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Table 4 Identified causes according to the Pharmaceutical Care Network Europe DRP classification tool V9.00

From: Identification and solution of drug-related problems in the neurology unit of a tertiary hospital in China

Primary domain

Cause of the problem

Total number = 281 (100.0%)

Drug selection C1

Inappropriate drug according to guidelines/formulary C1.1

33 (11.7)

 

Inappropriate drug (within guidelines but otherwise contraindicated) C1.2

16 (5.7)

 

No indication for drug C1.3

7 (2.5)

 

Inappropriate combination of drugs, or drugs and herbal medications, or drugs and dietary supplements C1.4

15 (5.3)

 

Inappropriate duplication of therapeutic group or active ingredient C1.5

14 (5.0)

 

No or incomplete drug treatment in spite of existing indication C1.6

25 (8.9)

 

Too many drugs prescribed for indication C1.7

14 (5.0)

Drug form C2

Inappropriate drug form (for this patient) C2.1

13 (4.6)

Dose selection C3

Drug dose too low C3.1

8 (2.8)

 

Drug dose too high C3.2

33 (11.7)

 

Dosage regimen not frequent enough C3.3

7 (2.5)

 

Dosage regimen too frequent C3.4

37 (13.2)

 

Dose timing instructions wrong, unclear or missing C3.5

25 (8.9)

Treatment duration C4

Duration of treatment too short C4.1

1 (0.4)

 

Duration of treatment too long C4.2

1 (0.4)

Drug use process C6

Inappropriate timing of administration and/or dosing intervals C6.1

1 (0.4)

Patient related C7

Patient uses/takes more drug than prescribed C7.2

1 (0.4)

 

Inappropriate timing or dosing intervals C7.7

13 (4.6)

 

Patient administers/uses the drug in a wrong way C7.8

1 (0.4)

 

Patient unable to use drug/form as directed C7.9

1 (0.4)

Patient transfer related C8

No medication reconciliation at patient transfer C8.1

2 (0.7)

 

No updated medication list available C8.2

1 (0.4)

 

Discharge/transfer information about medication incomplete or missing C8.3

2 (0.7)

 

Patient has not received necessary medication at discharge from hospital or clinic C8.5

1 (0.4)

Other C9

Other cause; specify C9.2

9 (3.2)

  1. Abbreviations: C cause