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Int J Clin Pharm. 2019 Apr 17. doi: 10.1007/s11096-019-00831-5. [Epub ahead of print]

Unavailable prescriptions at Danish community pharmacies: A descriptive study.

Author information

1
Hospital Pharmacy Funen, Odense University Hospital, Solfaldsvej 38, Entrance 208, 5000, Odense C, Denmark. carina.lundby.olesen@rsyd.dk.
2
OPEN, Odense Patient Data Explorative Network, Odense University Hospital, Odense C, Denmark. carina.lundby.olesen@rsyd.dk.
3
Clinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense C, Denmark. carina.lundby.olesen@rsyd.dk.
4
Social and Clinical Pharmacy, Department of Pharmacy, University of Copenhagen, Copenhagen Ø, Denmark.
5
Copenhagen Sønderbro Pharmacy, Copenhagen S, Denmark.
6
Hospital Pharmacy Funen, Odense University Hospital, Solfaldsvej 38, Entrance 208, 5000, Odense C, Denmark.
7
Clinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense C, Denmark.

Abstract

Background Handling of unavailable prescriptions, i.e. prescriptions missing on the online server, is considered troublesome and time-consuming by community pharmacy staff and may result in both patient dissatisfaction and non-compliance. Objective To describe the occurrence and reasons for unavailable prescriptions at Danish community pharmacies as well as the types of drugs involved. Method An online 11-item questionnaire was developed and distributed to 24 community pharmacies across Denmark which each collected data on unavailable prescriptions handled within a 3-week period. Results Out of 194,358 prescriptions dispensed during the study period, a total of 2765 (1.4%) unavailable prescriptions were registered. Of these, 51.1% (n = 1412) occurred when a patient expected a new prescription after having consulted a physician, most often the patient's general practitioner (75.6%; n = 1067). Of all unavailable prescriptions, 68.1% (n = 1882) concerned prescriptions on regular drugs for treatment of a chronic condition, with the patient not having any medication left in 27.9% (n = 526) of these cases. Unavailable prescriptions most frequently concerned cardiovascular drugs (15.8%; n = 437) followed by nervous system drugs (14.4%; n = 399). Conclusion Unavailable prescriptions occur in approximately 1% of all dispensing at Danish community pharmacies. Miscommunication between the patient and general practitioner seems to be the primary source of unavailable prescriptions.

KEYWORDS:

Community pharmacy; Drug prescription; Electronic prescribing; Missing prescription

PMID:
30997622
DOI:
10.1007/s11096-019-00831-5

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