Effects of a training program on the practices of hospital pharmacy residents in the field of prescription analysis

Authors

  • C. Planus Department of Pharmacy, Croix Rousse Teaching Hospital, Lyon, France
  • B. Charpiat Department of Pharmacy, Centre Hospitalier- Universitaire de Grenoble, Grenoble, France
  • N. Calop Department of Pharmacy, Centre Hospitalier- Universitaire de Grenoble, Grenoble, France
  • B. Allenet Department of Pharmacy, Centre Hospitalier- Universitaire de Grenoble, Grenoble, France and Laboratoire ThEMAS TIMC UMR CNRS 5225, Universite Joseph Fourier, Grenoble, France

Keywords:

Resident, training program, impact, evaluation, performance

Abstract

The objective of the research was to evaluate the impact of a training program on pharmacy residents’ performance in the field of prescription analysis. A before-and-after study was conducted. The criteria for assessing the level of performance were the type and frequency of interventions. Before the training program, 279 pharmaceutical opinions were given (6.3% of 4458 prescriptions) versus 330 (12.1% of 2731 prescription) after the training program. Findings showed a significant improvement after the training in the fields of non-conformity to guidelines or contra-indication (0.3 vs. 0.9%), untreated indication (0.02 vs. 1.2%), overdosage (2.1 vs. 3.9%), drug interaction (2.2 vs. 3%) improper administration (1.1 vs. 2.1%) and failure to receive drug (0.07 vs. 0.5%). Insufficient analysis persisted for parenteral nutrition, drug interactions and physicochemical incompatibilities. Behaviour may have been a factor in this failure, as residents did not systematically refer to documentary tools. Methods to assess behaviour would be useful as a future research project.

References

Abel, S. R. (2004). Assuring ractice competency for students supervised by practitioners. Pharmacy Education, 4, 109–110.

Allenet, B., Bedouch, P., Brudieu, E., Chen, C., Chevrot, D., Tessier, A., Trivin, C., Rousseau, A., Colle, E., & Calop, J. (2004). Physicians’ acceptance of pharmacy residents’ rec- ommendations on drug therapy. Pharmacy Education, 4, 63–67.

Anonymous (1994). Confe ́rence de consensus. Nutrition artificielle pe ́riope ́ratoire en chirurgie programme ́e de l’adulte. Ann Fr Anesth Re ́anim, 14(Suppl2), 1–135.

Anonymous. Nutrition de l’agresse ́. Agence Nationale d’Accre ́dita- tion et d’Evaluation en Sante ́ et la Socie ́te ́ Francophone de Nutrition Ente ́rale et Parente ́rale. Confe ́rence de consensus, 23 octobre 1997. Institut Gustave Roussy, 94800 Villejui (1997).

ASHP (1994). Accreditation standard for specialized pharmacy residency training (with guide to interpretation). American Journal of Hospital Pharmacy, 51, 2034–2041.

Aslani, P., Bosnic-Anticevich, S., Sainsbury, E., Koo, M., Roberts, A., & Krass, I. (2002). The 12th international social pharmacy workshop: A report of the teachers’ workshop held in Sidney, Australia. Pharmacy Education, 2, 213–219.

Bonal, J. F. (2000). Clinical pharmacy in inpatient care. Pharmacotherapy, 20, 264S–272S.

Broclain, D., Mura, P., Nivet-Carre ́, D., Barbot, J., Nory, F., & Bardelay, G. (1998). Quasi-experimental study on the effective- ness of the Reader’s Test in the medical journal La Revue Prescrire. J. Contin. Educ. Health Pro, 18, 47–57.

Calop, N., Allenet, B., Calop, J., & Figari, G. (2002). The effect of continuous education on the professional practice of French community pharmacists. Pharmacy Education, 2, 185–190.

Charpiat, B., Macchi-Andanson, M., Perquin, S., Leboucher, G., & Brandon, M. T. (2003). Mesure de la performance d’internes en pharmacie: Application a` l’analyse des prescriptions et au bon usage des me ́dicaments. J. Pharm. Clin., 22, 215–220.

