<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Wolf, M. S.</style></author><author><style face="normal" font="default" size="100%">Shekelle, P.</style></author><author><style face="normal" font="default" size="100%">Choudhry, N. K.</style></author><author><style face="normal" font="default" size="100%">Agnew-Blais, J.</style></author><author><style face="normal" font="default" size="100%">Parker, R. M.</style></author><author><style face="normal" font="default" size="100%">Shrank, W. H.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Variability in pharmacy interpretations of physician prescriptions</style></title><secondary-title><style face="normal" font="default" size="100%">Med Care</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2009</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Mar</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;dopt=Citation&amp;list_uids=19194338</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">3</style></number><edition><style face="normal" font="default" size="100%">2009/02/06</style></edition><volume><style face="normal" font="default" size="100%">47</style></volume><pages><style face="normal" font="default" size="100%">370-3</style></pages><isbn><style face="normal" font="default" size="100%">1537-1948 (Electronic)1537-1948 (Linking)</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">BACKGROUND: The clarity of prescription drug instructions is a health literacy and medication safety concern. OBJECTIVE: To assess the variability of pharmacy interpretations of physician prescriptions. DESIGN: Identically written prescriptions for 4 common medications (atorvastatin, alendronate, trimethoprim/sulfamethoxazole, ibuprofen) were filled in 6 pharmacies (2 largest chains, 2 grocery stores, 2 independents) in 4 cities (Boston, Chicago, Los Angeles, Austin). MEASUREMENT: Components of the instruction were coded as dose, frequency, administration route, timing, indication, and auxiliary instructions. RESULTS: In all, 85 labels were evaluated. Dose frequency was omitted on 6% of instructions (&quot;take 1 tablet for cholesterol&quot;). Timing was explicitly stated on 2% of instructions (&quot;in the morning&quot;). All prescriptions included indications; pharmacies transcribed these onto 38% of labels. The prescription for alendronate stated not to lie down for at least 30 minutes after taking; this was transcribed with 50% of instructions. Reading difficulty was above recommended levels for 46% of instructions; with 14% greater than a high school level. CONCLUSIONS: Efforts are needed to ensure patients receive clear, consistent information supporting safe medication use.</style></abstract><accession-num><style face="normal" font="default" size="100%">19194338</style></accession-num><notes><style face="normal" font="default" size="100%">Wolf, Michael SShekelle, PaulChoudhry, Niteesh KAgnew-Blais, JessicaParker, Ruth MShrank, William HK01 EH000067-01/EH/NCEH CDC HHS/United StatesK23 HL090505-02/HL/NHLBI NIH HHS/United StatesEvaluation StudiesResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.United StatesMedical careMed Care. 2009 Mar;47(3):370-3.</style></notes><custom2><style face="normal" font="default" size="100%">2680452</style></custom2><auth-address><style face="normal" font="default" size="100%">, Center for Communication in Healthcare, Institute for Healthcare Studies and Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA. mswolf@northwestern.edu</style></auth-address></record></records></xml>