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. Pdf drug utilization evaluation due of analgesics in tertiary. Consumers as instigators and users of drug utilization research a. Treatment of extrapulmonary tb and of tb in special situations 95 8. We ranked the drugs by volume of defined daily doses ddd and determined how many drugs accounted for the du90%. Drug utilization, safety and clinical use of actos and avandia. The discipline is closely related and linked mainly to the broader field. 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. Introduction the thiazolidinediones glitazones, also known as glitazones, are a class of medications used in the treatment of type ii diabetes mellitus. The dur board provides evaluation of criteria for drug coverage within texas medicaid. Tools used whos drug use indicators drug classification systems defined daily systems. We ranked the drugs by volume of defined daily doses ddd and determined how many drugs accounted for the du90% segment. As such, its use and misuse raises the potential for.
Nov 15, 2015 tools used whos drug use indicators drug classification systems defined daily systems. Drug utilization evaluation of third generation cephalosporins 340 pak. 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. Pdf drug use evaluation of ciprofloxacin belayneh kefale. Retrospective evaluations may involve assessment of drug use in individual patients or anal ysis of prescribing and dispensing patterns. Drug use evaluation, bmh, stg, ciprofloxacin, boru meda. To describe a simple method for assessing the quality of drug prescribing. This definition was published as part of a report called principles of a sound drug formulary system. Evaluation results from prospective drug utilization. Drug utilization evaluation of third generation cephalosporins 342 pak. Drug use evaluation is an ongoing, authorized and systematic quality improvement process, which is designed to.
Antimicrobial mue is a systematic analysis that focuses on evaluating and improving antimicrobial use processes. Drug utilization studies an overview 805 crosssectional studies crosssectional data provide a snapshot of drug use at a particular time. A retrospective study on drug utilization in patients with. Antimicrobial medication use evaluations mue for community hospitals what is it. Pdf drug utilization is very important for antibiotics as they are widely used in hospitals and their in appropriate use may lead to resistance. Drug use evaluation due or du studies is an ongoing, authorized and systematic quality improvement process. Importance of drug utilization evaluation studies in patient. 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.
Medication utilization evaluation of apixaban and dabigatran at a major academic medical center stephanie a smisko1, pharmd candidate. Drug use evaluationmedication use evaluation page 2 of 9 assessment of compliance with institutional guidelines. Dur programs use professional medical protocols and computer technology and data processing to assist in the management of data regarding the prescribing of. 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. The principal aim of drug utilization research is to facilitate the rational use of drugs in popu lations. Coverage increases prescription drug utilization, changes the mix of different drugs received, and reduces financial burdens for all population groups. Food and drug administration fda center for drug evaluation. Drug utilization data was obtained from the prescriptions of the patients attending cardiology outpatient department in government general hospital. States food and drug administration fda and each is on our hospitals formulary. Hospital name drug use evaluation of renal function monitoring during aminoglycoside. Drug utilization evaluation of cardiovascular drugs in. A drug utilization evaluation due program was carried out over two 3month periods. 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.
The data was collected and defined daily dose of frequently prescribed drugs and prescribing indicators were assessed. 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. Drug utilization 90% a simple method for assessing the. Center for drug evaluation and research list of guidance documents guidance documents represent the agencys current thinking on a particular subject. 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. An essential component of due is dissemination of the resultsto educate the necessary individuals and. An essential component of due is dissemination of the resultsto educate the necessary individuals and to incorporate the results into guidelinespolicies. Place name of individuals at your institution involved in the due including individuals collecting data. In fact, the software used by the programs that we. Criteria and standards are periodically revised to ensure that they reflect prescribing recommendations of the current compendia and.
Drug use utilization evaluation and medication utilization evaluations are the. The data was collected and defined daily dose of frequently. Information contained in this report covers projects completed and evaluated during the time period of july 2014 through june 2015. A written, unbiased evaluation of a specific medication.
The following utilization management tools are used. 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. As such, its use and misuse raises the potential for the development of significant bacterial resistance with. Center for drug evaluation and research list of guidance. Search our state drug utilization frequently asked questions for indepth information and answers to common questions including. Drug utilization evaluation due of analgesics in tertiary care teaching hospital. 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. 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. 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. Pharmacy and therapeutics committee, policies and procedures, p. 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. Drug use evaluation due is a systematic approach that assesses the appropriateness, safety, and effectiveness of a medication to improve patient care. Drug use evaluation of moxifloxacin avelox using a hand.
Review article drug utilization studies an overview. An evaluation of name of antimicrobial agent use in adultpediatric inpatients project committee. 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 use evaluation an evaluation of name of antimicrobial. Drug use evaluationmedication use evaluation public health ontario. Since the start of the medicaid drug rebate program, states report drug utilization for covered outpatient drugs paid for by state medicaid agencies. An antimicrobial mue may be conducted to characterize and improve the. An evaluation of name of antimicrobial agent use in adultpediatric inpatients. Drug utilization and the teaching of rational drug use j. However, the state rdur interventions had immediate effects on prescribing physicians. Objective of current study 2 department of pharmacy, college is to evaluate. Prospective evaluation of a patients drug therapy before medication is dispensed.
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. Importance of drug utilization evaluation studies in patient health. Drug utilization evaluation and prescription monitoring in. Drug utilization studies are used to analyze different aspects of the use of drugs and to implement methods of improving therapeutic quality. Shpa standards of practice for drug use evaluation in australian. 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 purpose of this study is to evaluate the drug utilization trends and to describe the prevalence and type of medication related prescribing. Antimicrobial stewardship strategy public health ontario. Pdf drug utilization evaluation of antibiotics in district hospital. The purpose of due is to improve the quality and costeffectiveness of drug medicine use, and thereby improve patient care.
1297 84 721 1408 17 679 765 1142 403 942 1554 1320 226 1570 1261 722 1295 1036 1617 890 1205 1200 1500 821 534 777 1470 1241 72 822 1147 1289 853 754 54 1073 1406 203 1045 1222 1472 323 198 476 149 894