Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community Pharmacy for Emergency Repeat Medication Supply Service (PERMSS)

Early identification and treatment of malignant melanoma is crucial to prevent mortality. The aim of this work was to describe the uptake, profile of users and service outcomes of a mole scanning service in the community pharmacy setting in the UK. In addition, health care costs saved from the perspective of general practice were estimated. The service allowed patients to have concerning skin lesions scanned with a dermatoscopy device which were analyzed remotely by clinical dermatology specialists in order to provide recommendations for the patient. Patients were followed up to ascertain the clinical outcome. Data were analyzed for 6355 patients and 9881 scans across 50 community pharmacies. The majority of the scans required no further follow-up (n = 8763, 88.7%). Diagnosis was confirmed for 70.4% (n = 757/1118) of scans where patients were recommended to seek further medical attention. Of these, 44.3% were ultimately defined as normal (n = 335) and 6.2% as malignant melanoma (n = 47/757). An estimated 0.7% of scans taken as part of the service led to a confirmed diagnosis of malignant melanoma. This service evaluation has shown that a mole scanning service available within community pharmacies is effective at triaging patients and ultimately playing a part in identifying diagnoses of malignant melanoma.

Download Full-text

A service evaluation and stakeholder perspectives of an innovative digital minor illness referral service from NHS 111 to community pharmacy

PLoS ONE ◽

10.1371/journal.pone.0230343 ◽

2020 ◽

Vol 15 (3) ◽

pp. e0230343

Author(s):

Hamde Nazar ◽

Cerys Evans ◽

Nicole Kyei ◽

Laura Lindsey ◽

Zachariah Nazar ◽

...

Keyword(s):

Community Pharmacy ◽

Service Evaluation ◽

Stakeholder Perspectives ◽

Referral Service ◽

Minor Illness

Download Full-text

Implementation of a Pharmacogenomic Testing Service through Community Pharmacy in the Netherlands: Results from an Early Service Evaluation

Pharmacy ◽

10.3390/pharmacy9010038 ◽

2021 ◽

Vol 9 (1) ◽

pp. 38

Author(s):

Tracey Thornley ◽

Bernard Esquivel ◽

David J. Wright ◽

Hidde van den Dop ◽

Charlotte L. Kirkdale ◽

...

Keyword(s):

The Netherlands ◽

Community Pharmacy ◽

Service Evaluation ◽

Clinical Samples ◽

Potential Barriers ◽

Hospital Environments ◽

Medicines Use ◽

Test Outcomes ◽

Actionable Variants ◽

Selection Of

Community pharmacy services have evolved to include medical and pharmaceutical interventions alongside dispensing. While established pharmacogenomic (PGx) testing is available throughout the Netherlands, this is primarily based in hospital environments and for specialist medicines. The aim of this work was to describe how best to implement PGx services within community pharmacy, considering potential barriers and enablers to service delivery and how to address them. The service was implemented across a selection of community pharmacies in the Netherlands. Data were captured on test outcomes and through a pharmacist survey. Following testing, 17.8% of the clinical samples were recommended to avoid certain medication (based on their current medicines use), and 14.0% to have their dose adjusted. Pre-emptive analysis of genotyped patients showed that the majority (99.2%) had actionable variants. Pharmacists felt confident in their operational knowledge to deliver the service, but less so in applying that knowledge. Delivering the service was believed to improve relationships with other healthcare professionals. These results add to the evidence in understanding how PGx can be delivered effectively within the community pharmacy environment. Training pharmacists in how to respond to patient queries and make clinical recommendations may enhance service provision further.

Download Full-text

Implementation of pharmacogenomic testing service through community pharmacy in the Netherlands: results from an early service evaluation

10.22541/au.160458487.79474085/v1 ◽

2020 ◽

Author(s):

Tracey Thornley ◽

Bernard Esquivel ◽

David Wright ◽

Hidde van den Dop ◽

Charlotte Kirkdale ◽

...

Keyword(s):

The Netherlands ◽

Community Pharmacy ◽

Service Evaluation ◽

Testing Service

Download Full-text

Is a community pharmacy led weight management service effective? A mixed methods service evaluation

Appetite ◽

10.1016/j.appet.2014.12.179 ◽

2015 ◽

Vol 87 ◽

pp. 396

Author(s):

S. Smith ◽

A. Todd ◽

S. Whisson ◽

C. Summerbell

Keyword(s):

Mixed Methods ◽

Community Pharmacy ◽

Weight Management ◽

Service Evaluation ◽

Management Service ◽

Weight Management Service

Download Full-text

Comparative prevalence of prescription errors in randomly collected samples from hospital pharmacy and community pharmacy, Punjab, Pakistan

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2017.v03i03.18 ◽

2017 ◽

Vol 3 (3) ◽

pp. 350-353

Author(s):

Sabeeha Kausar ◽

Muhammad Imran

Keyword(s):

Patient Safety ◽

Community Pharmacy ◽

Hospital Pharmacy ◽

Dosage Form ◽

Physician Education ◽

Prescribing Errors ◽

Prescribing Practices ◽

Prescription Errors ◽

Dosing Frequency ◽

N 93

Objective: This study was conducted to analyze and evaluate the prevalence of prescription errors, to optimize the medication effectiveness and patient safety and to encourage the rational prescribing practices. Method: sample of 250 prescriptions was randomly collected from outdoor hospital pharmacy (n=157) and from community pharmacy (n=93) and analyzed manually to estimate the prevalence of prescription errors. Results: Results calculated by using SPPS Version 23 and MS Excel 2013 are as follow; 41.4% prescription collected from outdoor hospital pharmacy presented significant prescribing errors while 54.7% in sample collected from community pharmacy. The prescriptions were segregated and errors were estimated using following parameters; dose, dosage form, dosing frequency, drug-drug interactions, spelling, and duplication of generic, therapy duration and unnecessary drugs. Conclusion: The prevalence of prescribing errors in sample of community pharmacy was 12.37% greater than found in prescriptions of hospital pharmacy. The prevalence of prescription errors can be reduced by physician education, using automated prescribing systems and immediate review of prescription by pharmacist before dispensing of prescription items to patients.

Download Full-text