Evaluation Of Documentation Of Patient Medication Records In Community Pharmacies In Ilorin, Kwara State, Nigeria: A Before And After Study
Keywords:
Intervention, Documentation, Community pharmacy, Patient Medication Record (PMR)Abstract
Background: Documentation is said to be the heart of Pharmaceutical Care and without documentation, provision of Pharmaceutical Care is incomplete. Community pharmacies are the health care outlets that are closest to the community and provide a wide range of health care delivery services including Patient Medication Record (PMR). PMR’s primary purpose is to convey information for use in patient care. The objectives of the study were to assess the community pharmacists’ knowledge of PMR, evaluate documentation of PMR and provide intervention to improve documentation of PMR.
Method: The study was carried out in Ilorin, capital of Kwara State, Nigeria. Data was collected by use of pretested self-administered questionnaire distributed to forty two registered community pharmacies in Ilorin. The questionnaire was designed based on Royal Pharmaceutical Society of Great Britain (RPSGB) Clinical Governance Assessment. Intervention was carried out using seminar method to educate the community pharmacists on the importance of keeping PMR using a PMR tool (paper type) and encouraging them to do so. A post intervention study was carried at 2 weeks and 3 years after, to determine the impact of the intervention on the knowledge and usage of the PMR tool.
Result: Those that responded were 37 (88%). Twelve (32%) of the responding pharmacists had PMR form but only 10 (27%) entered information into it in pre intervention study. However at the 2 weeks post intervention study, 35 (94.6%) of them had PMR form and 24 (64.9%) actually used it while 32 (86.5%) had and 30 (81.1%) used the form 3 years post intervention. There was statistically significant difference between pre and post intervention studies on the use of PMR tool. There was no statistical significant difference between the 2 weeks and 3 years post intervention in having and using the PMR tool which implies that the intervention was sustained over a period of 3 years.
Conclusion: The intervention improved the documentation of patient medication record by community pharmacists in Ilorin and this was sustained over a period of 3 years.
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