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Application of Drug-Related Problem (DRP) classification systems – a review of the literature Benjamin J Basger, Rebekah J Moles, Timothy F Chen. The University of Sydney, Sydney, Australia Corresponding author Benjamin J Basger [email protected] Supplementary tables 1-3 with references. References for text tables 1 and 2 are included in these references. Supplementary table 1 Full electronic search strategy Medline Searche s Results Search Type 1 drug related problems.mp. 690 2 drug therapy problems.mp. 76 3 DRPs.mp. 261 4 medication related problems.mp. 200 5 medicine related problems.mp. 12 6 therapy related problems.mp. 5 7 medication management problems.mp. 10 8 1 or 2 or 3 or 4 or 5 or 6 or 7 1104 9 Substance-Related Disorders/ 76663 10 8 not 9 941 11 limit 10 to (english language and humans and yr=”2000-Current and journal article) 584 Embase No. Query Results 1 ‘drug related problems’ AND [embase]/lim 1196 2 ‘drps’ AND [embase]/lim 383 3 ‘drug therapy problems’ AND [embase]/lim 111 4 ‘medication related problems’ AND [embase]/lim 245 5 ‘medicine related problems’ AND [embase]/lim 24 6 ‘therapy related problems’ AND [embase]/lim 7 7 ‘medication management problems’ AND [embase]/lim 7 8 1 or 2 or 3 or 4 or 5 or 6 or 7 AND [embase]/lim 1683 9 substance AND ‘abuse’/exp AND [embase]/lim 40,259 10 8 NOT 9 1602 11 10 AND [humans]/lim AND [English]/lim AND [embase]/lim AND [2000-2014]/py 921 IPA Searche s Results Search type 1 drug related problems.mp. 716 2 DRPs.mp. 142 3 drug therapy problems.mp 129

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Page 1: link.springer.com · Web viewInappropriate drug storage, use of expired drugs, lack of follow-up visit, wrong drug taken, health literacy poor, uncoordinated care, multiple pharmacies,

Application of Drug-Related Problem (DRP) classification systems – a review of the literature

Benjamin J Basger, Rebekah J Moles, Timothy F Chen. The University of Sydney, Sydney, Australia

Corresponding author Benjamin J Basger [email protected]

Supplementary tables 1-3 with references. References for text tables 1 and 2 are included in these references.

Supplementary table 1 Full electronic search strategyMedline Searches Results Search Type1 drug related problems.mp. 6902 drug therapy problems.mp. 763 DRPs.mp. 2614 medication related problems.mp. 2005 medicine related problems.mp. 126 therapy related problems.mp. 57 medication management problems.mp. 108 1 or 2 or 3 or 4 or 5 or 6 or 7 11049 Substance-Related Disorders/ 7666310 8 not 9 94111 limit 10 to (english language and humans and yr=”2000-Current and

journal article) 584

EmbaseNo. Query Results1 ‘drug related problems’ AND [embase]/lim 11962 ‘drps’ AND [embase]/lim 3833 ‘drug therapy problems’ AND [embase]/lim 1114 ‘medication related problems’ AND [embase]/lim 2455 ‘medicine related problems’ AND [embase]/lim 246 ‘therapy related problems’ AND [embase]/lim 77 ‘medication management problems’ AND [embase]/lim 78 1 or 2 or 3 or 4 or 5 or 6 or 7 AND [embase]/lim 16839 substance AND ‘abuse’/exp AND [embase]/lim 40,25910 8 NOT 9 160211 10 AND [humans]/lim AND [English]/lim AND [embase]/lim AND

[2000-2014]/py921

IPASearches Results Search type1 drug related problems.mp. 7162 DRPs.mp. 1423 drug therapy problems.mp 1294 medication related problems.mp. 2025 medicine related problems.mp. 96 therapy related problems.mp. 127 medication management problems.mp. 78 1 or 2 or 3 or 4 or 5 or 6 or 7 10609 substance abuse.mp. 64710 8 not 9 105811 limit 10 to (english language and human and yr= “2000/01/01-

Current”) 301

Pubmed1 “drug related problems” or “drug related problems drps” OR “drug

related problems mrp” 758

2 “drug therapy problems” 783 “medication related problems” 2074 “medicine related problems” 145 “therapy related problems” 6

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6 “medication management problems” 97 1 OR 4 OR 5 OR 6 OR 7 OR 8 10498 “substance abuse” 38,7259 9 NOT 10 99210 Journal article; Publication date from 2000/01/01 to 2013/07/31;

Humans; English560

Cinahl1 “drug related problems” 1942 “DRPs” 373 “drug therapy problems” 94 “medication related problems” 705 “medicine related problems” 36 “therapy related problems” 07 “medication management problems” 58 1 OR 2 OR 3 OR 4 OR 5 OR 6 OR 7 2839 “Substance abuse” 32,42610 8 NOT 9 24511 English language; Published Date from 20000101-20130731 120

Supplementary table 2 Categories identified as causes of DRPs or DRPsCategory descriptions used in this study

Other terms used by studies mapped to these category descriptions

Additional therapy required Insufficient therapy, condition not adequately treated, condition under-treated, require synergistic therapy, additional pharmacotherapy required, need for additional drug

Adverse drug reaction Side effect, adverse drug event, adverse effect, undesirable reaction, adverse event, adverse reaction

Contraindication Precaution (with use)Dose too high Over-dosage, drug overdose, Dose too low Under-dose, sub-therapeutic dose, sub-optimal dose, condition

undertreatedDrug interaction actual/potential Inappropriate drug combinationDrug without indication Unknown indication, unnecessary therapy, no clear indication,

drug not needed, overmedication, no indication, (no indication due to) duplication, therapy not needed, no indication apparent, too many drugs prescribed for indication, no valid indication, unnecessary drug

Duration of therapy too long No further need for therapy, expired indication, lack of discontinuation, unnecessary drug 1, incorrect or unclear dosing instructions 2

Duration of therapy too short Drug ceased due to transcription error, drug discontinued (inappropriately), incorrect or unclear dosing instructions 2

Failure to receive drug Drug unavailable, drug not on market, funding endorsement unavailable, other drug selection problem 2, drug product not available, non-formulary prescribing, drug unobtainable

Illegible/unclear documentation Medical record discrepancy, incomplete record of drug order, drug order incorrect, poorly legible order, prescribing error (necessary information missing) 3, transferring error, printout does not match prescription, drug order differs from previous order

Inappropriate dosage regimen Inappropriate administration, inappropriate timing of administration, improper dosage, inappropriate dosing intervals, suboptimal dosing scheme, incorrect administration, inappropriate time for drug intake, wrong dosage interval, improper drug use by patient, suboptimal drug use, drugs administered by the patient 1

Inappropriate drug selection Drug choice problem, non-optimal drug, sub-optimal drug, wrong drug, unsuitable drug, needs different drug product, improper drug selection, ineffective drug, safer alternative available, unsafe drug, safer drug product required, inappropriate drug choice, refractoriness, medicine ineffectiveness, lack of effectiveness

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Inappropriate self diagnosis Referral requiredMedication management problems Inappropriate drug storage, use of expired drugs, lack of follow-up

visit, wrong drug taken, health literacy poor, uncoordinated care, multiple pharmacies, multiple prescribers, no recognition of the professional help available in Australian pharmacies, drugs taken unbeknown to GP, simplification of drug therapy, rationalisation of therapy, use of combination therapy, formulary interchange, generic substitution, more affordable alternative available, generic alternative preferred, formulary alternative

Monitoring required Need for monitoring, monitoring absent, monitoring issues, needs additional monitoring, lack of monitoring, monitoring needed

More effective therapy available Effect of drug not optimal, drug not effective, drug not the most effective

Non adherence Not taken as prescribed, non-compliance, inappropriate adherence, drug under administered, drug underused, taking too little, erratic drug use 2, patient forgot to take, administration not ideal or correct, misunderstood directions, drugs administered by patient 1, could not afford, patient unwilling/unable to take drug therapy, access difficulty, other drug selection problem 2