Chauvet, C., Leboucher, G., Charpiat, B., Mahoudo, L., Decieux, B., Laisney, M., & Brandon, M. T. (1998). Le classeur pharmacie dans unite de soins: définition et stratégie d’implantation. Le Pharmacien Hospitalier, 33, 29–35.

Chiffoleau, A., Veyrac, G., Dudouet, D., Miremont, G., Merle, L., David-Laroche, M., Bourin, M., & Jolliet, P. (2003). Tramadol et anticoagulants oraux: Interactions ou facteurs confondants? The ́rapie, 58, 471–474.

Conort, O., Bedouch, P., Juste, M., Augereau, L., Charpiat, B., Roubille, R., & Allenet, B. (2004). Validation d’un outil de codification des interventions de pharmacie clinique. J. Pharm. Clin., 23, 141–147.

Davies, J. G., Webb, D. G., McRobbie, D., & Bates, I. (2002). A competency-based approach to fitness for practice. The Pharmaceutical Journal, 268, 104–106.

Goldsmith, G. M., Bates, I. P., Davies, J. G., McRobbie, D., & Webb, D. G. (2003). A pilot study to evaluate clinical competence in junior grade practitioners. Pharmacy Education, 3, 127–134.

Lanoir, D., Chambrier, C., Colin, C., Vergnon, P., & Bouletreau, P. (1996). Perioperative artificial nutrition in elective surgery. A descriptive study of practice patterns in France. Ann Fr Anesth Reanim, 15(2), 149–156.

Lanoir, D., Chambrier, C., Vergnon, P., Meynaud-Kraemer, L.,

Wilkinson, J., Mcpherson, K. et al., (1998). Perioperative artificial nutrition in elective surgery: An impact study of French guidelines. Clinical Nutrition, 17, 153–157.

Leape, L. L., Cullen, D. J., Clapp, M. D., Burdick, E., Demonaco, H. J., Erickson, J. I., & Bates, D. W. (1999). Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Journal of American Medical Association, 282, 276 – 270.

Martindale, The complete drug reference. [CD-ROM] Micro- medex Inc (1974/2001), 110.

Mills, E., Farmer, D., Bates, I., Davies, G., Webb, D., & McRobbie, D. (2005). Development of an evidence-led competency framework for primary care and community pharmacists. The Pharmaceutical Journal, 275, 48–52.

National Advisory Group on Standards and Practice Guidelines for Parenteral Nutrition (1998). Safe practices for parenteral nutrition formulations. Journal of Parenteral and Enteral Nutri- tion, 22, 49–66.

Pubmed. Available: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi (accessed May 2005).

Sabbe, J. R., Sims, P. J., & Sims, M. H. (1998). Tramadol-warfarin interaction. Pharmacotherapy, 18, 871–873.

Scher, M. L., Huntington, N. H., & Vitillo, J. A. (1997). Potential interaction between tramadol and warfarin. Annals of Pharmacotherapy, 31, 646–647.

Schmitt, E. (1999). Le risque infectieux nosocomial. Circuit hospitalier du me ́dicament et qualite ́ des soins. Paris: Masson Ed.

Shankar Ravi, P., Mishra, P., Shenoy, N., & Partha, P. (2003). Importance of transferable skills in pharmacology. Pharmacy Education, 3, 97–101.

Theriaque. Available: http://www.theriaque.org (accessed March 2005).

Trissel, L. A. (1994). Handbook on injectable drugs, 8th ed. Bethesda Wisconsin: ASHP.

Weideman, R. A., Berstein, I. A., & McKinney, W. P. (1999). Pharmacist recognition of potential drug interactions. American Journal of Health-System Pharmacy, 56, 1524–1529.

Downloads

How to Cite

Planus, C., Charpiat, B., Calop, N., & Allenet, B. (2018). Effects of a training program on the practices of hospital pharmacy residents in the field of prescription analysis. Pharmacy Education, 7(2). Retrieved from https://pharmacyeducation.fip.org/pharmacyeducation/article/view/142

Issue

Section

Research Article