Medicine Authentication Technology as a Counterfeit Medicine Detection Tool: A Delphi Method Study to Establish Expert Opinion on Manual Medicine Authentication Technology in Secondary Care

Objectives: This study aims to establish expert opinion and potential improvements for the Falsified Medicines Directive mandated medicines authentication technology. Design and Intervention: A two round Delphi method study using an online questionnaire. Setting: Large NHS foundation trust teaching hospital Participants: Secondary care pharmacists and accredited checking technicians. Primary outcome measures: Seven-point rating scale answers which reached a consensus of 70-80% with a standard deviation of less than 1.0. Likert scale questions which reached a consensus of 70-80%, a standard deviation of less than 1.0 and classified as important according to study criteria. Results: Consensus expert opinion has described database cross-checking technology as quick and user friendly and suggested the inclusion of an audio signal to further support the detection of counterfeit medicines in secondary care (70% consensus, 0.9 SD) other important consensus with a standard deviation of less than 1.0 included reviewing the colour and information in warning pop up screens to ensure they were not mistaken for the “already dispensed here” pop up, encouraging the dispenser/checker to act on the warnings and making it mandatory to complete an "Action Taken" documentation process to improve the quarantine of potentially counterfeit, expired or recalled medicines. Conclusions: This paper informs key opinion leaders and decision makers as to the positives and negatives of medicines authentication technology from an operator’s perspective and suggests the adjustments which may be required to improve operator compliance and the detection of counterfeit medicines in the secondary care sector