Non-optimal dose Inappropriate dose, dosing concerns, incorrect strength Other Unidentified cause, other cause, miscellaneous cause, no obvious

cause, not classifiable Patient requests information/information provided

Patient requests drug information, patient requests disease management advice, other education or information problem 2, other 3, requires drug therapy education

Patient unwilling/unable to take medicine

Patient unable to use drug, confusion of generic and trade names, patient insecure due to generic substitution, poor administration technique, practical problems 4, fear of adverse effects, non-formulary prescribing

Poor disease state knowledge Poor disease state management knowledge, lifestyle issues, lack of knowledge

Prescribing error Wrong drug prescribedSelf care not appropriate Product misuse, inappropriate product requestTherapy failure Refractoriness, medicine ineffectiveness, lack of effectivenessUncertain of purpose of medicine Uncertainty about the aim of the drug 4

Untreated indication Need for primary prevention, drug indicated, drugs missing, no drug order for a medical condition, therapy omitted, unfulfilled indication, not receiving the medicine needed, untreated condition, indication without drug, other 1, missing therapy

1 As defined by Ruths, Viktil and Blix [1] 2 As defined by Williams et al. [2]3As defined by PCNE version 6 [3]4 As defined by Westerlund [4]

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Supplementary table 3 Data extracted from 268 articles Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

APS-Doc [5] Hohmann et al. [6] 2012 Germany

Descriptive 10 problem 48 sub- problem

Hospital Inpatients

70.7 53.5 1.8 155 Unstated 4.8 Medication and medical record and interview

Yes

APS-Doc [5] Hohmann et al. [5] 2012 Germany

Case series post-test

10 problem 48 sub- problem

Hospital Inpatients, Emergency department

67.8 53.5 2.6 350 Unstated 5.3 Medical and medication record

Yes

Cipolle et al. [7]

De Oliveira et al. [8] 2010 USA

Case series post-test retrospective

7 problem Medicine or outpatient clinic

Unstated 24.1 4.3 9068 6.8 12.4 Medication and medical record and interview

Yes

Cipolle et al. [7]

de Sa Borges et al. [9] 2010 Brazil

Case series post-test

7 problem Medicine or outpatient clinic

69.4 39.4 4.3 40 Unstated Unstated Medication and medical record and interview

Unstated

Cipolle et al. [7]

Gillespie et al. [10] 2009 Sweden

Randomised Controlled Trial

7 problem Hospital Inpatients

86.4 42.3 2.6 182 Unstated 8.7 Medical and medication record

Yes

Cipolle et al. [7]

Hall and Pater [11] 2011 USA

Case series post-test

7 problem Medicine or outpatient clinic

57 36.8 2.5 68 5 10 Medication and medical record and interview

No

Cipolle et al. [7]

Harris et al. [12] 2009 USA

Case series post-test

7 problem Medicine or outpatient clinic

Unstated 26 2.7 92 Unstated 3.9 Medication and medical record and

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

interviewCipolle et al. [7]

Harrison et al. [13] 2012 Canada

Concurrent control

7 problem Medicine or outpatient clinic

Unstated 56 1 43 Unstated Unstated Medication and medical record and interview

Yes

Cipolle et al. [7]

Isetts et al. [14] 2003 USA

Case series post-test

7 problem Medicine or outpatient clinic

Unstated 24 Unstated/unable to calculate

15 6.2 8.3 Medication and medical record and interview

Yes

Cipolle et al. [7]

Isetts et al. [15] 2008 USA

Historical control

7 problem Medicine or outpatient clinic

Unstated 34 2.2 285 6.4 7.9 Medication and medical record and interview

Yes

Cipolle et al. [7]

Isetts et al. [16] 2012 USA

Case series post-test

7 problem Medicine or outpatient clinic, Hospital Inpatients

Unstated 40 5 823 6.4 Unstated Medication and medical record and interview

Yes

Cipolle et al. [7]

Mekonnen et al. [17] 2013 Ethiopia

Case series post-test

7 problem Hospital Inpatients

38 33.3 0.5 300 Unstated Unstated Medical and medication record

Yes

Cipolle et al. [7]

Milos et al. [18] 2013 Sweden

Randomised Controlled Trial

7 problem Medicine or outpatient clinic

87 24.2 2.5 182 Unstated 11.4 Medical and medication record

Yes

Cipolle et al. [7]

Nicholas et al. [19] 2007 USA

Descriptive 7 problem Medicine or outpatient clinic

Unstated Unstated 0.6 200 Unstated Unstated Interview Unstated

Cipolle et al. [7]

Ross and Bloodworth

Case series post-test

7 problem Community Pharmacy

53 23.6 3.1 468 6.3 8.3 Medication and

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

[20] 2012 USA

medical record and interview

Cipolle et al. [7]

Strand et al. [21] 2004 USA

Descriptive Retrospective

7 problem Home Medicines Review

Unstated 33 3.3 2985 6 5.5 Medication and medical record and interview

Yes

Cipolle et al. [7]

Stratton et al. [22] 2012 USA

Descriptive 7 problem Medicine or outpatient clinic

56 46 7.2 68 8 10 Medication and medical record and interview

Yes

Cipolle et al. [7]

Wermeille et al. [23] 2004 Scotland

Interrupted time series

7 problem Community Pharmacy

64.7 52 Unstated/unable to calculate

62 Unstated Unstated Medication and medical record and interview

Yes

Cipolle et al. [7]

Westberg and Sorensen [24] 2005 USA

Case series post-test

7 problem Medicine or outpatient clinic

Unstated 47.3 2 91 Unstated Unstated Medication and medical record and interview

Unstated

DOCUMENT [2]

Hussainy et al. [25] 2011 Australia

Case series post-test

8 problem 30 sub- problem

Medicine or outpatient clinic

Unstated Unstated 2.5 46 Unstated Unstated Medication and medical record and interview

Yes

DOCUMENT [2]

Williams et al. [2] 2011 Australia

Case series post-test

8 problem 30 sub- problem

Community Pharmacy

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medication record and Interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

DOCUMENT [2]

Williams et al. [26] 2012 Australia

Case series post-test

8 problem 30 sub- problem

Community Pharmacy

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medication record and Interview

Unstated

Grenada [27] Armando et al. [28] 2001 Argentina

Case series post-test

6 problem Community Pharmacy

Unstated Unstated 0.6 129 Unstated Unstated Medication record and Interview

Yes

Grenada [27] Baena et.al.[29] 2006 Spain

Descriptive 6 problem Emergency department

42 51.4 Unstated/unable to calculate

2261 Unstated 1.7 Medical record and interview

Yes

Grenada [27] Barbero Gonzalez [30] 2001 Spain

Case series post-test

6 problem Community Pharmacy

56.9 36.5 Unstated/unable to calculate

127 Unstated Unstated Medication record

Unstated

Grenada [27] Barris and Faus [31] 2003 Malaga

Descriptive 6 problem 4 cause

Community Pharmacy

Unstated Unstated 0.8 56 Unstated Unstated Medication record and Interview

Unstated

Grenada [27] Castro et al. [32] 2013 Spain

Descriptive 6 problem Emergency department

54.3 45.7 0.4 588 Unstated 3.6 Medication and medical record and interview

Yes

Grenada [27] Costa et al.[33] 2004 Portugal

Descriptive 6 problem Community Pharmacy

Unstated Unstated 3.5 396 Unstated Unstated Interview Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Grenada [27] de Almeida Nascimento et al. [34] 2011 Brazil

Descriptive 6 problem Community Pharmacy

56.7 34 3 97 Unstated Unstated Unstated Unstated

Grenada [27] de Almeida Nascimento et al.[35] 2009 Brazil

Case series post-test

6 problem 10 cause

Community Pharmacy

56.7 34 4 97 4 4 Medication record and Interview

Unstated

Grenada [27] Escutia Gutierrez et al. [36] 2007 Mexico

Descriptive 6 problem Home Medicines Review

Unstated Unstated Unstated/unable to calculate

9 Unstated Unstated Medication and medical record and interview

Unstated

Grenada [27] Fornos et al. [37] 2006 Spain

Case series post-test

6 problem Community Pharmacy

62.4 43 2.7 112 Unstated Unstated Medication record and Interview

Yes

Grenada [27] Garcao and Cabrita [38] 2002 Portugal

Case series post-test

6 problem Community Pharmacy

66.5 34.1 0.8 42 Unstated Unstated Medication and medical record and interview

No

Grenada [27] Garcia Caudevilla et al. [39] 2002 Spain

Case series post-test

6 problem Community Pharmacy

Unstated Unstated 1 592 Unstated Unstated Unstated Yes

Grenada [27] Niquille et al. [40] 2010 Switzerland

Descriptive 6 problem Community Pharmacy

66 49 1.5 77 2.6 4.6 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Krska [41] Krska et al. [41] 2002 Scotland

