Detecting and preventing adverse drug interactions: the potential contribution of computers in pharmacies |
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| Authors: | D M Kirking J W Thomas F J Ascione E L Boyd |
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| Institution: | 1. College of Pharmacy, School of Public Health, The University of Michigan, 109 Observatory Street, Ann Arbor, MI 48109, U.S.A.;2. Department of Medical Care Organization, School of Public Health, The University of Michigan, 109 Observatory Street, Ann Arbor, MI 48109, U.S.A.;1. Faculty of Pharmacy, Gomal University, DI Khan, KPK, Pakistan;2. Department of Pharmacy, Quaid-i- Azam University, Islamabad, Pakistan;3. University College of Pharmacy, University of the Punjab, Lahore, Pakistan;4. Department of Pharmacy, Hazara University, Havelian Campus, KPK Pakistan;1. School of Materials Science and Technology, Indian Institute of Technology, Banaras Hindu University, Varanasi 221005, India;2. Centre of Advanced Study in Botany, Faculty of Science, Banaras Hindu University, Varanasi 221005, India;3. Central Instrument Facility Centre, Dr. H.S.G. Central University, Sagar 470003, India;1. Institute of Transportation, Inner Mongolia University, Huhhot, China;2. Business School, University of Shanghai for Science and Technology, Shanghai, China;3. School of Mechanical Engineering, Beijing Institute of Technology, Beijing, China |
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| Abstract: | For patients taking two or more medications concurrently, interactions among the drugs can cause undesirable effects or negate desired responses. In modern pharmacy practice, an important role of the pharmacist is to detect potentially harmful interactions and take appropriate action to prevent their occurrence. Pharmacy computer systems offer potential for improving pharmacists' effectiveness in the detection and followup of drug interactions. Based on a survey of southern Michigan pharmacists, relationships between computer use and pharmacists' attitudes and activities in drug interaction monitoring were investigated. Respondents included users of two major computer systems as well as pharmacists who do not use computers. Results suggest that general statements cannot be made about the effect of computer use on drug interaction detection. Users of one of the two computer systems detected and followed up on interactions more frequently and were more likely to report improved knowledge of drug interactions than non-users. Frequencies of drug interaction detection and other related measures reported by users of the second computer system were similar to those for pharmacists not using computers. Computer system characteristics which might lead to these differences are discussed. |
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