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Practice guidelines and drug-usage evaluation.

B S Grabowski1

  • 1North Kansas City Hospital, MO.

Topics in Hospital Pharmacy Management
|June 8, 1991
PubMed
Summary
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The development of rigorous medical practice guidelines, driven by legislation, will enhance drug therapy appropriateness. Pharmacy managers must adapt to these changes, evolving drug-utilization review into outcome-focused quality assurance systems.

Area of Science:

  • Health Services Research
  • Pharmacy Practice
  • Quality Improvement

Background:

  • Growing interest in developing more rigorous and clinically sound medical practice guidelines.
  • Federal legislation is driving the adoption of these guidelines in healthcare.
  • Pharmacy managers need to understand these developments for drug therapy management.

Purpose of the Study:

  • To highlight the evolving landscape of medical practice guidelines.
  • To emphasize the importance of appropriateness of drug therapy and drug-utilization review.
  • To discuss the future role of pharmacy in quality assurance.

Main Methods:

  • Review of current trends in medical practice guideline development.
  • Analysis of the impact of federal legislation on healthcare quality.

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  • Discussion of the evolution of drug-utilization review programs.

    • Main Results:

    • Practice guidelines are becoming more rigorous and clinically sound.
    • A shift is occurring from drug-utilization review to diagnosis-based, outcome-focused quality assurance systems.
    • The role of pharmacy managers is crucial in adapting to these changes.

    Conclusions:

    • The evolution of practice guidelines necessitates adaptation within pharmacy departments.
    • Competent pharmacy practitioners remain essential for ensuring appropriate pharmaceutical care.
    • The institutional pharmacist's role is increasingly vital due to rising patient acuity and rapid medical advancements.