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  <front>
    <journal-meta>
      <journal-id journal-id-type="iso-abbrev">Arch Pharm Pract</journal-id>
      <journal-id journal-id-type="publisher-id">archivepp.com</journal-id>
      <journal-id journal-id-type="publisher-id">Arch Pharm Pract</journal-id>
      <journal-title-group>
        <journal-title>Archives of Pharmacy Practice</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2320-5210</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">archivepp.com-1258</article-id>
      <article-id pub-id-type="doi">10.51847/bgArgCNMwK</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Dividing Responsibility When a Pharmacist and an Algorithm Co-Produce the Medication Decision</article-title>
      </title-group>
                    <contrib-group>
                      <contrib contrib-type="author">
              <name>
                <surname>Zhang</surname>
                <given-names>Wei</given-names>
              </name>
                              <xref rid="aff1" ref-type="aff">1</xref>
                                                            <xref rid="cor1" ref-type="corresp" />
                          </contrib>
                      <contrib contrib-type="author">
              <name>
                <surname>Hui</surname>
                <given-names>Chen</given-names>
              </name>
                              <xref rid="aff2" ref-type="aff">2</xref>
                                        </contrib>
                      <contrib contrib-type="author">
              <name>
                <surname>Tan</surname>
                <given-names>Michael</given-names>
              </name>
                              <xref rid="aff1" ref-type="aff">1</xref>
                                        </contrib>
                  </contrib-group>
                  <aff id="aff1">
            <label>1</label>Department of Shared Decision-Making in Pharmacy, Faculty of Pharmacy, University of Melbourne, Melbourne, Australia.
          </aff>
                  <aff id="aff2">
            <label>2</label>Department of Pharmacist-Algorithm Collaboration, Faculty of Pharmacy, National University of Singapore, Singapore.
          </aff>
                          <author-notes>
            <corresp id="cor1">
              <bold>Address for correspondence:</bold> Prof. Wael Abu Dayyih, Department of
              Pharmaceutical Chemistry, Faculty of Pharmacy, Mutah University, Al-Karak 61710, Jordan.
                              E-mail: <email xlink:href="wei.zhang@unimelb.edu.au">wei.zhang@unimelb.edu.au</email>
                          </corresp>
          </author-notes>
                    <pub-date pub-type="epub">
        <day>30</day>
        <month>09</month>
        <year>2025</year>
      </pub-date>
      <volume>16</volume>
      <issue>3</issue>
      <fpage>46</fpage>
      <lpage>53</lpage>
      <permissions>
        <copyright-statement>
          Copyright: &#x000a9; 2026 Archives of Pharmacy Practice
        </copyright-statement>
        <copyright-year>2026</copyright-year>
        <license>
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/"
            specific-use="textmining" content-type="ccbyncsalicense">
            https://creativecommons.org/licenses/by-nc-sa/4.0/</ali:license_ref>
          <license-p>This is an open access journal, and articles are distributed under the terms of
            the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows
            others to remix, tweak, and build upon the work non-commercially, as long as appropriate
            credit is given and the new creations are licensed under the identical terms.</license-p>
        </license>
      </permissions>
      <abstract>
        <title>A<sc>BSTRACT</sc></title>
        <p>Medication decisions supported by artificial intelligence are often described as if responsibility remains wholly with the pharmacist because a human formally approves the final action. This view overlooks how data selection, model design, interface presentation, organizational configuration, professional judgment, and follow-up jointly produce the decision. This article develops a proposed Responsibility-Allocation Model for co-produced medication decisions. The model treats each decision as a responsibility-bearing episode extending across data, recommendation, approval, and follow-up. At every stage, four dimensions are examined separately: contribution, meaning the input supplied to the decision; control, meaning the feasible capacity to inspect or alter the process; authority, meaning legitimate power to approve, reject, or escalate; and liability, meaning potential legal or institutional answerability. The model maps these dimensions across the pharmacist, algorithm developer or vendor, and deploying organization. It also introduces proposed rules for non-equivalence among responsibility dimensions, effective professional control, authority–control alignment, documented disagreement, and reassessment after material change. Evaluation requires evidence of technical validity, joint human–algorithm task performance, workflow effects, medication safety, equity, traceability, organizational response, and longitudinal stability. The model does not determine negligence, allocate legal liability, establish clinical benefit, or authorize deployment. Its original contribution is a structured vocabulary and testable governance architecture for examining responsibility without reducing it either to algorithmic influence or to the pharmacist’s final click, enabling later empirical testing across pharmacy tasks and organizational contexts.</p>
      </abstract>
      <kwd-group>
                <kwd>Digital pharmacy</kwd>
                <kwd>Artificial intelligence</kwd>
                <kwd>Pharmacy practice</kwd>
                <kwd>Medication safety</kwd>
                <kwd>Human–AI collaboration</kwd>
                <kwd>Clinical decision support</kwd>
              </kwd-group>
    </article-meta>
  </front>
</article>