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A novel comprehensive DUE program--five years of experience
A F Gentry1, K A Fudge, G Wellman
1Riverside Methodist Hospital, Columbus, OH.
Topics in Hospital Pharmacy Management
|June 8, 1991
Summary
This program improves drug prescribing and patient care quality through peer review and focused education. Future goals include measuring clinical outcomes and integrating with quality assurance programs.
Area of Science:
- Health Services Research
- Pharmacy Practice
- Quality Improvement
Background:
- Healthcare institutions require robust programs to evaluate and enhance drug prescribing practices.
- Multidisciplinary input is crucial for effective monitoring and quality assurance in patient care.
Purpose of the Study:
- To describe a comprehensive program for evaluating institutional prescribing practices.
- To highlight the benefits of medical staff ownership and peer review in quality improvement.
- To outline future directions for integrating clinical outcomes into drug utilization evaluation.
Main Methods:
- Developing monitoring criteria with input from pharmacy, quality assurance, medical, and nursing staff.
- Reviewing results by key committees (P&T, Medical Executive) to foster medical staff ownership.
- Implementing a concurrent monitoring program with immediate feedback mechanisms.
Main Results:
- Reduced use of broad-spectrum antibiotics.
- More selective prescribing of high-risk medications.
- Targeted educational initiatives improving patient care quality.
- Cost-effective program demonstrating significant benefits.
Conclusions:
- Medical staff ownership and peer review are key to successful drug utilization evaluation (DUE) programs.
- Integrating DUE with institutional Quality Assurance (QA) programs is essential for measuring clinical outcomes.
- The program's success provides a foundation for future advancements in assuring optimal patient care.