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Drug-use review and risk management

P W Keys

    American Journal of Hospital Pharmacy
    |October 1, 1981
    PubMed
    Summary

    Integrating drug-use-review (DUR) and risk management enhances patient safety. This approach prevents medical injuries, particularly those linked to medications, thereby reducing hospital liability.

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    Area of Science:

    • Healthcare Management
    • Patient Safety
    • Pharmacovigilance

    Background:

    • Traditional hospital quality assurance and risk management operated separately.
    • Most malpractice claims stem from patient care negligence.
    • An integrated approach is crucial for improving care and reducing liability.

    Purpose of the Study:

    • To discuss the integration of drug-use-review (DUR) and risk management programs.
    • To highlight the importance of preventing medically related patient injuries.
    • To emphasize the role of drug exposure in medical injuries.

    Main Methods:

    • Concurrent comparison of medication orders and administration.
    • Utilizing selected process criteria for early detection.
    • Integrating quality assurance with risk management strategies.

    Main Results:

    • Identified drug exposure as a significant cause of medical injuries.
    • Proposed concurrent medication review as a preventative measure.
    • Demonstrated the potential for early detection of drug-related episodes.

    Conclusions:

    • An integrated DUR and risk management program is appropriate for hospitals.
    • Preventing avoidable drug-related injuries improves patient care.
    • This integrated approach can reduce hospital liability effectively.

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