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Abbreviations and symbols in a large sample of medicinal package leaflets: automatic detection and comprehension assessment

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Abstract(s)

Medicines package leaflets (PL) need to be clear and comprehensible, according to legal recommendations. Abbreviations and symbols (A&S) are not recommended since their use may lead to misunderstandings and medication errors. Objectives: 1) identify, typify and quantify all A&S in a large sample of Portuguese PL, 2) detect discrepancies between these A&S and regulations, and 3) assess how educated individuals interpret A&S found in Portuguese PL. Methods: descriptive and exploratory study. Descriptive study - 531 PL were visually inspected in order to identify all A&S and a computer tool was programmed to count these A&S. All A&S were typified according to classificatory groups (e.g. abbreviations of diseases names) and evaluated according to the regulations. Exploratory study - the interpretation of 373 A&S by 26 undergraduates was assessed with a questionnaire. Results: 828 different A&S were identified (6407 occurrences). The average number of A&S per PL was 12.1 (SD=13.1). Thirteen classificatory groups were built. Non-compliant A&S were found. Only a very low percentage of responses was correct (9.9%). Conclusion: A&S were prevalent in PL, contrary to the international recommendations. A significant number of technical A&S was unfamiliar to a group of educated people. Automatic tools and procedures regarding these readability features should be developed in order to validate PL’s compliance with regulations.

Description

Keywords

Package Leaflets Readability Medicinal products Abbreviations Patient safety

Pedagogical Context

Citation

Pires, C., M. Vigário, F. Martins & A. Cavaco (2015) Abbreviations and symbols in medicines package leaflets: evaluating how difficult they are for educated people. Procedia Computer Science, 64: 683-690

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