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A departmental model for drug-usage evaluation.

L M Sylvia1

  • 1New England Medical Center Hospitals, Boston, MA.

Topics in Hospital Pharmacy Management
|March 10, 1991
PubMed
Summary

The departmental approach streamlines drug utilization reviews (DUR) by involving specific pharmacy disciplines. This method enhances pharmacist input, allows service-specific evaluations, and focuses on patient populations, improving drug use management.

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Area of Science:

  • Pharmacy Practice
  • Pharmacoeconomics
  • Health Services Research

Background:

  • Drug utilization review (DUR) is essential for optimizing medication therapy and ensuring patient safety.
  • Traditional DUR processes may lack focus and fail to incorporate diverse pharmacy expertise effectively.
  • The Joint Commission mandates rigorous DUR to maintain healthcare quality standards.

Purpose of the Study:

  • To describe and evaluate the implementation of a departmental approach to drug utilization review (DUR).
  • To highlight the advantages of a service-specific, matrix-based DUR program within a pharmacy department.
  • To demonstrate how this approach enhances pharmacist involvement and compliance with standards.

Main Methods:

  • Implemented a departmental DUR approach, categorizing reviews by the number of involved pharmacy disciplines (single, multiple, or all).
  • Prioritized DUR evaluations based on identified drug-use problems, pharmacist workload, and potential impact.
  • Utilized a matrix approach enabling pharmacists to maintain specialty practices while contributing to DUR.

Main Results:

  • The departmental approach increased staff pharmacist input into the DUR program direction.
  • Service-specific evaluations allowed for tailored assessments of drug therapy compliance and development of targeted action plans.
  • The system facilitated focused evaluations on specific patient populations and maintained an ongoing, systematic DUR program.

Conclusions:

  • The departmental approach to DUR offers a structured and adaptable framework for optimizing drug use.
  • This model enhances the efficiency and effectiveness of DUR by leveraging specialized pharmacy expertise and service-specific insights.
  • It supports continuous quality improvement in medication management while accommodating specialized pharmacy practice.

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