Randomised Controlled Trial

18 problem Home Medicines Review

Unstated Unstated 7.8 168 Unstated 7.3 Medication and medical record and interview

Yes

Modified AbuRuz [42]

AbuRuz et al. [43] 2011 Jordan

Descriptive 3 problem 26 sub- problem

Hospital Inpatients

54.5 48.5 9.4 402 8.5 10.8 Medication and medical record and interview

Yes

Modified AbuRuz [42]

Basheti et al. [44] 2013 Jordan

Case series post-test

10 problem Discharge 58.9 53.3 7.4 167 4.1 8.1 Interview Unstated

Modified Chen [45]

Freeman et al. [46] 2013 Australia

Concurrent control retrospective

23 problem Medicine or outpatient clinic, Home Medicines Review

Unstated (median

81)

37 5.4 70 Unstated Unstated Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Barnett et al. [47] 2009 USA

Case series post test retrospective

11 problem Community Pharmacy

44.2 38.9 Unstated/unable to calculate

23798 Unstated Unstated Medication record and Interview

Yes

Modified Cipolle et al. [7]

Bondesson et al. [48] 2012 Sweden

Case series post test retrospective

7 problem Hospital Inpatients

81 48 Unstated/unable to calculate

132 Unstated 10.3 Medication and medical record and interview

Unstated

Modified Cipolle et al. [7]

Bondesson et al. [49] 2013 Sweden

Historical control

9 problem Hospital Inpatients

81.9 33 9.9 70 Unstated 9.3 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Cipolle et al. [7]

Castelino et al. [50] 2011 Australia

Descriptive Retrospective

16 problem Home Medicines Review

74.6 47.3 5 224 5.8 10.8 Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Christensen et al. [51] 2011 Sweden

Case series post-test

9 problem Hospital Inpatients

81.4 42.1 6.5 190 Unstated 8.1 Medication and medical record and interview

Unstated

Modified Cipolle et al. [7]

Finkers et al. [52] 2007 The Netherlands

Descriptive 9 problem Aged Care Facility

80 32 3.5 91 Unstated 13.4 Medical and medication record

Unstated

Modified Cipolle et al. [7]

Gilbert et al.[53] 2002 Australia

Case series post-test

15 problem Home Medicines Review

Unstated (median

73)

Unstated 2.5 1000 6 9 Medication and medical record and interview

No

Modified Cipolle et al. [7]

Gisev et al.[54] 2010 Australia

Case series post-test

15 problem Home Medicines Review

46.8 54 4.4 48 3.5 7 Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Leendertse et al. [55] 2013 The Netherlands

Concurrent control

7 problem Community Pharmacy

Unstated (per

mixed effects model 75.8)

44 2.8 364 Unstated Unstated Medication and medical record and interview

Unstated

Modified Cipolle et al. [7]

Naunton and Peterson [56] 2003 Australia

Randomised Controlled Trial

21 problem Discharge Unstated (median

74)

44 3 57 Unstated (median

5)

Unstated (median

8)

Medication and medical

No

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

record and interview

Modified Cipolle et al. [7]

Nishtala et al. [57] 2011 Australia

Case series post-test retrospective

8 problem Aged Care Facility

84 25 3 480 Unstated 7.4 Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Rao et al. [58] 2007 Australia and USA

Descriptive 7 problem Medicine or outpatient clinic, Community Pharmacy, Home Medicines Review

73 38 2.3 2580 5.5 7.5 Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Roughead et al. [59] 2004 Australia

Descriptive 16 problem Home Medicines Review

Unstated (Median

75.5)

38 2.2 1000 Unstated (median

6)

Unstated (median

9)

Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Ruths et al.[60] 2003 Norway

Descriptive 8 problem Aged Care Facility

85.2 33 2.4 1354 3.1 5 Medical and medication record

Yes

Modified Cipolle et al. [7]

Samoy et.al[61] 2006 Canada

Descriptive 8 problem Hospital Inpatients

69.3 49.4 Unstated/unable to calculate

565 Unstated 6.8 Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Scott et al. [62] 2010 USA

Descriptive 7 problem 26 cause

Community 86 22.3 2.3 130 9 13 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Cipolle et al. [7]

Smith et al. [63] 2011 USA

Case series post-test

11 problem Medicine or outpatient clinic

51 29 10.4 88 9.5 15.7 Medication and medical record and interview

Yes

Modified Cipolle et al. [7]

Stuijt et al. [64] 2008 The Netherlands

Case series post-test

6 problem Aged Care Facility

85.8 10 3.8 30 Unstated 6.1 Medical and medication record

Unstated

Modified Cipolle et al. [7]

Triller et al. [65] 2003 USA

Case series post-test

8 problem Home Medicines Review

Unstated Unstated 3.4 80 Unstated Unstated Medication record and Interview

Unstated

Modified Cipolle et al. [7]

Villa et al. [66] 2009 Chile

Concurrent control

7 problem 31 cause

Medicine or outpatient clinic

54 24.5 2.9 85 Unstated Unstated Medication and medical record and interview

Unstated

Modified Cipolle et al. [7]

Young et al. [67] 2012 Canada

Descriptive 14 problem Community Pharmacy

54.6 48.1 1.2 106 Unstated Unstated Medication record

No

Modified Cipolle et al. [7]

Zaal et al. [68] 2013 The Netherlands

Descriptive 13 problem Hospital Inpatients

Unstated (median

70)

54 1.8 228 Unstated Unstated (median

15)

Medical and medication record

Unstated

Modified CPACS [69]

Bell et al. [70] 2006 Australia

Case series post-test

35 problem Home Medicines Review

66 43 8 49 Unstated 9.1 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified DOCUMENT [2]

Kwint et al. [71] 2011 Netherlands

Randomised Controlled Trial

6 problem 19 sub- problem

Community Pharmacy

78.7 24 8.5 125 Unstated 10 Medical and medication record

Yes

Modified DOCUMENT [2]

Kwint et al. [72] 2012 The Netherlands

Case series post-test

7 problem 18 sub- problem

Home Medicines Review

Unstated (median

76)

36 10 155 4.2 9 Medication and medical record and interview

Yes

Modified DOCUMENT [2]

Stafford et al. [73] 2009 Australia

Descriptive Retrospective

8 problem 25 sub- problem

Aged Care Facility

78.1 40 3.9 334 8.2 10.9 Medication and medical record and interview

Yes

Modified DOCUMENT [2]

Stafford et al. [74] 2011 Australia

Descriptive Retrospective

8 problem 25 sub- problem

Home Medicines Review

Unstated Unstated 1.4 109 Unstated Unstated Medication and medical record and interview

Yes

Modified DOCUMENT [2]

Tenni et al. [75] 2007 Australia

Descriptive Retrospective

8 problem 24 sub- problem

Aged Care Facility, Home Medicines Review

78.9 32 3.9, 4.9 234 8.25 10.7 Medication and medical record and interview

Yes

Modified Grenada [27]

de Oliveira and Novaes [76] 2011 Brazil

Descriptive 5 problem Aged Care Facility

74.6 51.3 2.5 154 Unstated 4.5 Medication and medical record and interview

Unstated

Modified Grenada [27]

Gastelurrutia et al. [77] 2011 Spain

Case series post-test

16 problem Medicine or outpatient clinic

74.5 66 1.5 97 Unstated 10.2 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Grenada [27]

Gomez et al. [78] 2009 Spain

Case series post-test

6 problem Medicine or outpatient clinic

71.1 33.9 0.6 422 Unstated 8.1 Medication and medical record and interview

Yes

Modified Grenada Grenada [27]

