Problems |
Problems |
|
P1 |
Treatment effectiveness |
282(53.71%) |
P1.1 |
No effect of drug treatment |
51(9.71%) |
P1.2 |
Effect of drug treatment not optimal |
158(30.10%) |
P1.3 |
Untreated symptoms or indication |
73(13.90%) |
P2 |
Treatment safety |
178(33.90%) |
P2.1 |
Adverse drug event (possibly) occurring |
178(33.90%) |
P3 |
Other |
65(12.38%) |
P3.1 |
Problem with cost-effectiveness of the treatment |
14(2.67%) |
P3.2 |
Unnecessary drug-treatment |
51(9.71%) |
Causes |
Causes |
|
C1 |
Drug selection |
375(71.43%) |
C1.1 |
Inappropriate drug according to guidelines/formulary |
34(6.48%) |
C1.2 |
Inappropriate drug (within guidelines but otherwise
contra-indicated) |
106(20.19%) |
C1.3 |
No indication for drug |
26(4.95%) |
C1.4 |
Inappropriate combination of drugs, or drugs and herbal
medications, or drugs and dietary supplements |
30(5.71%) |
C1.5 |
Inappropriate duplication of therapeutic group or active
ingredient |
34(6.48%) |
C1.6 |
No
or incomplete drug treatment in spite of existing indication |
145(27.62%) |
C2 |
Drug form |
23(4.38%) |
C2.1 |
Inappropriate drug form (for this patient) |
23(4.38%) |
C3 |
Dose selection |
108(20.57%) |
C3.1 |
Drug dose too low |
38(7.24%) |
C3.2 |
Drug dose too high |
29(5.52%) |
C3.3 |
Dosage regimen not frequent enough |
17(3.24%) |
C3.4 |
Dosage regimen too frequent |
13(2.48%) |
C3.5 |
Dose timing instructions wrong, unclear or missing |
11(2.10%) |
C4 |
Treatment duration |
19(3.62%) |
C4.2 |
Duration of treatment too long |
19(3.62%) |
Planned interventions |
Planned interventions |
|
I1 |
At prescriber level |
525 |
I1.2 |
Prescriber asked for information |
6(1.14%) |
I1.3 |
Intervention proposed to prescriber |
505(96.19%) |
I1.4 |
Intervention discussed with prescriber |
14(2.67) |
I3 |
At drug level |
525 |
I3.1 |
Drug changed to |
256(48.76%) |
I3.2 |
Dosage changed to |
130(24.76%) |
I3.3 |
Formulation changed to |
8(1.52%) |
I3.4 |
Instructions for use changed to |
12(2.29%) |
I3.5 |
Drug paused or stopped |
58(11.05%) |
I3.6 |
Drug started |
61(11.62%) |
Intervention Acceptance |
Intervention Acceptance |
|
A1 |
Intervention accepted |
485(92.38%) |
A1.1 |
Intervention accepted and fully implemented |
475(90.48%) |
A1.3 |
Intervention accepted but not implemented |
10(1.90%) |
A2 |
Intervention not accepted |
40(7.62%) |
A2.2 |
Intervention not accepted: no agreement |
26(4.95%) |
A2.3 |
Intervention not accepted: other reason (specify) |
14(2.67%) |