METHODS: The study was conducted over a 2 weeks\' period in the months of February and April 2014 in 482 pharmacies affiliated to the training supervisor associations of 8 French Faculties of Pharmacy. Data regarding spontaneous requests for the target molecules was collected, with due respect to a patient care flow chart at the pharmacy, by incorporating the systematic proposal for registration of the medication in the patient\'s pharmaceutical record. Each PI was the subject of a notification made with reference to a standardized grid.
RESULTS: A total of 12,160 dispensations were made over the two weeks of the study. Overall 815 of them gave rise to an PI (6.7%), justified in almost half of the cases by a contraindication. The alternative proposed by the dispensing pharmacist was accepted in more than 9 out of 10 cases. In half of the cases, the dispensing pharmacist had access to the patient\'s French healthcare card; more than 2/3 of the dispensations thus led to the registration of the medication in the patient\'s pharmaceutical record.
CONCLUSIONS: The pairing of the two tools, these being the notification grid and the pharmaceutical record, aims to maximize dispensation security while patients are being guided in their approach to self-medication.
方法:该研究于2014年2月和4月在法国8个药学院的培训主管协会下属的482家药店进行了为期2周的研究。收集有关自发请求目标分子的数据,在适当尊重药房患者护理流程图的情况下,通过将系统的药物登记建议纳入患者的药物记录。每个PI都是参照标准化网格发出的通知的主题。
结果:在研究的两周内,共进行了12,160次分配。其中815个产生了PI(6.7%),在几乎一半的案例中,有禁忌症是合理的。配药药剂师提出的替代方案在10例中的9例中被接受。在一半的案例中,配药药剂师可以使用患者的法国医疗保健卡;因此,超过2/3的配药导致将药物登记在患者的药物记录中。
结论:两种工具的配对,这些是通知网格和药物记录,旨在最大限度地提高分配安全性,同时指导患者进行自我药疗。