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Influencing prescribing practices and associated outcomes utilizing the drug use evaluation process
N E Sloan1, J A Peroutka, D E Morgan
1University of Iowa Hospitals and Clinics, Iowa City.
Topics in Hospital Pharmacy Management
|September 5, 1994
Summary
Implementing a drug use evaluation (DUE) process significantly improved prescribing practices and pharmaceutical care. This collaborative approach enhanced medication use and patient outcomes in a teaching hospital setting.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Quality Improvement
Background:
- The drug use evaluation (DUE) process is crucial for optimizing pharmaceutical care.
- Effective implementation requires collaboration between pharmacy and medical staff.
- Teaching hospitals face unique challenges in managing prescribing practices.
Purpose of the Study:
- To describe the implementation of a DUE program in a teaching hospital.
- To assess the impact of the DUE process on prescribing practices and pharmaceutical care.
- To highlight the multidisciplinary approach in improving medication use.
Main Methods:
- Structured DUE program with significant pharmacy involvement and medical staff responsibility.
- Multidisciplinary team for problem identification, criteria development, and educational initiatives.
- Daily drug therapy monitoring, clinical interventions, and outcome documentation by pharmacists.
Main Results:
- Positive influence on prescribing practices and effective drug utilization.
- Improved patient outcomes attributed to the DUE program.
- Identification of performance compliance and problems integrated into the credentialing process.
Conclusions:
- The DUE process, with multidisciplinary collaboration, positively impacts prescribing habits.
- Enhanced pharmaceutical care and improved patient outcomes are achievable through structured DUE programs.
- Integration with hospital quality assessment and credentialing processes strengthens DUE effectiveness.