However, access to drug coverage is most important for the elderly, simply because they require more medications, including a higher prevalence of longterm maintenance drugs for chronic conditions. This study evaluated the pattern of meropenem utilization in imam reza hospital, mashhad, iran. Drug use evaluation was conducted to determine whether ceftriaxone was being used appropriately based on six criteria namely indication for use, dose, frequency of administration, duration of treatment, drugdrug interaction, culture and sensitivity test. The tep discussed analyses of recent patterns in home infusion utilization and drug spending as well as predict how utilization and drug spending might change in response to the implementation of the 21 st century cures act. Pdf evaluation of ceftriaxone utilization at multicenter.
A courtordered evaluation typically consists of a detailed interview with a certified treatment provider. Importance of drug utilization evaluation studies in. Apixaban, dabigatran and rivaroxaban are three noacs approved by the united states food and drug administration fda and each is on our hospitals formulary. Tools used whos drug use indicators drug classification systems defined daily systems. Drug use evaluation is an ongoing, authorized and systematic quality improvement process, which is designed to. The aim of this study was to characterize realworld drug utilization patterns from both a prescriber and a patient perspective.
The work reported herein was supported by cooperative agreement no. Vancomycin utilization evaluation at hematologyoncology ward of a teaching hospital in iran. Review article drug utilization studies an overview. Drug utilization evaluation due studies are designed to assess drug usage appropriateness. Drug utilization studies aim to evaluate factors related to the prescribing, dispensing, administering and taking of medication, and its associated events either beneficial or adverse. Drug utilization research undertaken in the following ways may enable us to assess the impact of interventions on drug use monitor and evaluate the effects of measures taken to ameliorate undesirable prescription patterns e. Seroquel quetiapine fumarate and seroquel xr safety and. Introduction recent legislation authored by senator pryor and contained in the omnibus budget reconciliation act of 1990 obra 90 has firmly established drug utilization 1. Drug utilization evaluation of imipenem and intravenous. Drug addiction is a brain disease because the abuse of drugs leads to changes in the structure and function of the brain.
Objective clinical trials provide information regarding the safety and efficacy of medications used to manage type 2 diabetes but do not elucidate drug effectiveness in a typical managed care environment. Graduate school of public health in partial fulfillment. Ppt drug use evaluation powerpoint presentation free. Summary of the home infusion technical expert panel. Coverage increases prescription drug utilization, changes the mix of different drugs received, and reduces financial burdens for all population groups. Introduction to hospital and healthsystem pharmacy practice 63 tion of future events. Drug use evaluation an evaluation of name of antimicrobial. Such studies might be used for making comparisons with similar data collected over the same period in a different country, health facility or ward, and. Evaluation of quality life skillsbased drug education resources evaluating life skillsbased drug education programs unit three life skills life skill 1 working in small groups and facilitation effective groups, members roles, rules and goals, facilitation, tasks. Drug use evaluation purpose and content session 11 provides information on the concept of drug use evaluation due, a quality assurance method that is used worldwide, especially in north america and europe, and that has been shown to be effective in identifying medicine use problems and as a method to improve medicine use. Coareductase inhibitors statins drug utilization evaluation peter w k lin pharmacist pamela youde nethersole eastern hospital for clinical pharmacy subcommittee. The purpose of this paper is to facilitate the development of a drug utilization evaluation program for depressed patients receiving care in an outpatient environment.
Deborah wang, pharmd food and drug administration center for drug evaluation and research white oak building 22, room. An essential component of due is dissemination of the resultsto educate the necessary individuals and to incorporate the results into guidelinespolicies. Due is a structured process to analyze the pattern of drug administration in various practice settings, including hospitals in relation to guidelines or. Sometimes the offender is required to provide a drug and alcohol urinalysis screening as well. With everincreasing medication costs, appropriate use means more than ensuring patient safety. Evaluation of ceftriaxone utilization in medical and. The food and drug administration adverse event reporting system database was searched for all reports of adverse events received from august 1, 2011 through july 31, 2015. Ppt drug use evaluation powerpoint presentation free to. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Drug use evaluation is a performance improvement of drug use processes to achieve optimal patient outcomes. Inappropriate use of antibiotic, leads to microbial resistance, nosocomial infections and increased hospital costs. Structured, ongoing initiatives that interpret patterns of drug use in relation to predetermined criteria, and attempt to prevent or minimize inappropriate prescribing. An evaluation of name of antimicrobial agent use in adultpediatric inpatients project committee. Medication utilization evaluation of apixaban and dabigatran at a major academic medical center stephanie a smisko1, pharmd candidate.
Trends of outpatient prescription drug utilization in us. We ranked the drugs by volume of defined daily doses ddd and determined how many drugs accounted for the du90% segment. Drug utilization research dur is an eclectic scientific discipline, integrating descriptive and analytical methods for the quantification, understanding and evaluation of the processes of prescribing, dispensing and consumption of medicines and for the testing of interventions to enhance the quality of these processes. Questions the following questions were posed to the tep members for discussion. States food and drug administration fda and each is on our hospitals formulary. Drug use evaluation of three widely prescribed antibiotics in. Drug use evaluationmedication use evaluation page 2 of 9 assessment of compliance with institutional guidelines. Ashp guidelines on medicationuse evaluation medicationuse evaluation mue is a performance improvement method that focuses on evaluating and improving medicationuse processes with the goal of optimal patient outcomes. While the latter consider drug utilization linked to its indications and outcomes e.
