We ranked the drugs by volume of defined daily doses ddd and determined how many drugs accounted for the du90%. Drug utilization evaluation and prescription monitoring in. Prospective drug utilization evaluation of three broad. Criteria and standards are periodically revised to ensure that they reflect prescribing recommendations of the current compendia and. 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. A written, unbiased evaluation of a specific medication. 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. Drug utilization evaluation of imipenem and intravenous ciprofloxacin in a teaching hospital sarah mousavi, mehdi behi, mohammad reza taghavi, alireza ahmadvand, shadi ziaie, mandana moradi iran j pharm res. 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. Drug utilization evaluation due of analgesics in tertiary care teaching hospital. The dur board provides evaluation of criteria for drug coverage within texas medicaid. Drug utilization evaluation of third generation cephalosporins 342 pak. Drug utilization studies an overview 805 crosssectional studies crosssectional data provide a snapshot of drug use at a particular time.
Retrospective evaluations may involve assessment of drug use in individual patients or anal ysis of prescribing and dispensing patterns. Shpa standards of practice for drug use evaluation in australian. Antimicrobial stewardship strategy public health ontario. The purpose of this study is to evaluate the drug utilization trends and to describe the prevalence and type of medication related prescribing. As such, its use and misuse raises the potential for the development of significant bacterial resistance with. Since 1993, section 1927g of the act has required each state to develop a dur program targeted, in part, at reducing clinical abuse and misuse of outpatient prescription drugs covered under the states medicaid program. Antimicrobial medication use evaluations mue for community hospitals what is it. Drug use evaluationmedication use evaluation page 2 of 9 assessment of compliance with institutional guidelines. Drug utilization studies are used to analyze different aspects of the use of drugs and to implement methods of improving therapeutic quality. Drug utilization, safety and clinical use of actos and avandia. The data was collected and defined daily dose of frequently.
Pdf drug utilization is very important for antibiotics as they are widely used in hospitals and their in appropriate use may lead to resistance. Prospective evaluation of a patients drug therapy before medication is dispensed. Feb 23, 2015 drug use evaluation is an ongoing, authorized and systematic quality improvement process, which is designed to. Pharmacy and therapeutics committee, policies and procedures, p. Information contained in this report covers projects completed and evaluated during the time period of july 2014 through june 2015. Center for drug evaluation and research list of guidance documents guidance documents represent the agencys current thinking on a particular subject. Review article drug utilization studies an overview.
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. A drug utilization evaluation due program was carried out over two 3month periods. The evaluation failed to detect effects of either state pdur demonstration on the frequency of drug problems, utilization of prescription drugs and other health services, and clinical outcomes. Tools used whos drug use indicators drug classification systems defined daily systems. 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. A formulary is a continually updated list of medications and related information, representing the clinical judgment of pharmacists, physicians, and other experts in the diagnosis andor treatment of disease and promotion of health. In fact, the software used by the programs that we. Drug use evaluation meropenem usage at the colonial war memorial hospital introduction meropenem is a broadspectrum antibacterial agent, with activity against the majority of gram positive, gram negative and anaerobic bacteria.
Consumers as instigators and users of drug utilization research a. We ranked the drugs by volume of defined daily doses ddd and determined how many drugs accounted for the du90% segment. Drug use evaluation an evaluation of name of antimicrobial. However, the state rdur interventions had immediate effects on prescribing physicians. Drug use evaluation due is a systematic approach that assesses the appropriateness, safety, and effectiveness of a medication to improve patient care.
The principal aim of drug utilization research is to facilitate the rational use of drugs in popu lations. Pdf drug utilization evaluation of antibiotics in district hospital. 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 use evaluation is an ongoing, authorized and systematic quality improvement process, which is designed to. An evaluation of name of antimicrobial agent use in adultpediatric inpatients. States food and drug administration fda and each is on our hospitals formulary.
An evaluation of name of antimicrobial agent use in adultpediatric inpatients project committee. Nov 15, 2015 tools used whos drug use indicators drug classification systems defined daily systems. The discipline is closely related and linked mainly to the broader field. Dur programs use professional medical protocols and computer technology and data processing to assist in the management of data regarding the prescribing of. Marks drug utilization, safety and clinical use of actos and avandia 1. Introduction the thiazolidinediones glitazones, also known as glitazones, are a class of medications used in the treatment of type ii diabetes mellitus. Drug use evaluation of moxifloxacin avelox using a hand. Treatment of extrapulmonary tb and of tb in special situations 95 8. Drug use evaluationmedication use evaluation public health ontario. Center for drug evaluation and research list of guidance.
Hospital name drug use evaluation of renal function monitoring during aminoglycoside. An essential component of due is dissemination of the resultsto educate the necessary individuals and. To describe a simple method for assessing the quality of drug prescribing. Drug utilization 90% a simple method for assessing the.
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. Medication utilization evaluation of apixaban and dabigatran at a major academic medical center stephanie a smisko1, pharmd candidate. Importance of drug utilization evaluation studies in patient. A retrospective study on drug utilization in patients with. 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. Evaluation results from prospective drug utilization. Place name of individuals at your institution involved in the due including individuals collecting data. The following utilization management tools are used. Drug utilization data was obtained from the prescriptions of the patients attending cardiology outpatient department in government general hospital. Drug utilization and the teaching of rational drug use j. An antimicrobial mue may be conducted to characterize and improve the. Drug use evaluation due or du studies is an ongoing, authorized and systematic quality improvement process.
Drug utilization evaluation of third generation cephalosporins 340 pak. For the individual patient, the rational use of a drug implies the prescription of a well documented drug at an optimal dose, together with the correct information, at an affordable price. Importance of drug utilization evaluation studies in patient health. Search our state drug utilization frequently asked questions for indepth information and answers to common questions including. Objective of current study 2 department of pharmacy, college is to evaluate. The data was collected and defined daily dose of frequently prescribed drugs and prescribing indicators were assessed. Importance of drug utilization evaluation studies in. Food and drug administration fda center for drug evaluation and research cder joint meeting of the anesthetic and analgesic drug products advisory committee aadpac, the drug.
Pdf drug utilization evaluation due of analgesics in tertiary. Antimicrobial mue is a systematic analysis that focuses on evaluating and improving antimicrobial use processes. Food and drug administration fda center for drug evaluation. As such, its use and misuse raises the potential for. The purpose of due is to improve the quality and costeffectiveness of drug medicine use, and thereby improve patient care. Drug use utilization evaluation and medication utilization evaluations are the. This definition was published as part of a report called principles of a sound drug formulary system. Pdf drug use evaluation of ciprofloxacin belayneh kefale. It included all 16 departments in which the study drugs cefepime, piperacillintazobactam and meropenem were in use, and all patients who were treated with at least one of these three antibiotics. Since the start of the medicaid drug rebate program, states report drug utilization for covered outpatient drugs paid for by state medicaid agencies. Drug utilization evaluation of cardiovascular drugs in. Coverage increases prescription drug utilization, changes the mix of different drugs received, and reduces financial burdens for all population groups.
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