National implementation of standards of practice for non-prescription medicines in Australia
In Australia, there are two categories of nonprescriptionmedicines: pharmacy medicines and pharmacistonly medicines. Standards were developed to defineand describe the professional activities required for theprovision of these medicines at a consistent and measurablelevel of practice. Objective Our objective was to implementnationally a quality improvement package in relation to theStandards of Practice for the Provision of Non-PrescriptionMedicines. Methods Approximately 50% of Australianpharmacies (n = 2,706) were randomly selected by localregistering authorities. Trained pharmacy educators auditedeach community pharmacy in the study three times,7 weeks apart on Standards of Practice for the Provision ofNon-Prescription Medicines, Visit 1 involved the educatorexplaining the project and conducting an assessment of thepharmacy?s level of compliance. Behaviour of communitypharmacists and their staff in relation to these standardswas measured by conducting pseudo-patron visits.Pseudopatron visits were conducted at Visit 2, with theeducator providing immediate feedback and coaching and acompliance assessment. Visit 3 involved a complianceassessment, and a second pseudo-patron visit for thosepharmacies that had performed poorly at the first visit.Results At Visit 1, the lowest levels of compliance were tothe standards relating to the documentation process (44%)and customer care and advice (46%). By Visit 2, more than80% of pharmacies had met most criteria. At Visit 3,compliance had significantly improved compared to Visits1 and 2 (P\0.001). The lowest levels of compliance wereto criteria which required written operating procedures forspecific tasks, but these also improved significantly overtime (P\0.001). Conclusions Professional practice inrelation to the handling of pharmacist only and pharmacymedicines improved considerably as measured by theauditing process, and the results indicate that Australianpharmacies are well-equipped to provide high quality serviceto consumers of these medicines. The acceptability ofnational implementation of these standards of practice inAustralia indicates that such an approach could be takeninternationally.
|Authors:||Benrimoj, Shalom ; Gilbert, Andrew Leigh ; de Almeida Neto, Abilio ; Kelly, Fiona|
|Subject:||Australia community pharmacist implementation non-prescription OTC quality improvement standards of practice training|
|Type of publication:||Article|
Pharmacy World and Science vol. 31, no. 2, pp. 230-237 0928-1231
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