Martinez-Lopez et al. [79] 2011 Spain

Case series post-test

6 problem Hospital Inpatients, Discharge

62 77 1.6 46 Unstated Unstated Medication and medical record and interview

Unstated

Modified Iaser method [80]

Lopez et al. [80] 2010 Spain

Case series post-test

7 problem 33 cause

Discharge 69.5 53 0.2 7711 Unstated Unstated Medication and medical record and interview

Yes

Modified iMAP [81]

Roth et al. [82] 2013 USA

Case series post-test

6 problem 37 sub- problem

Medicine or outpatient clinic

75.4 58 4.2 64 8.5 13.9 Medication and medical record and interview

Unstated

Modified Krska [41]

Krska et al. [83] 2007

Descriptive 18 problem Community Pharmacy

Unstated (median

69)

29 10 169 Unstated (median

3)

Unstated (median

7)

Medication and medical record and interview

Yes

Modified Krska and Westerlund [41] [4]

Andersson et al. [84] 2003 Sweden

Descriptive 16 problem Community Pharmacy

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Interview Yes

Modified McGuire

Krska et al. [86] 2000

Case series post-test

16 problem Home Medicines

Unstated Unstated 7.7 332 Unstated 7.9 Medication and

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

[85] Scotland Review medical record and interview

Modified McGuire [85]

Krska et al.[87] 2001 Scotland UK

Randomised Controlled Trial

13 problem Home Medicines Review

74.8 43.5 7.4 168 3.9 7.3 Medication and medical record and interview

Yes

Modified Norwegian [1]

Davidsson et al.[88] 2011 Norway

Case series post-test

9 problem Aged Care Facility

87 11 2.5 93 Unstated 7.5 Medication record

Unstated

Modified PCNE V4 [89]

Granas et al. [90] 2010 Norway

Case series post-test retrospective

15 problem Home Medicines Review, Community Pharmacy

62.4 48 1.2 73 Unstated 8.7 Medication record and Interview

Yes

Modified PCNE V5 [91]

Ahmad et.al.[92] 2012 The Netherlands

Randomised Controlled Trial

13 problem Discharge Unstated Unstated Unstated/unable to calculate

180 Unstated Unstated Medication record and Interview

Yes

Modified PCNE V5 [91]

Bladh et al. [93] 2011 Sweden

Concurrent control

12 problem Discharge Unstated (median

84)

40 1.6 87 Unstated Unstated (median

8)

Medical record

No

Modified PCNE V5 [91]

Brulhart and Wermeille [94] 2011 Switzerland

Case series post-test

12 problem Aged Care Facility

83 24 3.7 329 Unstated 12.8 Medication record

Unstated

Modified PCNE V5 [91]

Chan et al. [95] 2012 Taiwan

Descriptive 6 problem 22 sub- problem

Medicine or outpatient clinic

76.2 55 2.2 193 9 10.6 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified PCNE V5 [91]

Chan et al. [96] 2012 Taiwan

Case series post-test

6 problem 22 sub- problem

Medicine or outpatient clinic

75.6 56 2.1 193 9 9 Medication and medical record and interview

Unstated

Modified PCNE V5 [91]

Eichenberger et al. [97] 2010 Switzerland

Descriptive 21 problem 41 cause

Discharge, Community Pharmacy

55.9 43 0.7 616 Unstated 3.7 Medication record and Interview

Yes

Modified PCNE V5 [91]

Halvorsen[98] 2010 Norway

Case series post-test

14 problem Aged Care Facility

86.9 25.4 5.1 142 Unstated 11.5 Medical and medication record

Yes

Modified PCNE V5 [91]

Hooper et al. [99] 2009 Qatar

Case series post-test

3 problem 12 sub- problem

Medicine or outpatient clinic

33.6 80 Unstated/unable to calculate

594 Unstated Unstated Prescription

Yes

Modified PCNE V5 [91]

Huri and Wee [100] 2013 Malaysia

Descriptive Retrospective

6 problem 16 sub-problem 5 cause 19 sub-cause

Hospital Inpatients

62.3 51.5 1.9 200 4.6 6.9 Medical and medication record

Yes

Modified PCNE V5 [91]

Van Roozendaal et al.[101] 2009 Australia

Descriptive Retrospective

10 problem Community 61.4 50.7 4.6 148 Unstated Unstated Medical and medication record

Unstated

Modified PCNE V6 [3]

Hatah et al. [102] 2014 New Zealand

Case series post-test retrospective

13 sub- problem 34 cause

Community Pharmacy

Unstated (median

73)

43.6 2.5 353 Unstated (median

2)

Unstated (median

8)

Interview Unstated

Modified PI-Doc [103]

Eickhoff et al. [104] 2012 Germany

Case series post-test

11 problem Community Pharmacy

Unstated 34.1 0.2 11069 Unstated Unstated Interview No

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified PI-Doc [103]

Hammerlein et al.[105] 2007 Germany

Case series post-test

4 problem 8 sub- problem 50 sub sub- problem

Community Pharmacy

54.4 38.5 Unstated/unable to calculate

Unstated Unstated Unstated Interview No

Modified PI-Doc [103]

Haugbolle et al.[106] 2006 Denmark

Descriptive 6 problem Home Medicines Review

Unstated Unstated 3.6 414 Unstated Unstated Interview Yes

Modified PI-Doc [103]

Lewinski et al. [107] 2010 Germany

Descriptive 22 problem Community Pharmacy

50.4 49.4 Unstated/unable to calculate

3040 Unstated Unstated Interview Yes

Modified PI-Doc [103]

Nicolas et al. [108] 2013 Germany

Descriptive 6 problem 45 sub- problem

Community Pharmacy

52.9 42.2 0.2 14231 Unstated Unstated Medication record and Interview

Yes

Modified PI-Doc [103]

Schroder et al. [109] 2011 Germany

Case series post-test

25 sub- problem

Community Pharmacy

71.9 52.2 2.9 113 Unstated 7.1 Medication and medical record and interview

Yes

Modified SFPC [110]

Belaiche et al. [111] 2012 France

Case series post-test retrospective

8 problem Medicine or outpatient clinic

64.9 50 6.3 42 Unstated 8.6 Medication and medical record and interview

Unstated

Modified SFPC [110]

Belaiche et al. [112] 2012 France

Descriptive 8 problem Medicine or outpatient clinic

70 66 2 67 2.6 10 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified SFPC [110]

Stemer et al. [113] 2012 Austria

Case series post-test

17 problem Hospital Inpatients

Unstated Unstated 0.3 Unstated Unstated Unstated Medical and medication record

No

Modified Strand/Hepler and Strand [114] [115]

Alagiriswami et al. [116] 2009 India

Case series post-test

9 problem Hospital Inpatients

49.8 57.8 1.4 189 Unstated Unstated Medication record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Alderman and Farmer [117] 2001 Australia

Case series post-test

7 problem Hospital Inpatients

73.7 78.9 1.7 39 Unstated Unstated Unstated Unstated

Modified Strand/Hepler and Strand [114] [115]

Al-Hajje et al. [118] 2012 Lebanon

Case series post-test

10 problem Hospital Inpatients

Unstated 54 0.2 572 Unstated Unstated Medical and medication record

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Beaucage et al. [119] 2006 Canada

Randomised Controlled Trial

7 problem Community Pharmacy

47 45 0.7 255 2.1 3 Medication record and Interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Bednall et al. [120] 2003 England

Descriptive Retrospective

8 problem Emergency department

38 Unstated 0.04 2636 Unstated Unstated Medical record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Bedouch et al.[121] 2008 France

Descriptive Retrospective

10 problem Hospital Inpatients

68.2 46.9 4.7 300 Unstated 8.4 Medical and medication record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Bedouch et al.[122] 2009 France

Case series post-test

10 problem Hospital Inpatients

72.6 43.1 1.7 1564 Unstated Unstated Medical and medication record

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Bedouch et al.[123] 2012 France

Descriptive 10 problem Hospital Inpatients

73.3 40.8 1.7 272 Unstated Unstated Medical and medication record

Yes

Modified Strand/Hepler and Strand [114] [115]

