TABLE 5.

Examples of drug-related problems identified in the control and intervention groups and recommended by the pharmacist.

The basic classification	Examples of Drug-Related Problems
Problems (also potential)
P1 Treatment effectiveness	Recommendation for change due to increased CRP in a patient using levofloxacin.
P2. Treatment safety	Recommendation due to metoclopramide drug-drug interaction.
P3. Other	Suggestion of an alternative dosage form for the drug to be the appropriate dosage form.
Causes (including possible causes for potential problems)
C1. Drug selection	Modification recommendation due to clarithromycin-Silodosin drug-drug interaction.
C2 Drug form	Dosage form recommendation in the patient used in pediatric dosage form.
C3 Dose selection	Ampicillin-Sulbactam dosing recommendation.
C4 Treatment duration	-
C5 Dispensing	-
C6 Drug use process	Suggestion for the patient in the lactation period to express and store milk before drug use.
C7 Patient related	Concurrent unnecessary antibiotic use was detected in the patient who received outpatient antibiotic therapy. Suggestion to organize antibiotic therapy
C8 Patient transfer related	-
C9. Other	Although there are two different drugs from the same group in the drug order, one of them is not used.
Planned Interventions
I0. No intervention	Somnolence assessment recommendation in a patient using clonazepam.
I1. At prescriber level	Prescription modification recommendation due to irbesartan duplication
I2. At patient level	Suggestion to breast-feed within 4 hours after taking the drug to a patient using steroids during the lactation period.
I3. At drug level	Recommendation for drug change in accordance with kidney functions.
I4. Other	Recommendation for referral to the relevant branch after discharge for uncontrolled chronic disease
Intervention Acceptance
A1. Intervention accepted	Recommendation to discontinue drug use in patients using two different antiemetics
A2. Intervention not accepted	Recommendation for analgesic change for the patient with intense pain.
A3. Other	It was suggested that the patient with tinnitus was told that the problem could be caused by medication, and referral to the relevant branch physician was recommended.
Status of the DRP
O0. Problem status unknown	The patient who needed LMWH could not be followed up due to discharge to a different service.
O1. Problem solved	The dose of meropenem was adjusted according to the patients’ need.
O2. Problem partially solved	The patient's electrolyte deficiency was associated with chemotherapy.
O3. Problem not solved	The patient who needed dose reduction was referred to the relevant branch for dose correction after discharge.