Table 4 Definition of causes associated with DRP
From: Drug-related problems in type 2 diabetes mellitus patients with dyslipidemia
Code | Primary domain | Code | Cause associated with DRP |
|---|---|---|---|
C1 | Drug/Dose selection | C1.1 | Inappropriate drug selection |
The cause of the DRP is related to the selection of the drug and/or dosage schedule | |||
C1.2 | Inappropriate dosage selection | ||
C1.3 | More cost effective drugs available | ||
C1.4 | Pharmacokinetic problems, incl. ageing/deterioration in organ function and interactions | ||
C1.5 | Synergistic/preventive drug required and not given | ||
C1.6 | Deterioration/improvement of disease state | ||
C1.7 | New symptom or indication revealed/presented | ||
C1.8 | Manifest side effect, no other cause | ||
C2 | Drug use process | C2.1 | Inappropriate timing of administration and/or dosing intervals |
The cause of the DRP can be related to the way the patient uses the drug, in spite of proper dosage instructions (on the label) | |||
C2.2 | Drug underused/under-administered | ||
C2.3 | Drug overused/over-administered | ||
C2.4 | Therapeutic drug level not monitored | ||
C2.5 | Drug abused (unregulated overuse) | ||
C2.6 | Patient unable to use drug/form as directed | ||
C3 | Information | C3.1 | Instructions for use/taking not known |
The cause of the DRP can be related to a lack or misinterpretation of information | |||
C3.2 | Patient unaware of reason for drug treatment | ||
C3.3 | Patients has difficulties reading patient information form/leaflet | ||
C3.4 | Patient unable to understand local language | ||
C3.5 | Lack of communication between healthcare professionals | ||
C4 | Patient/Psychological | C4.1 | Patient forgets to use/take drug |
The cause of the DRP can be related to the personality or behavior of the patient. | |||
C4.2 | Patient has concerns with drugs | ||
C4.3 | Patent suspects side-effect | ||
C4.4 | Patient unwilling to carry financial costs | ||
C4.5 | Patient unwilling to bother physician | ||
C4.6 | Patient unwilling to change drugs | ||
C4.7 | Patient unwilling to adapt life-style | ||
C4.8 | Burden of therapy | ||
C4.9 | Treatment not in line with health beliefs | ||
C4.10 | Patient takes food that interacts with drugs | ||
C5 | Logistics | C5.1 | Prescribed drug not available (anymore) |
The cause of the DRP can be related to the logistics of the prescribing or dispensing mechanism | |||
C5.2 | Prescribing error (only in case of slip of the pen) | ||
C5.3 | Dispensing error (wrong drug or dose dispensed) | ||
C5.1 | Prescribed drug not available (anymore) | ||
C6 | Others | C6.1 | Other cause, specify |
C6.2 | No obvious cause | ||
Total |