Blakey and Hixson-Wallace [124] 2000 USA

Case series post-test

9 problem Medicine or outpatient clinic

Unstated Unstated 2.1 106 Unstated 10.6 Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Blix et al. [125] 2004 Norway

Descriptive 13 problem Hospital Inpatients

71 41.4 2.1 827 Unstated 5 Medical and medication record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Blix et al. [126] 2008 Norway

Case series post-test

14 problem Hospital Inpatients

75 43 2.9 283 Unstated 9.2 Medical and medication record

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Blix et al.[127] 2006 Norway

Descriptive 9 problem Hospital Inpatients

70.1 41 2.6 827 Unstated 9.3 Medical and medication record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Burkiewicz et al. [128] 2006 USA

Descriptive 8 problem Community 75.1 17.4 5.2 23 Unstated 7.7 Interview Yes

Modified Strand/Hepler and Strand [114] [115]

Castelino et al. [129] 2011 India

Descriptive 13 problem Hospital Inpatients

Unstated 67.8 1.1 308 Unstated 6.1 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Celin et al. [130] 2012 India

Descriptive 9 problem Hospital Inpatients

Unstated 63.4 0.7 108 Unstated Unstated Medical and medication record

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Chisholm et al. [131] 2000 USA

Descriptive 7 problem Medicine or outpatient clinic

Unstated Unstated 4.2 201 Unstated Unstated Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Doucette et al. [132] 2005 USA

Descriptive Retrospective

7 problem Community Pharmacy

54.4 26 5.9 150 6.1 9.3 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Elliott and Woodward [133] 2011 Australia

Descriptive 9 problem Medicine or outpatient clinic

82 26 2.5 46 5.4 9 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Ellis et al. [134] 2000 USA

Case series post-test

11 problem Medicine or outpatient clinic

66.8 96 5.8 523 Unstated Unstated Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Emmerton et al. [135] 2003 New Zealand

Case series post-test

5 problem 14 sub- problem

Community Pharmacy

Unstated Unstated 4.3 100 Unstated Unstated Medication record and Interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Ernst et al. [136] 2001 USA

Case series post-test

7 problem Community Pharmacy

59.2 31 2.4 388 Unstated Unstated Interview No

Modified Strand/Hepler and Strand [114] [115]

Ernst et al.[137] 2003 USA

Descriptive 7 problem Community Pharmacy

59.2 29.9 2.4 388 Unstated Unstated Interview Unstated

Modified Strand/Hepler and Strand [114] [115]

Grymonpre et al.[138] 2001 Canada

Randomised Controlled Trial

17 problem Medicine or outpatient clinic

76.9 25 14.4 69 Unstated 13.1 Interview Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Hohl et al.[139] 2010 Canada

Descriptive 9 problem Emergency department

48.8 47.3 Unstated/unable to calculate

116 Unstated (median

2)

Unstated Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Joseph et al. [140] 2010 India

Case series post-test

9 problem Hospital Inpatients

Unstated (median

67)

66 0.9 411 Unstated(median 3)

Unstated (median

9)

Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Kassam et al. [141] 2001 Canada

Descriptive 9 problem Community Pharmacy

74 36 3.9 145 10 12.1 Medication record and Interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Kaur et al. [142] 2012 Australia

Descriptive Retrospective

19 problem Aged Care Facility

82 30.8 2.7 296 Unstated 11.3 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Khdour et al. [143] 2012 Palestine

Case series post-test

12 problem Hospital Inpatients

62.2 46.2 1.7 212 3.3 4.8 Medical and medication record

Yes

Modified Strand/Hepler and Strand [114] [115]

Laaksonen et al. [144] 2010 UK

Descriptive 17 problem Community Pharmacy

Unstated Unstated 3.7 244 Unstated Unstated Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Lucca et al. [145] 2012 India

Case series post-test

10 problem Intensive Care

51.2 67.2 0.2 805 Unstated 10.2 Medical and medication record

No

Modified Strand/Hepler and Strand [114] [115]

Manley et al. [146] 2003 USA

Descriptive Retrospective

9 problem Medicine or outpatient clinic

60.5 58.6 3.6 133 6 11 Medical and medication record

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Manley et al. [147] 2003 USA

Randomised Controlled Trial

9 problem Medicine or outpatient clinic

62.6 45.5 5.4 66 6.4 12.5 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Manley et al. [148] 2003 USA

Descriptive 5 problem Medicine or outpatient clinic

62.6 42 Unstated/unable to calculate

63 6.5 12.6 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

McDonough et al. [149] 2003 USA

Case series post-test

7 problem Community Pharmacy

55.3 39.7 4.4 116 3.2 4.5 Medication record and Interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Midlov et al. [150] 2002 Sweden

Case series post-test

13 problem Aged Care Facility

79.8 39 5.7 77 Unstated 12 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Mirkov and Ball [151] 2003 New Zealand

Case series post-test

8 problem Medicine or outpatient clinic

Unstated (median

61.5)

25 2.6 51 Unstated 10 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Mirkov[152] 2009 New Zealand

Case series post-test

11 problem Medicine or outpatient clinic

Unstated (median

65)

39 4.3 64 Unstated (median 9)

Unstated (median

13)

Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Mortimer et al. [153] 2011 Australia

Concurrent control

8 problem Emergency department

77 45 1.1 101 Unstated Unstated Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Osterhaus et al. [154] 2002 USA

Descriptive 7 problem Community Pharmacy

59.2 31 1 460 Unstated Unstated Medication record and Interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Pai et al. [155] 2009 USA

Randomised Controlled Trial

5 problem Medicine or outpatient clinic

55.8 61 8.7 61 Unstated 10.4 Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Pai et al.[156] 2009 USA

Randomised Controlled Trial

10 problem Medicine or outpatient clinic

56.3 61 9.3 57 Unstated 10 Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Parthasarathi et al.[157] 2003 India

Case series post-test

7 problem Hospital Inpatients

Unstated 60 0.2 1296 Unstated Unstated Medication and medical record and interview

No

Modified Strand/Hepler and Strand [114] [115]

Patel et al.[158] 2005 USA

Descriptive 5 problem Aged Care Facility

57.5 34 3.2 119 Unstated 6.4 Medication record

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Prot-Labarthe et al. [159] 2008 Canada

Case series post-test

7 problem Hospital Inpatients

Unstated (median

12.1)

58.6 18 29 Unstated Unstated Medical and medication record

Yes

Modified Strand/Hepler and Strand [114] [115]

Repp et al. [160] 2012 USA

Descriptive 6 problem Hospital Inpatients

53.1 63.2 Unstated/unable to calculate

(admissions due to DRPs)

48 7.6 15.8 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Schrecengost-Kibbey et al. [161] 2002 USA

Case series post-test

11 problem Medicine or outpatient clinic, Community

Unstated Unstated 3.5 55 Unstated Unstated Interview Unstated

Modified Strand/Hepler and Strand [114] [115]

Sorensen et al. [162] 2004 Australia

Concurrent control

14 problem Home Medicines Review

72.3 36.9 5.5 176 Unstated 9.1 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Stell et al. [163] 2008 Australia

Case series post-test

10 problem Medicine or outpatient clinic, Community

76 55 0.9 146 Unstated 10 Medication and medical record and interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Titley-Lake et al.[164] 2000 British Virgin Islands

Descriptive 9 problem Home Medicines Review

73 36 5.9 50 Unstated 12.5 Medication record and Interview

Yes

Modified Strand/Hepler and Strand [114] [115]

Viktil et al. [165] 2004 Norway

Descriptive 13 problem Hospital Inpatients

67.9 41.4 2.1 827 Unstated 4.6 Medical and medication record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Viktil et al. [166] 2006 Norway

Descriptive 12 problem Hospital Inpatients

70.4 37 4.4 96 Unstated 4.7 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Modified Strand/Hepler and Strand [114] [115]

Viktil et al. [167] 2006 Norway

Descriptive 13 problem Hospital Inpatients

71 41.2 Unstated/unable to calculate

827 Unstated 7.3 Medical and medication record

Unstated

Modified Strand/Hepler and Strand [114] [115]

Wang et al. [168] 2008 Taiwan

Case series post-test

8 problem Medicine or outpatient clinic

Unstated 45.9 1.5 37 Unstated Unstated Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Yeoh et al. [169] 2013 Singapore

