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DUE software highlights therapeutic issues.

E P Armstrong1

  • 1Department of Pharmacy Practice, College of Pharmacy, University of Arizona, Tucson.

American Pharmacy
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

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Drug use evaluation (DUE) identifies potential drug therapy problems in ambulatory care. Pharmacists can improve patient care by recommending therapeutic alternatives for common drug classes like antibiotics and antidepressants.

Area of Science:

  • Pharmacy practice
  • Pharmacoeconomics
  • Drug utilization review

Background:

  • Ambulatory care settings present numerous opportunities for pharmacists to enhance pharmaceutical care through drug use evaluation (DUE).
  • Retrospective drug utilization review (DUR) systems can identify potential drug therapy problems in patient profiles.
  • Peer-review interventions are a key component of improving medication management.

Purpose of the Study:

  • To document one year of peer-review interventions facilitated by a drug utilization review software system.
  • To assess the frequency of identifying therapeutic class alternatives for prescribed medications.
  • To highlight the role of pharmacists in optimizing drug therapy in ambulatory care.

Main Methods:

  • Utilized retrospective drug utilization review software (Qualisure, Q-A, Inc.) to screen patient profiles.

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  • Implemented peer-review interventions by sending letters to physicians and pharmacists regarding identified drug therapy problems.
  • Analyzed the software's recommendations for therapeutic class alternatives.

    • Main Results:

    • The drug utilization review software identified frequent opportunities for recommending therapeutic class alternatives.
    • Antibiotics, antihistamines, nonsteroidal anti-inflammatory drugs, and antidepressants were the most common drug classes for which alternatives were suggested.
    • Peer-review interventions aimed to improve drug therapy in the ambulatory care setting.

    Conclusions:

    • Drug use evaluation and review in ambulatory care offer significant potential for improving pharmaceutical care.
    • Retrospective DUR software effectively screens for drug therapy problems and suggests alternatives.
    • Pharmacists play a crucial role in collaborating with physicians to optimize medication selection and patient outcomes.