The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study
Pharmacists report being less confident in their knowledge of direct acting oral anticoagulants (DOACs) than of vitamin K antagonists, which may influence their ability to detect and manage complications arising from DOAC use. In a mystery shopper study, patient agents were sent into community pharm...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/8/3/164 |
| _version_ | 1797554607388360704 |
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| author | Jonathon Ertl Leanne Chalmers Luke Bereznicki |
| author_facet | Jonathon Ertl Leanne Chalmers Luke Bereznicki |
| author_sort | Jonathon Ertl |
| collection | DOAJ |
| description | Pharmacists report being less confident in their knowledge of direct acting oral anticoagulants (DOACs) than of vitamin K antagonists, which may influence their ability to detect and manage complications arising from DOAC use. In a mystery shopper study, patient agents were sent into community pharmacies with symptom or product-related requests related to common complications that might arise during treatment with oral anticoagulants, with each visit being assessed for the preferred outcome. Only 10/41 (24.4%) visits resulted in the preferred outcome. A complete history-taking process, obtaining a medical history, patient characteristics and pharmacist involvement were strong predictors of the preferred outcome being achieved. The preferred outcome was not consistently achieved without pharmacist involvement. The potential for strategies that support comprehensive pharmacist involvement in over-the-counter requests should be considered to ensure the provision of optimal care to patients taking high-risk medications such as DOACs. |
| first_indexed | 2024-03-10T16:34:29Z |
| format | Article |
| id | doaj.art-00b34e6cc5ad43f8b8539110d0025056 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-10T16:34:29Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-00b34e6cc5ad43f8b8539110d00250562023-11-20T12:31:05ZengMDPI AGPharmacy2226-47872020-09-018316410.3390/pharmacy8030164The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper StudyJonathon Ertl0Leanne Chalmers1Luke Bereznicki2North West Regional Hospital, Burnie, TAS 7320, AustraliaSchool of Pharmacy and Biomedical Sciences, Curtin University, Bentley, WA 6102, AustraliaSchool of Pharmacy and Pharmacology, University of Tasmania, Hobart, TAS 7000, AustraliaPharmacists report being less confident in their knowledge of direct acting oral anticoagulants (DOACs) than of vitamin K antagonists, which may influence their ability to detect and manage complications arising from DOAC use. In a mystery shopper study, patient agents were sent into community pharmacies with symptom or product-related requests related to common complications that might arise during treatment with oral anticoagulants, with each visit being assessed for the preferred outcome. Only 10/41 (24.4%) visits resulted in the preferred outcome. A complete history-taking process, obtaining a medical history, patient characteristics and pharmacist involvement were strong predictors of the preferred outcome being achieved. The preferred outcome was not consistently achieved without pharmacist involvement. The potential for strategies that support comprehensive pharmacist involvement in over-the-counter requests should be considered to ensure the provision of optimal care to patients taking high-risk medications such as DOACs.https://www.mdpi.com/2226-4787/8/3/164direct oral anticoagulantpatient agentpharmacistpreferred outcomecommunity pharmacy |
| spellingShingle | Jonathon Ertl Leanne Chalmers Luke Bereznicki The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study Pharmacy direct oral anticoagulant patient agent pharmacist preferred outcome community pharmacy |
| title | The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study |
| title_full | The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study |
| title_fullStr | The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study |
| title_full_unstemmed | The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study |
| title_short | The Quality of Advice Provided by Pharmacists to Patients Taking Direct Oral Anticoagulants: A Mystery Shopper Study |
| title_sort | quality of advice provided by pharmacists to patients taking direct oral anticoagulants a mystery shopper study |
| topic | direct oral anticoagulant patient agent pharmacist preferred outcome community pharmacy |
| url | https://www.mdpi.com/2226-4787/8/3/164 |
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