Case series post-test

9 problem Medicine or outpatient clinic

71.7 55.9 3 118 Unstated 6.4 Medication and medical record and interview

Unstated

Modified Strand/Hepler and Strand [114] [115]

Zed et al.[170] 2008 Canada

Descriptive 6 problem Emergency department

49.3 47.9 Unstated/unable to calculate

1017 1.7 3.4 Medication and medical record and interview

Unstated

Modified Tomechko [171]

Becker et al. [172] 2004 USA

Case series post-test

7 problem 34 cause

Community Pharmacy

54.9 37.1 Unstated/unable to calculate

754 Unstated Unstated Medication and medical record and

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

interviewModified Van Den Bermt [173]

Bulsink et al. [174] 2013 The Netherlands

Descriptive 4 problem Medicine or outpatient clinic

63.7 43.6 1.7 546 Unstated 8.5 Medication and medical record and interview

Unstated

Modified Westerlund [4]

Montgomery et al. [175] 2008 Sweden

Case series post-test retrospective

13 problem Community Pharmacy

71.1 37.6 0.5 3298 Unstated 11.8 Medication record and Interview

Yes

Norwegian [1]

Willoch et al. [176] 2012 Norway

Randomised Controlled Trial

6 problem 11 sub- problem

Hospital Inpatients, Discharge

73.5 Unstated 4.4 40 Unstated 8.3 Medication and medical record and interview

Unstated

PCNE V5 [91]

Lampert et al. [177] 2008 Switzerland

Case series post-test

21 problem 34 cause

Hospital Inpatients

Unstated Unstated 0.2 1444 Unstated Unstated Medical and medication record

Yes

PCNE V5 [91]

Leikola et al. [178] 2012 Finland

Case series post-test retrospective

6 problem 21 sub- problem

Community Pharmacy

80 28.8 6.5 121 Unstated 17 (includes

“when required” and OTC)

Medication and medical record and interview

Yes

PCNE V5 [91]

Mannheimer et al.[179] 2006 Sweden

Randomised Controlled Trial

6 problem 21 sub problem 6 cause 33 sub cause

Hospital Inpatients

71 49 2 150 Unstated 7.4 Medication and medical record and interview

Unstated

PCNE V5 [91]

Nickel et al. [180] 2013 Switzerland

Case series post-test

6 problem 21 sub problem 6 cause 34 sub cause

Emergency department

Unstated (median

81)

37.4 0.1 633 Unstated Unstated (median

5)

Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

PCNE V5 [91]

Rashed et al. [181] 2013 UK and Saudi Arabia

Descriptive 6 problem 21 sub- problem

Emergency department

Unstated (median

2.3)

58.1 0.3 253 Unstated Unstated Medical and medication record

Yes

PCNE V5 [91]

Rashed et.al.[182] 2012 UK and Saudi Arabia

Descriptive 6 problem 6 cause

Hospital Inpatients

Unstated (median

4)

58.1 1.5 Unstated Unstated Unstated Medical and medication record

Unstated

PCNE V5 [91]

Touchette et al. [183] 2012 USA

Randomised Controlled Trial

6 problem 21 sub problem 6 cause 34 sub cause

Medicine or outpatient clinic, Community

74.6 33 2.1, 2.4 637 5 8 Medication and medical record and interview

Yes

PCNE V6 [3]

Taegtmeyer et al. [184] 2011 Switzerland

Descriptive 11 problem 35 cause

Hospital Inpatients

Unstated (median

68.1)

68 0.3 502 Unstated Unstated Medical and medication record

Unstated

PCNE V6 [3]

Taegtmeyer et al. [185] 2012 Switzerland

Descriptive 11 problem 35 cause

Hospital Inpatients

Unstated (median

68.7)

Unstated 0.4 1263 Unstated Unstated Medical and medication record

Unstated

Self developed

Abdelhalim et al. [186] 2011 USA

Descriptive 8 problem Medicine or outpatient clinic

Unstated Unstated 1 32 Unstated Unstated Medication and medical record and interview

Yes

Self developed

Al-Jazairi et al. [187] 2008 Saudi Arabia

Case series post-test

8 problem Intensive Care

Unstated 44.8 0.7 600 Unstated Unstated Unstated Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Andreazza et al. [188] 2011 Brazil

Descriptive 3 problem 18 cause

Emergency department

49.3 34.3 1.2 335 Unstated Unstated Medical record and interview

Yes

Self developed

Austwick et al. [189] 2002 England

Case series post-test

13 problem Medicine or outpatient clinic

Unstated Unstated 2.3 52 Unstated 7.8 Medication record and Interview

Unstated

Self developed

Bergqvist et al. [190] 2006 Sweden

Descriptive 5 problem Hospital Inpatients

78 44 0.7 80 Unstated 8 Medication record and Interview

Yes

Self developed

Bergqvist et al. [191] 2009 Sweden

Historical control

5 problem Hospital Inpatients

80.3 44 0.5 177 Unstated 6.9 Medical and medication record

Yes

Self developed

Bosse et al. [192] 2012 USA

Case series post-test

7 problem Community Pharmacy

Unstated 36.5 0.3 207 Unstated Unstated Interview Unstated

Self developed

Bourne and Dorward [193] 2011 UK

Case series post-test

10 problem Intensive Care

Unstated Unstated 4.5 55 Unstated Unstated Unstated Unstated

Self developed

Bremberg et al. [194] 2006 Sweden

Case series post-test

10 problem Hospital Inpatients

Unstated (median

63)

39 2.4 310 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Christensen et al. [195] 2007 USA

Case series pretrest/posttest

5 problem 12 sub- problem

Medicine or outpatient clinic, Community Pharmacy

67.1 37.6 Unstated/unable to calculate

80 Unstated Unstated Medication record and Interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Claydon-Platt et al. [196] 2012 Australia

Descriptive Retrospective

3 problem Hospital Inpatients

68.5 55.7 0.07 525 Unstated Unstated Medical and medication record

Unstated

Self developed

Delate et al. [197] 2008 USA

Concurrent control

5 problem Discharge 77.7 30.1 Unstated/unable to calculate

113 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Dhabali et al. [198] 2012 Malaysia

Descriptive Retrospective

5 problem Community Pharmacy

Unstated 48.4 1.3 432 Unstated Unstated Medical and medication record

Unstated

Self developed

Eichenberger et al. [199] 2011 Switzerland

Descriptive 34 problem Home Medicines Review

66 59.2 7.4 76 4.5 13 Medication record and Interview

Unstated

Self developed

Elliott et al.[200] 2012 Australia

Concurrent control

9 problem Home Medicines Review

Unstated (median

84.2)

36 3 80 Unstated (median

5.5)

Unstated (median

9.5)

Medication and medical record and interview

Yes

Self developed

Farrell et al. [201] 2011 Canada

Descriptive 8 problem Medicine or outpatient clinic

81 23 8.9 51 Unstated 15 Unstated Unstated

Self developed

Farris et al. [202] 2004 USA

Descriptive Retrospective

12 problem Community Pharmacy

75.9 30 1.8 1167 3.1 4.8 Interview No

Self developed

Fejzic and Tett [203] 2004 Australia

Descriptive 10 problem Home Medicines Review

51.5 32 4.3 25 4.8 4 Interview Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Foisy and Akai [204] 2004 Canada

Case series post-test

6 problem Medicine or outpatient clinic

Unstated 66.6 2.6 57 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Furniss et al.[205] 2000 England

Randomised Controlled Trial

11 problem Aged Care Facility

83.5 21 1.7 330 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Ganachari et al. [206] 2010 India

Case series post-test

27 sub- problem

Hospital Inpatients

Unstated 58 0.4 105 Unstated Unstated Medication and medical record and interview

Yes

Self developed

Gordon et al. [207] 2005 UK

Descriptive 9 problem Community Pharmacy, Medicine or outpatient clinic

Unstated (median

68)