Analysis on drug utilization and evaluation of beneficial or adverse drug effects by weihsuan lociganic. Thus, it is possible that these results merely reflect ineffectiveness of traditional retrospective drug utilization. Khalili h, gholami k, hajiabdolbaghi m, sairafipoor z. The evaluation was made as per the protocol developed from current treatment guidelines.
Place name of individuals at your institution involved in the due including individuals collecting data. Feb 23, 2015 drug use evaluation is an ongoing, authorized and systematic quality improvement process, which is designed to. Controls z whichever control methods are used in a trial, they must be both valid and suitable to its aims. Feb 18, 2016 drug use evaluation was conducted to determine whether ceftriaxone was being used appropriately based on six criteria namely indication for use, dose, frequency of administration, duration of treatment, drug drug interaction, culture and sensitivity test. Drug utilization 90% a simple method for assessing the. Vancomycin drug utilization evaluation due in infectious disease ward of imam khomeini hospital. Variability in drug responsiveness may be influenced by. An evaluation of name of antimicrobial agent use in adultpediatric inpatients. Pdf shpa standards of practice for drug use evaluation.
Drug use evaluation of three widely prescribed antibiotics. This document includes the drug name, therapeutic class, pharmacology, indications for use, summary of clinical trials, pharmacokineticsdynamics, adverse effects, drug interactions, dosage regimens, and cost. Drug utilization evaluation due as an effective tool for monitoring the appropriateness of the usage of various medications is an essential component of pharmacy service provision, and clinical pharmacy practice 2 4. We tested the idea that the number of drugs accounting for 90% of drug use drug utilization 90% du90% may serve as an indicator of the quality of drug prescribing. Diagnosis proper evaluation of the patterns of drug utilization requires that the data user look first to the morbidity that the. Drug utilization studies an overview 805 crosssectional studies crosssectional data provide a snapshot of drug use at a particular time. A written, unbiased evaluation of a specific medication.
Medication utilization evaluation of apixaban and dabigatran. Highlights of drug utilization in office practice national. Duplicated or overprescribed therapies leave you with fewer resources. Evaluation of drugs utilization pattern using who prescribing indicators in ayder referral hospital, northern ethiopia birhanu demeke 1, fantahun molla 2, admassu assen 2, wondim melkam 3, solomon abrha 2, birhanetensay masresha 3, tigist asefa1 1pharmacoepidemiology and social pharmacy course and research unit, department of pharmacy, college health sciences. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Drug use evaluation 3 use of highcost medicines where less expensive alternatives exist excessive number of medicines within a therapeutic category due, a system of improving the quality of medicine use in hospitals and clinics, is an ongoing. Review drug use and or prescribing patterns provide feedback of results to clinicians and other relevant groups develop criteria and standards promote appropriate drug use 3. In fact, the software used by the programs that we.
The drug utilization evaluation due or medication utilization evaluation mue is one the famous tool used to follow up drug therapy monitoring, measure the adherence to the guidelines and. Drug use evaluation due or du studies is an ongoing, authorized and systematic quality improvement process. They also reported that these programs have changed little since 1996. Evaluating drug prescribing in a large, ambulatory. The states of georgia and maryland were included in the study for experimental and comparison purposes. A crosssectional study was carried out by sampling 384 prescriptions from all prescriptions of the outpatient pharmacy department of the ayder referral hospital from january to april, 2014. Drug use evaluation medication use evaluation page 2 of 9 assessment of compliance with institutional guidelines.
An essential component of due is dissemination of the resultsto educate the necessary individuals and. Antimicrobial stewardship strategy public health ontario. Drug use utilization evaluation and medication utilization evaluations are the. This information was synthesized into a framework with potential. This definition was published as part of a report called principles of a sound drug formulary system. Importance of drug utilization evaluation studies in patient. Apr 08, 2016 drug utilization research dur is an eclectic scientific discipline, integrating descriptive and analytical methods for the quantification, understanding and evaluation of the processes of prescribing, dispensing and consumption of medicines and for the testing of interventions to enhance the quality of these processes.
The discipline is closely related and linked mainly to the broader field. A framework for drug utilization evaluation in depression. Introduction to drug utilization research who international working group for drug statistics methodology, who collaborating centre for drug statistics methodology, who collaborating centre for drug utilization research and clinical pharmacological services. The study aimed to evaluate the utilization of ceftriaxone in medical ward of mizan aman. We aim to evaluate the drug utilization of intravenous ciprofloxacin and imipenem, two of the broad spectrum antibiotics that consume a significant proportion of our hospitals outlay, in different wards of a teaching hospital in zabol. Controls z whichever control methods are used in a trial, they must be both valid and suitable to its aims z patients. The databases currently available for purposes of drug utilization studies may be classified as nondiagnosislinked or diagnosislinked 3.
To describe a simple method for assessing the quality of drug prescribing. Life skills based education for drug use prevention. How to stop drug addiction and absuive drug addiction is a chronic, often relapsing brain disease that causes compulsive drug seeking and use, despite harmful consequences to the drug addict and those around them. Pdf prospective drug use evaluation of meropenem in a. Mue may be applied to a medication or therapeutic class, disease state or condition, a medicationuse process prescribing.
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