PRACTICAL UTILITY OF DIFFERENT SYSTEMS FOR CLASSIFYING DRUG-RELATED PROBLEMS (DRPs): ASSESSMENT BY HOSPITAL PHARMACISTS

Córdoba

Otro; 1º Reunión Internacional de Ciencias Farmacéuticas (RICiFa); 2010

Dpto. de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba y Dpto. de Farmacia, Facultad de Ciencias Bioquímicas y Farmacéuticas, Universidad Nacional de Rosario

Introduction There are different classifications of DRPs with different focus. Both documenting and classifying DRPs are essential to improve the process of medication?s use. In practice, professionals need a patient-oriented base to implement pharmaceutical interventions. Hospital Pharmacy Specialization (HPS) is a postgraduate career at the School of Chemical Sciences, National University of Córdoba (FCQ-UNC). Most of the HPS students are working in health-system pharmacies. One of the modules included the concept of DRPs and different classification systems. The objectives of this work are: -To assess the different DRPs classification systems through 4 clinical cases classified by pharmacists taking the HPS (FCQ-UNC). -To analyze the opinions of participating pharmacists in relation to the focus and relevance of the different DRPs classification systems. Materials and methods A workshop intended to identify and classify DRPs was planned. Four clinical cases with one DRP each (or DRP risk) were presented to six working groups of four pharmacists each. The groups resolved the cases by consensus using 4 classification systems: a) ASHP, b) 2nd Granada Consensus, c) PCNE V 5.01 and d) Cipolle/Morley/Strand. An average number of categories assigned by case was obtained. In addition, the groups were requested to assess the focus and practical utility of the DRPs classification systems. A 5 points Likert scale was used from Totally agree to Completely disagree. For focus assessment Completely disagree was related to technical aspects while Totally agree was associated to a patient-oriented process. For statistical analysis SPSS 15.0 software was used. Results Twenty four pharmacists discussed the DRPs classification systems during the workshop. Main outcomes: Average number of categories assigned: a) 2,0; b) 1,0; c) 1,6; d) 1,1 Focus and practical utility (5 points Likert scale): a) 2,3 and 2,0; b) 4,3 and 4,0; c) 1,8 and 2,0; d) 4,3 and 4,3. Conclusions A comparison among different DRPs classification systems was carried out. Whereas an ideal classification system should identify uniquely a given DRP, Cipolle/Morley/Strand and 2nd Granada Consensus seem to be better than the other systems. Moreover, both of them obtain high scores in the focus and practical utility assessments.