Jeroen van de Pol

30 Chapter 2.1 Table 1: Classification of pharmacists' activities (a more detailed description is given in supplementary material table 1). Main activity Definition Cognitive pharmaceutical services Direct contact with patients or healthcare providers (e.g. counselling). Performing medication reviews. Updating patient status. Logistics Stock maintenance. Ordering products from suppliers. Contact with patients regarding the supply of products. Organizational activities Internal staff meetings. External meetings on communal healthcare projects. Quality assurance Updating the quality manual. Attending audits. Performing customer satisfaction research. Human resource management Staff appraisal. Making work schedules. Supervising interns. Household chores Cleaning the pharmacy. Repairing broken or malfunctioning equipment. Finances Bookkeeping. Health insurance negotiations. Dispensing process Validating, labelling, preparing, and checking medicines. Final check of prescription Checking the appropriateness of the prescription. Checking drug indication, dose and suitability for the patient. Clinical risk management Checking all medication alerts (e.g. interactions, drug dose, intolerability). Education Attending post-graduate education Non-professional encounters and other General chat with patients, colleagues or other healthcare professionals. Rest Lunch, coffee breaks, toilet breaks. Results A total of 156 community pharmacists agreed to participate and registered 11,918 activities using the smartphone application between 11 January and 27 July 2016; 65 participants who did not complete the online survey were excluded. Results from the excluded versus included participants are presented in supplementary material table 2. In total, 734 alerts occurred when participants were not at work (because of holidays or part-time employment); these responses were excluded (not formal activities). All analyses were performed on the remaining dataset consisting of 7848 registered activities provided by 91 participating pharmacists (see figure 1). Demographic data of the participants are shown in table 1.