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Table 3 Causes of DRPs according to the Pharmaceutical Care Network Europe (PCNE) classification system. In total, 548 DRPs were identified during the study period

From: Assessment of drug-related problems at the emergency department in older patients living with frailty: pharmacist-led medication reviews within a geriatric care team

Cause

n (%)

C1: Drug selection

394 (72)

 C1.1 Inappropriate drug according to guidelines

62 (11)

 C1.2 According to guidelines but contra-indicated

71 (13)

 C1.3 No indication for drug

139 (25)

 C1.4 Inappropriate combination of drug, or drugs and food

2 (0.4)

 C1.5 Inappropriate duplication of therapeutic group or active ingredient

10 (1.8)

 C1.6 No treatment for indication

75 (14)

 C1.7 Too many drugs for indication

35 (6.4)

C2: Drug form

0 (0)

 C2.1 Inappropriate drug form

0 (0)

C3: Dose selection

97 (18)

 C3.1 Drug dose too low

12 (2.2)

 C3.2 Drug dose too high

51 (9.3)

 C3.3 Dose not frequent enough

5 (0.9)

 C3.4 Dose too frequent

25 (4.6)

 C3.5 Dosing time is wrong, unclear or missing

4 (0.7)

C4: Treatment duration

31 (5.7)

 C4.1 Duration of treatment too short

0 (0)

 C4.2 Duration of treatment too long

31 (5.7)

C5: Dispensing

0 (0)

C6: Drug use

0 (0)

C7: Patient related

5 (0.9)

 C7.1 Patient takes less or none of the drug

3 (0.5)

 C7.8 Patient administered/uses drug in a wrong way

2 (0.4)

C8: Other causesa

21 (3.8)

 C8.1 No or inappropriate outcome monitoring (TDM)

7 (1.3)

 C8.2 Other cause

14 (2.6)

  1. Abbreviation: TDM therapeutic drug monitoring
  2. aThis category includes, among other causes, considering a fixed dose combination and allergy registration in the electronic patient management system