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Original Article
두 지역약국에서의 약물 관련 문제와 약사 처방중재 활동
Drug-related Problems and Pharmacist-led Prescription Interventions in Two Community Pharmacies
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- 발행기관
- 한국임상약학회 바로가기
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- 간행물
- 한국임상약학회지 KCI 등재 바로가기
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- 통권
- 제36권 제3호 (2026.09)바로가기
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- 페이지
- pp.150-161
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- 저자
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- 언어
- 한국어(KOR)
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- URL
- https://www.earticle.net/Article/A493025
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4,300원
원문정보
초록
- 영어
- Background: Community pharmacists serve as an important checkpoint in the medication-use process by identifying and managing drug-related problems (DRPs). This study evaluated the causes and severity of DRPs and the acceptance rate of pharmacist interventions in community pharmacy practice. Methods: This retrospective observational study was conducted in two Korean community pharmacies with different practice settings. Prescriptions requiring pharmacist interventions during a 4-week period were reviewed. DRPs were classified using the Pharmaceutical Care Network Europe (PCNE) classification v9.1, and severity was assessed using the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) index. Results: Among 7,324 prescriptions, 420 (5.73%) required pharmacist interventions, with 426 DRPs identified. Most DRPs originated from prescribing and drug selection (72.07%), particularly therapeutic duplication (52.82%). Dispensing-related causes were mainly associated with drug shortages, whereas patient-related factors included intentional non-adherence. Overall, 85.71% of interventions were accepted and fully implemented, and 86.67% of DRPs were classified as totally solved. Differences in intervention patterns were observed between pharmacies, with more prescriber-level interventions in the hospital-adjacent setting and more patient counseling in the clinic-based setting. Most cases were classified as NCC MERP Category C (97.86%), indicating that errors reached the patient without causing harm. Conclusion: The findings demonstrate the role of community pharmacists in identifying and managing DRPs in routine practice. They also suggest the need for improved integration of prescribing information and expanded access to patient clinical data to support pharmacist-led management of DRPs.
목차
ABSTRACT
방법
연구 설계 및 자료수집
약물 관련 문제의 분류 및 평가
통계분석
결과
두 약국 환자군의 특성
PCNE 분류 체계에 따른 분류 결과
고찰
결론
감사의 말씀
이해 상충
연구윤리
References
Supplementary Table
키워드
Community pharmacy drug-related problems medication safety PCNE classification pharmacist intervention저자
간행물 정보
발행기관
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- 발행기관명
- 한국임상약학회 [Korean College of Clinical Pharmacy]
- 설립연도
- 1
- 분야
- 의약학>약학
- 소개
- 합리적 약물치료(rational pharmacotherapy)의 보장 및 증진을 궁극목적으로 하며 이를 달성하기 위해 임상약학의 발전과 회원 상호간의 친목을 도모한다.
간행물
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- 간행물명
- 한국임상약학회지 [Korean Journal of Clinical Pharmacy]
- 간기
- 계간
- pISSN
- 1226-6051
- 수록기간
- 1991~2026
- 등재여부
- KCI 등재
- 십진분류
- KDC 518 DDC 615
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