Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Use of computerized databases for drug therapy quality management.

K W Kolb1, M K Israel

  • 1McGuire VA Medical Center.

Topics in Hospital Pharmacy Management
|June 8, 1991
PubMed
Summary

Future drug utilization reviews (DUR) should use concurrent screening via computerized databases to actively protect patients from adverse drug events. This contrasts with current retrospective reviews, highlighting a necessary shift in pharmaceutical quality management.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pharmacotherapy quality improvement: use of a clinical rule-based application.

Pharmacy practice management quarterly·1996
Same author

Making oral contraceptives available over-the-counter.

The Nurse practitioner·1996
Same author

Extent of community-based delivery of pharmaceutical care in Virginia.

Pharmacotherapy·1996
Same authorSame journal

Pharmacotherapy quality improvement in the managed care setting.

Topics in hospital pharmacy management·1994
Same author

Warfarin-felbamate interaction: first report.

The Annals of pharmacotherapy·1994
Same author

Possible drug interaction between warfarin and combination of levamisole and fluorouracil.

The Annals of pharmacotherapy·1994

Area of Science:

  • Health Informatics
  • Pharmacovigilance
  • Health Services Research

Background:

  • Hospital databases are currently used for Drug Utilization Evaluation (DUE).
  • The Medicare Catastrophic Coverage Act proposed prospective screening for community Medicare prescriptions.
  • Current DUE functions often involve retrospective reviews, which do not directly benefit the patient.

Purpose of the Study:

  • To highlight the limitations of retrospective DUE.
  • To advocate for concurrent screening systems for improved patient safety.
  • To emphasize the necessity of computerized databases for future DUE activities.

Main Methods:

  • Discussion of the proposed point-of-service system from the Medicare Catastrophic Coverage Act.
  • Analysis of the potential for a centralized database linking pharmacies for claims processing and quality management.

Related Experiment Videos

  • Comparison of retrospective versus concurrent screening methodologies.

    • Main Results:

    • Retrospective DUE is labor-intensive and does not offer immediate patient protection.
    • A centralized, point-of-service system could enable concurrent screening.
    • Computerized databases are essential for effective concurrent drug safety monitoring.

    Conclusions:

    • The future of DUE lies in concurrent screening to actively protect patients.
    • Transitioning from retrospective to concurrent DUE is a necessary evolution.
    • Implementing computerized databases is crucial for advancing patient safety in drug prescribing.