PTCE - Patient Safety and Quality Assurance - Section 3.3

Recognise issues requiring pharmacist intervention, including drug utilisation review (DUR), adverse drug events, OTC recommendations, therapeutic substitution, misuse, adherence, post-immunisation care, allergies, and drug interactions. (Calculation-based.)

Recognise situations that require pharmacist intervention, including drug utilisation review findings, adverse drug events, therapeutic substitution requests, medication adherence concerns, and allergy or drug interaction alerts. Distinguish activities that fall within the pharmacy technician's scope from those that are pharmacist-only under federal and state law.

Drug utilisation reviewAdverse drug eventTherapeutic substitutionMedication adherence

Practice question for this objective

Free samplePatient Safety and Quality Assurancehard

During a prospective drug utilisation review, a technician processes a new prescription for warfarin 5 mg daily for a patient, Tobias Renner, whose active profile already shows fluconazole 150 mg started three days ago. The dispensing software fires an alert. What is the technician's BEST next step?

  • AOverride the alert and dispense, because warfarin and fluconazole are commonly taken together without consequence.
  • BCancel the warfarin prescription outright and tell the patient the two medicines cannot be combined.
  • CReduce the dispensed warfarin dose to 2.5 mg daily to offset the interaction before labelling.
  • DRefer the interaction alert to the pharmacist for clinical review before the prescription is dispensed. Correct
A technician must escalate a major drug interaction alert from prospective DUR to the pharmacist rather than override or resolve it. Prospective DUR screens a new order against the active profile, and a major interaction such as fluconazole inhibiting warfarin metabolism raises bleeding risk; resolving the alert requires clinical judgement reserved for the pharmacist, so the technician's role is to flag and refer.

Why A is wrong: This is tempting because many software alerts are low-acuity nuisances, but fluconazole is a potent CYP2C9 inhibitor that raises warfarin levels and bleeding risk, so an unverified override is inappropriate.

Why B is wrong: This feels safe, but cancelling therapy and counselling on the clinical decision exceed a technician's scope and may withhold needed anticoagulation; the pharmacist must make that call.

Why C is wrong: Adjusting the dose seems like a proactive fix, but altering a prescribed dose is prescribing, which a technician cannot do, and the magnitude of any change is a clinical decision for the pharmacist or prescriber.

Why D is correct: A flagged major interaction during prospective DUR requires the pharmacist's clinical judgement on whether to dispense, adjust monitoring, or contact the prescriber; the technician escalates rather than resolves it.

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