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International Journal of Clinical Pharmacy

, Volume 34, Issue 1, pp 17–22 | Cite as

Assessment of a computerised decision support system for allergic rhino-conjunctivitis counselling in German pharmacy

  • Thilo BertscheEmail author
  • Markus Nachbar
  • Jonas Fiederling
  • Simon P. W. Schmitt
  • Jens Kaltschmidt
  • Hanna M. Seidling
  • Walter E. Haefeli
Short Research Report

Abstract

Objective In a prospective two-phase intervention study we evaluated a newly developed computerised pharmacy decision support system (PDSS) for the counselling of patients with allergic rhinitis and conjunctivitis. Method Community pharmacists were invited to counsel a virtual patient in a first interview. Immediately thereafter, we trained pharmacists to operate the PDSS, which they applied in a second patient interview immediately following the training. We assessed the completeness of mandatory questions asked as defined by national guidelines. Results Participating pharmacists (n = 50, 78% female, mean age 34 [IQR: 27–40] years, 8 [2–14.5] years of practical experience, 32% specialised in community pharmacy) asked considerably more mandatory questions to confirm appropriateness of self-medication with 7 (5.25–9; 78%) from 9 questions compared to 2 (1–3; 22%) without PDSS (median; P < 0.001). In particular, using the PDSS more than doubled mandatory questions (9/12, 6.25–10; 75% vs. 4/12, 3–5; 33%; P < 0.001) relevant for appropriate drug selection. Conclusion Pharmacists omitted many questions mandatory to assess whether self-medication is appropriate. Using the newly developed PDSS more than doubled the number of mandatory questions asked. The results suggest that the PDSS is ready for evaluation of its impact in real patients.

Keywords

Allergic rhinitis Clinical pharmacy Information systems Community pharmacy services Computer systems Conjunctivitis Decision support systems Drug information services Rhinitis 

Notes

Acknowledgments

We would like to thank all participating pharmacists and cooperating community pharmacies for their helpful support.

Funding

The University of Heidelberg (German Federal Country Baden-Württemberg), the University of Leipzig (German Federal Country Saxony), and a grant from the State Chamber of Pharmacists of Baden-Württemberg funded this work.

Conflicts of interest

All authors declare to have no conflicts of interest with regard to the content of this paper.

References

  1. 1.
    Upton MN, McConnachie A, McSharry C, et al. Intergenerational 20 year trends in the prevalence of asthma and hay fever in adults: the Midspan family study surveys of parents and offspring. BMJ. 2000;321:88–92.PubMedCrossRefGoogle Scholar
  2. 2.
    McNeill G, Tagiyeva N, Aucott L, Russell G, Helms PJ. Changes in the prevalence of asthma, eczema and hay fever in pre-pubertal children: a 40-year perspective. Paediatr Perinat Epidemiol. 2009;23:506–12.PubMedCrossRefGoogle Scholar
  3. 3.
    Schroeder A, Kumar R, Pongracic JA, et al. Food allergy is associated with an increased risk of asthma. Clin Exp Allergy. 2009;39:261–70.PubMedCrossRefGoogle Scholar
  4. 4.
    Alte D, Weitschies W, Ritter CA. Evaluation of consultation in community pharmacies with mystery shoppers. Ann Pharmacother. 2007;41:1023–30.PubMedCrossRefGoogle Scholar
  5. 5.
    Lamsam GD, Kropff MA. Community pharmacists’ assessments and recommendations for treatment in four case scenarios. Ann Pharmacother. 1998;32:409–16.PubMedCrossRefGoogle Scholar
  6. 6.
    Hines LE, Saverno KR, Warholak TL, Taylor A, Grizzle AJ, Murphy JE, Malone DC. Pharmacists’ awareness of clinical decision support in pharmacy information systems: an exploratory evaluation. Res Social Adm Pharm. 2011 (epub ahead of print).Google Scholar
  7. 7.
    Niquille A, Ruggli M, Buchmann M, Jordan D, Bugnon O. The nine-year sustained cost-containment impact of swiss pilot physicians-pharmacists quality circles. Ann Pharmacother. 2010;44:650–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Norris PT. Purchasing restricted medicines in New Zealand pharmacies: results from a “mystery shopper” study. Pharm World Sci. 2002;24:149–53.PubMedCrossRefGoogle Scholar
  9. 9.
    Puspitasari HP, Aslani P, Krass I. A review of counseling practices on prescription medicines in community pharmacies. Res Social Adm Pharm. 2009;5:197–210.PubMedCrossRefGoogle Scholar
  10. 10.
    Kritikos VS, Reddel HK, Bosnic-Anticevich SZ. Pharmacists’ perceptions of their role in asthma management and barriers to the provision of asthma services. Int J Pharm Pract. 2010;18:209–16.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Thilo Bertsche
    • 1
    • 2
    • 3
    Email author
  • Markus Nachbar
    • 2
  • Jonas Fiederling
    • 2
  • Simon P. W. Schmitt
    • 1
  • Jens Kaltschmidt
    • 1
  • Hanna M. Seidling
    • 1
    • 2
  • Walter E. Haefeli
    • 1
  1. 1.Department of Clinical Pharmacology and PharmacoepidemiologyUniversity of HeidelbergHeidelbergGermany
  2. 2.Cooperation Unit Clinical PharmacyUniversity of HeidelbergHeidelbergGermany
  3. 3.Department of Clinical Pharmacy, Institute of PharmacyUniversity of LeipzigLeipzigGermany

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