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The quality of advice provided by pharmacists to patients taking direct oral anticoagulants: A mystery shopper study

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Ertl, J, Chalmers, L and Bereznicki, L ORCID: 0000-0003-3974-3437 2020 , 'The quality of advice provided by pharmacists to patients taking direct oral anticoagulants: A mystery shopper study' , Pharmacy, vol. 8, no. 3 , pp. 1-10 , doi: 10.3390/pharmacy8030164.

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Abstract

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.

Item Type: Article
Authors/Creators:Ertl, J and Chalmers, L and Bereznicki, L
Keywords: direct oral anticoagulant, patient agent, pharmacist, preferred outcome, community pharmacy
Journal or Publication Title: Pharmacy
Publisher: MDPI AG
ISSN: 2226-4787
DOI / ID Number: 10.3390/pharmacy8030164
Copyright Information:

Copyright 2020 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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