | −15.1 (−41.4; 11.2) | 0.26 |
Clinical impact on patient health | |||||
None | 38/41 (92.7%) | 1.6 (−8.9; 12.1) | 0.77 | 6.3 (−4.4; 16.9) | 0.25 |
Minor | 395/570 (69.3%) | −6.7 (−10; −3.4) | <0.0001 | −5.8 (−9.1; −2.5) | 0.0006 |
Moderate | 1038/1317 (78.8%) | 0 (Reference) | — | 0 (Reference) | — |
Major | 918/976 (94.1%) | 5.1 (2; 8.3) | 0.001 | 4.3 (1.1; 7.6) | 0.009 |
Vital | 26/26 (100%) | 9.1 (−3.7; 21.9) | 0.16 | 7.6 (−4.9; 20.1) | 0.23 |
Organizational impact | |||||
Unfavorable | 80/89 (89.9%) | 1.7 (−5.3; 8.8) | 0.63 | −0.4 (−7.3; 6.6) | 0.92 |
Nil | 1682/2,130 (79%) | 0 (Reference) | 0 (Reference) | ||
Favorable | 653/711 (91.8%) | 3.6 (0.5; 6.8) | 0.025 | 2.4 (−0.9; 5.6) | 0.15 |
Economic impact | |||||
Unfavorable | 684/788 (86.8%) | 0 (Reference) | — | 0 (Reference) | — |
Nil | 928/1172 (79.2%) | −0.7 (−3.9; 2.5) | 0.66 | 0.3 (−3.1; 3.8) | 0.86 |
Favorable | 803/970 (82.8%) | 1.8 (−1.3; 5) | 0.26 | 2.8 (−1.2; 6.9) | 0.17 |
ATC class | |||||
A Digestive tract and metabolism | 300/409 (73.3%) | −1.9 (−6.9; 3.1) | 0.46 | −0.9 (−5.8; 4) | 0.71 |
B Blood and blood-forming organs | 407/508 (80.1%) | −2.7 (−7.5; 2.2) | 0.28 | −1.8 (−6.6; 3) | 0.45 |
C Cardiovascular system | 213/272 (78.3%) | −1.3 (−6.8; 4.1) | 0.63 | −4 (−9.3; 1.4) | 0.15 |
D Dermatological drugs | 6/8 (75%) | 5.2 (−16.4; 26.8) | 0.64 | 10.4 (−10.6; 31.4) | 0.33 |
G Genitourinary system and sex hormones | 23/33 (69.7%) | 1.9 (−9.4; 13.2) | 0.74 | 5.4 (−5.5; 16.4) | 0.33 |
H Systemic hormones, excluding sex hormones | 59/74 (79.7%) | 1.9 (−6.1; 10) | 0.63 | 3.2 (−4.6; 11.1) | 0.42 |
J General anti-infectives for systemic use | 820/887 (92.4%) | 0.4 (−4.3; 5.2) | 0.86 | −2.1 (−6.9; 2.7) | 0.39 |
L Antineoplastics and immunomodulators | 64/68 (94.1%) | 8.6 (−0.3; 17.5) | 0.0589 | 1.6 (−7.2; 10.4) | 0.72 |
M Muscle and skeleton | 28/37 (75.7%) | −4.8 (−15.5; 5.9) | 0.38 | −6.1 (−16.5; 4.3) | 0.25 |
N Nervous system | 422/547 (77.1%) | −1 (−5.8; 3.9) | 0.70 | 0.7 (−4.1; 5.4) | 0.79 |
P Antiparasitic insecticides | 5/7 (71.4%) | −11.8 (−34.9; 11.2) | 0.31 | −7.5 (−29.8; 14.8) | 0.51 |
R Respiratory system | 36/44 (81.8%) | 7.6 (−2.3; 17.6) | 0.13 | 4 (−5.7; 13.7) | 0.42 |
S Sensory organs | 12/14 (85.7%) | 2.8 (−13.7; 19.4) | 0.74 | 2.7 (−13.5; 18.8) | 0.75 |
V Miscellaneous | 18/19 (94.7%) | 9.2 (−5.5; 23.9) | 0.22 | 9.1 (−5.1; 23.2) | 0.21 |
Z Drug with no code assigned | 2/3 (66.7%) | −14.3 (−49.3; 20.7) | 0.42 | −14.6 (−48.7; 19.4) | 0.40 |
PI at reconciliation | |||||
No | 2,133/2,586 (82.5%) | 0 (Reference) | — | 0 (Reference) | — |
Yes | 282/344 (82%) | 5.7 (1.5; 9.8) | 0.008 | 0.5 (−4.1; 5.1) | 0.83 |
PI using Pharmaclass® | |||||
No | 2,284/2,786 (82%) | 0 (Reference) | — | 0 (Reference) | — |
Yes | 131/144 (91%) | −3.5 (−9.4; 2.5) | 0.25 | −6.2 (−13.6; 1.1) | 0.095 |
Use of contrasts −1/+1.
Parameters associated with p < 0.05 are shown in bold. The gray background highlights significant univariate associations alone or significance in both univariate and multivariate analyses.