45.2 Unstated/unable to calculate

221 Unstated Unstated Interview Unstated

Self developed

Haley et al. [208] 2009 Canada

Descriptive Retrospective

11 problem Hospital Inpatients

68.5 42.5 1.9 146 Unstated 6.2 Medication record

No

Self developed

Hata et al. [209] 2012 USA

Case series post-test

9 problem Community Pharmacy

Unstated Unstated 1.4 509 Unstated Unstated Interview Yes

Self developed

Herborg et al. [210] 2001 Denmark

Concurrent control

11 problem Community Pharmacy

38.8 42.4 Unstated/unable to calculate

264 Unstated Unstated Medication record and Interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Hugtenburg et al. [211] 2004 The Netherlands

Descriptive 3 problem Community Pharmacy

56.4 38 0.2 700 Unstated Unstated Interview Unstated

Self developed

Imberg et al. [212] 2012 USA

Historical control retrospective

9 problem Discharge 50.9 Unstated 3.1 313 7 13.4 Medication and medical record and interview

Unstated

Self developed

Kimland et al. [213] 2007 Sweden

Descriptive Retrospective

5 problem Drug information centre

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Unstated Unstated

Self developed

Koh et al. [214] 2003 Singapore

Descriptive Retrospective

6 problem Hospital Inpatients

66 57 0.1 347 Unstated 7.4 Medical and medication record

Unstated

Self developed

Koh et al. [215] 2005 Singapore

Descriptive Retrospective

8 problem Hospital Inpatients

65.9 58.8 1.7 347 Unstated 7.4 Medical and medication record

Unstated

Self developed

Krahenbuhl et al. [216] 2008 Switzerland

Descriptive 17 problem Community Pharmacy

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Prescription

No

Self developed

Krahenbuhl et al. [217] 2008 Switzerland

Case series post-test

9 problem Community Pharmacy

64 38 2.6 125 Unstated 7.6 Medication record

Yes

Self developed

Krass and Smith [218] 2000 Australia

Case series post-test

15 problem Home Medicines Review

71 43 9 275 4.7 7.7 Medical and medication record

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Krska et al. [219] 2005 Scotland

Descriptive 13-15 problem Medicine or outpatient clinic

Unstated Unstated 0.3 134 Unstated Unstated Medical and medication record

Yes

Self developed

LaFleur et al. [220] 2006 USA

Descriptive 11 problem Aged Care Facility

53.5 22.6 Unstated/unable to calculate

3706 Unstated Unstated Medical and medication record

Yes

Self developed

Lam [221] 2011 USA

Case series post-test

9 problem Community Pharmacy

50.8 34.9 3.6 43 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Langebrake and Hilgarth [222] 2010 Germany

Case series post-test

10 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medical and medication record

Yes

Self developed

Lee and McPherson [223] 2006 USA

Case series post-test

11 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

87 Unstated Unstated Medical and medication record

Yes

Self developed

Leonor and Ernesto [224] 2012 Cuba

Case series post-test

4 problem Hospital Inpatients

Unstated Unstated 1.3 34 Unstated Unstated Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Lindell-Osuagwu et al. [225] 2013 Finland

Descriptive Retrospective

5 problem Community Unstated 52 0.3 3964 Unstated Unstated Unstated Not applicable

Self developed

Maxwell et al. [226] 2013 New Zealand

Descriptive 10 problem 22 sub- problem

Community Pharmacy

Unstated Unstated 0.4 401 Unstated Unstated Interview Unstated

Self developed

McGivney et al. [227] 2011 USA

Case series post-test

7 problem Community Unstated Unstated 1.2 Unstated Unstated Unstated Interview Yes

Self developed

McKinnon and Jorgenson [228] 2009 Canada

Concurrent control

8 problem Medicine or outpatient clinic

58.4 29.9 0.3 87 Unstated 7.9 Medical record

Unstated

Self developed

Moczygemba et al. [229] 2011 USA

Descriptive Retrospective

8 problem Medicine or outpatient clinic

Unstated Unstated 2 249 Unstated Unstated Medication and medical record and interview

Yes

Self developed

Moczygemba et al. [230] 2011 USA

Case series post-test

7 problem Community 71.2 51.7 4.8 60 6.5 13 Medication and medical record and interview

Yes

Self developed

Moczygemba et al. [231] 2012 USA

Historical control

11 problem Community 71.2 51 6 60 6.5 13 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Mok and Minson[232] 2008 USA

Descriptive Retrospective

8 problem Hospital Inpatients

44.7 70 Unstated/unable to calculate

83 Unstated Unstated Medical and medication record

Unstated

Self developed

Nurgat et al. [233] 2011 Saudi Arabia

Case series post-test

8 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medical and medication record

Unstated

Self developed

Ou et al. [234] 2002 Taiwan

Case series post-test retrospective

13 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medical and medication record

Unstated

Self developed

Puts et al. [235] 2009 Canada

Descriptive 7 problem Medicine or outpatient clinic

74.2 30.4 2.2 112 Unstated (median

5)

5 Medication and medical record and interview

Unstated

Self developed

Puts et al. [236] 2010 Canada

Descriptive 8 problem Medicine or outpatient clinic

74.2 30.4 2.2 112 Unstated (median

5)

5 Medication and medical record and interview

Unstated

Self developed

Ramanath and Nedumballi [237] 2012 India

Case series post-test

10 problem Medicine or outpatient clinic, Hospital Inpatients

Unstated 65.6 0.8 163 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Randall and Bruno [238] 2006 USA

Descriptive 7 problem Community Unstated Unstated 1.2 982 Unstated Unstated Medical and medication record

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Rogers et al. [239] 2003 Canada

Descriptive Retrospective

8 problem Discharge 61 30 1 20 Unstated 4.2 Medical and medication record

Unstated

Self developed

Rossing et al. [240] 2003 Denmark

Descriptive 10 problem Community Pharmacy

Unstated (pharmac

ist survey)

18.8 Unstated/unable to calculate

Unstated (pharmacist survey)

Unstated (pharmacist survey)

Unstated (pharmacist survey)

Unstated Not applicable

Self developed

Roth et al. [241] 2009 USA

Descriptive 7 problem Community 75.5 76.9 5.6 200 7.9 10.6 Medication and medical record and interview

Unstated

Self developed

Roth et al. [242] 2011 USA

Descriptive 7 problem Community 75.5 76.9 5.6 200 7.9 10.6 Medication and medical record and interview

Unstated

Self developed

Saastamoinen et al. [243] 2009 Finland

Randomised Controlled Trial

10 problem Community Pharmacy

65.5 24 0.2 125 Unstated Unstated Medication and medical record and interview

Unstated

Self developed

Satish Kumar et al. [244] 2013 India

Case series post-test

14 problem Hospital Inpatients

Unstated 61.3 0.3 240 Unstated Unstated Medical and medication record

Unstated

Self developed

Schnipper et al. [245] 2006 USA

Randomised Controlled Trial

14 problem Hospital Inpatients

60.7 33 1.3 79 Unstated Unstated (median

8)

Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Setter et al [246] 2000 USA

Descriptive 7 problem Community 76 41 Unstated/unable to calculate

105 Unstated Unstated Medication and medical record and interview

Yes

Self developed

Shimp et al. [247] 2012 USA

Randomised Controlled Trial

12 problem Medicine or outpatient clinic

70 45 3.3 128 3 9.2 Medical record and interview

Yes

Self developed

Soendergaard et al. [248] 2006 Denmark

Case series post-test

8 problem Medicine or outpatient clinic

68.5 32.8 2.6 40 Unstated 10.2 Medication and medical record and interview

Unstated

Self developed

Somers et al. [249] 2010 Belgium

Descriptive 2 problem 7 cause

Hospital Inpatients

82.7 37.2 0.2 110 Unstated 5.9 Medication and medical record and interview

Yes

Self developed

Somers et al. [250] 2013 Belgium

Case series post-test

10 problem Hospital Inpatients

81.4 52 3 100 Unstated 11.4 Medical and medication record

Yes

Self developed

Spinewine et al.[251] 2006 Belgium

Case series post-test

17 problem Hospital Inpatients

82.2 27 8.9 4101 Unstated 7.8 Medication and medical record and interview

Yes

Self developed

Sturgess et al.[252] 2003 Ireland

Concurrent control

8 problem Community Pharmacy

73.1 36.4 1.9 191 Unstated 5.9 Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Syfrett [253] 2001 USA

