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Watson MC et al. – Simulated patient (SP) visits with feedback were acceptable to pharmacists as a method of improving the quality of consultations for OTC medicines, irrespective of the person giving feedback (SP or PE). The process by which pharmacists and their staff derived their recommendations, in terms of information gathering, could be improved. A large–scale study is needed to assess the effectiveness and cost–effectiveness of SP visits with feedback.

Exclusive Author Commentary
Margaret C. Watson, 10/20/09

This study is part of a research programme to explore influences on consultations for nonprescription medicines and to develop strategies and interventions to improve the safe and effective supply of these medicines. With the increasing number of medicines available for purchase in many countries, it's important to maximise their effective use whilst minimisiing risk. Simulated patient visits combined with immediate feedback is one method of providing an in situ educational intervention to improve professional practice. The results of this study show that this method of education was acceptable to pharmacists. In addition, the results showed that whilst most consultations resulted in an appropriate outcome i.e. appropriate supply or non-supply of a medicine, the process for determining the recommendation to supply or not supply was often deficient. The results of this study will be used to inform a definitive randomised controlled trial of this intervention as a method of improving the quality of practice in community pharmacy in the UK.

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