Drug indicated but not prescribed | Previous or new conditions lack medication according to national/international guidelines |
Unnecessary drug | Lack of indication for a drug, or two drugs in the same therapeutic group prescribed |
Inappropriate drug | Inappropriate drug for a disease or condition. Absolute or relative contraindication to a particular drug |
Dosage modifications required (dose too high, too low or at the wrong time) | Dose too high, too low or given at the wrong time according to guidelines. Patients’ kidney and liver function, age, weight and other individual differences are taken into consideration |
Inappropriate route/method of administration used | Route or method of administration are inappropriate due to pharmacokinetic properties of the drug and the patient’s condition |
Adverse drug reactions | Clinically relevant reaction to a drug could be expected or potentially already in progress |
Interactions | Clinically relevant interactions both between drugs and drugs and food/salts/minerals according to different interaction databases |
Aberrant use of drug | Drug is not given as prescribed by the doctor |
Monitoring modifications required | Monitoring according to effect and toxicity are missing according to guidelines |
Unclear and missing ordination/documentation | Wrong dose/drug prescribed or drug missing due to transfer errors between the handwritten charts from one day to the other or other documentation errors |
Other problems not otherwise specified | Treatment discussions that include more than one problem or DRP that cannot be put in any other category |