Descriptive 14 problem Community 74.8 39 Unstated/unable to calculate

Unstated Unstated Unstated Medication record and Interview

Unstated

Self developed

Ulfvarson et al. [254] 2010 Sweden

Case series post-test

12 problem Aged Care Facility, Home Medicines Review

86 30 1.5 233 Unstated 10.9 Medical and medication record

Yes

Self developed

Van Mil et al. [255] 2001 The Netherlands

Descriptive 10 problem Community Pharmacy

53.7 60 Unstated/unable to calculate

Unstated Unstated Unstated Medication record

Unstated

Self developed

Vercaigne et al. [256] 2000 Canada

Case series post-test

19 problem Community Pharmacy

76 37 5.1 163 7.2 8.2 Medication record and Interview

Yes

Self developed

Vink et al. [257] 2011 USA

Descriptive 6 problem Home Medicines Review

Unstated (median

72)

20 0.6 380 Unstated Unstated Medical and medication record

Unstated

Self developed

Vinks et al. [258] 2009 Netherlands

Descriptive 3 problem 10 sub- problem

Community Pharmacy

76.6 25.3 4.1 87 Unstated 8.8 Medication record

Yes

Self developed

Vinks et al.[259] 2006 Netherlands

Randomised Controlled Trial

3 problem 10 sub- problem

Community Pharmacy

77 27.5 3.9 196 Unstated 8.7 Medical and medication record

Yes

Self developed

Welch et al. [260] 2009 USA

Case series post-test

10 problem Home Medicines Review

68.8 43.4 Unstated/unable to calculate

459 Unstated Unstated Medication and medical record and interview

Yes

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Self developed

Westerlund et al.[261] 2001 Sweden

Case series post-test

14 problem Community Pharmacy

Unstated 32.3 1 Unstated Unstated Unstated Interview Yes

Self developed

Witry et al. [262] 2011 USA

Case series post-test

7 problem Community Pharmacy

58.9 31.9 2.6 91 Unstated 4.8 Medication record and Interview

No

Self developed

Yussuf and Tayo [263] 2011 Nigeria

Descriptive 11 problem Medicine or outpatient clinic

51.8 50.3 1.4 324 Unstated Unstated (median

4)

Medication record

Unstated

Self developed

Zaidi et al. [264] 2003 Malaysia

Case series post-test

7 problem Intensive Care

Unstated Unstated 2.4 24 Unstated Unstated Medical and medication record

Unstated

Self developed

Zargarzadeh et al.[265] 2007 Iran

Descriptive 7 problem Hospital Inpatients

55.4 55 0.1 1000 Unstated Unstated Medical and medication record

Unstated

SFPC [110] Charpiat et al. [266] 2012 France

Descriptive 10 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medication record

Unstated

SFPC [110] Prot-Labarthe et al. [267] 2013 France, Canada, Switzerland, Belgium

Case series post-test

10 problem Intensive Care

Unstated (median

1.7)

53 3.7 270 Unstated Unstated Medical and medication record

Yes

Spanish [268]

Arias and Santamaria-Lopez [269] 2008 Spain

Descriptive 14 problem Community Pharmacy

Unstated 29 4.2 36 Unstated Unstated Medication record and Interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Strand/Hepler and Strand [114] [115]

Agness et al. [270] 2011 USA

Descriptive 8 problem Community 80.5 28 1 53 5.5 10.4 Interview Yes

Strand/Hepler and Strand [114] [115]

Al-Arifi et al. [271] 2013 Saudi Arabia

Descriptive 8 problem Emergency department

Unstated (median

51)

53.3 0.3 300 Unstated 6.2 Medication and medical record and interview

Unstated

Strand/Hepler and Strand [114] [115]

Al-Olah and Al Thiab [272] 2008 Saudi Arabia

Descriptive 8 problem Emergency department

Unstated 57.3 0.2 557 Unstated Unstated Unstated Yes

Strand/Hepler and Strand [114] [115]

Easton et al.[273] 2004 Australia

Descriptive 8 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

2933 Unstated 2 Medical and medication record

Unstated

Strand/Hepler and Strand [114] [115]

Easton-Carter et al.[274] 2003 Australia

Descriptive 8 problem Emergency department

4.1 47.9 Unstated/unable to calculate

8601 Unstated 1.7 Medical and medication record

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Strand/Hepler and Strand [114] [115]

MacKinnon et al. [275] 2007 Canada

Descriptive Retrospective

8 problem Community Unstated 30.3 1.9 99 Unstated Unstated Interview Unstated

Strand/Hepler and Strand [114] [115]

Nickerson et al.[276] 2005 Canada

Randomised Controlled Trial

8 problem Discharge 67.3 31 3.6 134 3.5 6.94 Medication and medical record and interview

Unstated

Strand/Hepler and Strand [114] [115]

Ong et al.[277] 2006 Canada

Descriptive 8 problem Hospital Inpatients

Unstated 66 4.2 47 Unstated Unstated Medication and medical record and interview

Unstated

Strand/Hepler and Strand [114] [115]

Raybardhan et al. [278] 2005 Canada

Descriptive 8 problem Hospital Inpatients

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medical and medication record

Yes

Strand/Hepler and Strand [114] [115]

Rogers et al. [279] 2009 UK

Descriptive 8 problem Hospital Inpatients

79.9 31.1 Unstated/unable to calculate

409 3.2 5 Medication and medical record and interview

Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

Strand/Hepler and Strand [114] [115]

Sellors et al.[280] 2003 Canada

Randomised Controlled Trial

8 problem Medicine or outpatient clinic

74.6 35.4 2.5 431 Unstated Unstated Medication and medical record and interview

Yes

Strand/Hepler and Strand [114] [115]

Singh et al. [281] 2011 India

Descriptive 8 problem Hospital Inpatients

49.8 60 Unstated/unable to calculate

3560 Unstated 7.4 Medication and medical record and interview

Unstated

Westerlund [4]

Ax et al. [282] 2010 Sweden

Case series post-test

13 problem Community Pharmacy

Unstated Unstated Unstated/unable to calculate

Unstated Unstated Unstated Medication record and Interview

Yes

Westerlund [4]

Ellitt et al. [283] 2010 Australia

Descriptive Retrospective

13 problem Discharge 66 52.6 5.6 71 4.7 10.8 Medication and medical record and interview

Yes

Westerlund [4]

Paulino et.al.[284] 2004 Europe

Case series post-test

14 problem Community Pharmacy

59.1 56.8 1 435 Unstated 4.8 Interview No

Westerlund [4]

Westerlund et al. [285] 2008 Sweden

Descriptive 13 problem Community 17 43.7 Unstated/unable to calculate

Unstated Unstated Unstated Prescription

Not applicable

Westerlund [4]

Westerlund et al. [286] 2009 Sweden

Descriptive Retrospective

13 problem Community Pharmacy

Unstated 36 Unstated/unable to calculate

89 Unstated Unstated Interview Unstated

Westerlund Westerlund et Descriptive 12 problem Community Unstated Unstated Unstated/ Unstated Unstated Unstated Medicatio Unstated

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Type of classification system used

Study Type of study Number of categories reported as problem and/or cause categories and sub-categories

Healthcare setting 1

Mean Age of intervention patients (years)

Gender (male) percent

Mean number of DRPs reported per patient (actual and/or potential)

Number of intervention patients per study

Mean number of medical conditions per patient

Mean number of medications per patient

Method of data collection to identify categories reported as causes or problems 2

Trained or training provided in detection of categories

[4] al. [287] 2013 Sweden

Retrospective Pharmacy unable to calculate

n record and Interview

1 Healthcare settings - medical or outpatient clinics, hospital inpatients, community settings (such as retirement communities, senior citizen centres and assisted living communities), patients at the time of discharge from hospital, community pharmacy patients, patients attending hospital emergency departments or intensive care units, aged care facility patients, patients receiving Home Medicine Reviews, and drug information centres2 Sources of data used to identify DRPs and their causes - prescriptions and/or medical records [consisting of diagnoses, progress notes and pathology results, with or without drug lists] and/or drug records [drug charts or pharmacy records] and/or patient/carer interview

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