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PCNE Classification Scheme For Drug Related Problems-1 (Revised)

The document presents the PCNE Classification scheme for Drug related problems. It provides codes and descriptions for problems, causes, and interventions related to drug therapy. The problems section covers issues like lack of appropriate drug treatment, unnecessary drugs, wrong or inappropriate medicines, dosage errors, and adverse events. The causes section lists factors that can contribute to problems, such as inappropriate drug selection, patient nonadherence, lack of information, and logistical issues. The interventions section outlines actions that can be taken, including counseling patients, changing drugs or dosages, and informing prescribers.

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Alan Hobbit
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1K views3 pages

PCNE Classification Scheme For Drug Related Problems-1 (Revised)

The document presents the PCNE Classification scheme for Drug related problems. It provides codes and descriptions for problems, causes, and interventions related to drug therapy. The problems section covers issues like lack of appropriate drug treatment, unnecessary drugs, wrong or inappropriate medicines, dosage errors, and adverse events. The causes section lists factors that can contribute to problems, such as inappropriate drug selection, patient nonadherence, lack of information, and logistical issues. The interventions section outlines actions that can be taken, including counseling patients, changing drugs or dosages, and informing prescribers.

Uploaded by

Alan Hobbit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • The Problems: Lists various drug-related problems categorized by primary domains like lack of drug, wrong dosage, and adverse events.
  • The Causes: Explains the potential causes of drug-related problems like improper drug selection, inappropriate dosage, and patient-related factors.
  • The Interventions: Describes the various levels and types of interventions available for addressing drug-related problems, from prescriber interventions to different level adjustments.

PCNE Classification scheme for Drug related problems-1 (revised)

The Problems

Primary Domain Code Code Code Problem


New SPSS
Lack of Drug P1.1 P10 1 No drug prescribed but clear indication
Patient does not take the P1.2 P11 2 Drug not taken at all
drug he/she requires
Unnecessary drug P2.1 P20 3 Duplication of therapeutic group or active ingredient
Patient takes a drug P2.2 P21 4 No clear indication for drug use
he/she does not require
Wrong medicine P3.1 P30 5 Interaction (without symptoms) or potential interaction
Patient takes or is going P3.2 P31 6 Manifest interaction
to take a wrong medicine P3.3 P32 7 Contra-indication
for his/her disease and/or P3.4 P33 8 Inappropriate drug (not best choice for indication and/or
condition patient)
P3.5 P34 9 Right drug but inappropriate formulation
P3.6 P35 10 Patient is unable to use drug/form properly

Dosage P4.1 P40 11 Drug dose too low


Patient uses a wrong P4.2 P41 12 Duration of treatment too short
dose, regimen and/or P4.3 P42 13 Dosage regime not frequent enough
duration. P4.4 P43 14 Drug dose too high
P4.5 P44 15 Duration of treatment too long
P4.6 P45 16 Dosage regime too frequent
P4.7 P46 17 Incorrect timing

Adverse Events P5.1 P50 18 Side effect suffered (non allergic origin)
Patient suffers an P5.2 P51 19 Side effect suffered (allergic origin)
adverse drug event
Patient related P6.1 P60 20 Therapy failure for unknown reason (escape code)
problems P6.2 P61 21 Patient dissatisfied with therapy despite taking correctly
P6.3 P62 22 Unclear complaints. Further clarification necessary
P6.4 P63 23 Insufficient awareness of health and diseases (possibly
leading to future problems)

PCNE class. Scheme 1 27-06-12V 1.2


PCNE Classification scheme for Drug related problems-2
The Causes

Category Code Code Code Causes


new SPSS
Drug/Dose selection C1.1 C10 1 Inappropriate drug selection
The cause of the DRP can be C1.2 C11 2 Inappropriate dosage selection
C1.3 C12 3 More cost-effective drug available
related to the selection of the C1.4 C13 4 Pharmacokinetic problems
drug and/or dosage schedule C1.5 C14 5 Synergistic drug required
C1.6 C15 6 Preventive drug required
C1.7 C16 7 Dosage adjustment required due to organ
C1.8 C17 8 impairment
C1.9 C18 9 Deterioration/improvement of disease state
New symptom presented

Drug use process C2.1 C20 10 Drug not used/ underused because of side-effects
The cause of the DRP can be C2.2 C21 11 Drug not used/ underused because of costs
related to the way the patient uses C2.3 C22 12 Drug not used/ underused because of health
the drug. C2.4 C23 13 beliefs
C2.5 C24 14 Drug overused
C2.6 C25 15 Drug misused
C2.7 C26 16 Drug used to suppress avoidable side-effect
C2.8 C27 17 No therapeutic drug monitoring
Inappropriate timing of administration and/or
C2.9 C28 18 dosing intervals
C2.10 C29 19 Patient unable to use drug/form properly
Patient forgets to use/take drug

Information C3.1 C30 20 Instructions for use/taking not known


The cause of the DRP can be C3.2 C31 21 Patient not familiar with reason for drug
related to a lack of information or C3.3 C32 22 treatment
misinterpretation Patient has difficulties reading/understanding
C3.4 C33 23 Patient Information Form/Leaflet
Patient unable to understand language
Patient/Psychological C4.1 C40 24 Health beliefs not in line with treatment
The cause of the DRP can be C4.2 C41 25 Patient does not want to bother doctor/GP
related to the personality of the C4.3 C42 26 Patient does not want to change drugs
patient. C4.4 C43 27 Patient has concerns about drugs
C4.5 C44 28 Patient does not want to adapt life-style
C4.6 C45 29 Burden of therapy

Logistics C5.1 C50 30 Prescribed drug not available


The cause of the DRP can be C5.2 C51 31 Prescribing error (slip of the pen)
related to the logistics of the C5.3 C52 32 Dispensing error (wrong drug or dose dispensed)
prescribing or dispensing
mechanism
Misc. C6.1 C60 33 Other reason
C6.2 C61 34 No obvious reason

PCNE class. Scheme 2 27-06-12V 1.2


PCNE Classification scheme for Drug related problems-3
The Interventions

Category Code Code Code Interventions


new SPSS
No intervention I0.0 I0.0 1 No Intervention

At presciber level I1.1 I10 2 Prescriber informed only


I1.2 I11 3 Prescriber asked for information
I1.3 I12 4 Intervention proposed by pharmacy, approved by
Prescriber
I1.4 I13 5 Intervention proposed by pharmacy, not approved
by Prescriber

At patient (or relative) I2.1 I20 6 Patient medication counselling


level I2.2 I21 7 Practical instruction to patient
I2.3 I22 8 Patient referred to prescriber
I2.4 I23 9 Spoken to family member/caregiver

At drug level I3.1 I30 10 Drug changed


I3.2 I31 11 Dosage changed

Other intervention I4.1 I40 12 (Description)

PCNE class. Scheme 3 27-06-12V 1.2

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