Health Technology Assessment Flashcards
what are 4 challenges to optimal use of medications?
- differences between general population and clinical trial population
- expectations
- established prescribing trends
- challenges in revisting old decisions, rationalizing benefits and moderninsing programs & services
what are 4 ways to promote optimal use of medications?
- Monitoring (are there red flags, trends etc.)
- safety & effectiveness studies
- formulary management
- influence prescribing
what national resource provides health technology reviews, evidence bundles, and horizon scans?
CADTH
what does CADTH stand for?
Canadian agency for drugs and tech in health
what are the health technology assessment projects put on by CADTH?
often large projects involving systematic review of clinical evidence and cost-effectiveness and development of recommendations and guidance, including implementation and practice tools
t/f CADTH does collaborations with the DRug Safety and Effectiveness Network (DSEN)
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what is the Drug Safety Effectiveness Network?
a national resource that can help fill evidence gaps
what type of research does the DSEN (Drug safety & Effectiveness Network) conduct?
real-world drug safety and effectiveness research: knowledge synthesis, observational studies (CNODES) and prospective observational studies
what is the CNODES common data model (CDM)?
a standardized data structure in collaboration with FDA sentinel initiative
how does the CNODES common data model work?
data centres can execute computer program with local data that can be pooled to give aggregate multi-centre results
what data model provides rapid analysis of Rx medication use, patient characteristics, apparent indications, clinical outcomes and health service use following a drug treatment?
CNODES common data model
what is deprescribing.org?
website made by a Phc and MD that provides info on deprescribing approaches and research
what tools does deprescribing.org provide?
deprescribing guidelines & algorithms, deprescribing LTC network, links to people around the world interested in deprescribing
the Drug Evaluation Unit provides interpretation, advice and support during the ___ phase of DEANS initiatives
implementation
the Drug Evaluation Unit supports ____plans regarding formulary management decisions
Atlantic pharmacare
the Drug Evaluation Unit interprets advice and support for recommendations from _____ committee
Canadian Expert Drug Advisory committee
what is academic detailing?
one-on one with health care professionals to get info on best practice
what is DEANS?
Drug Evaluation Alliance of Nova Scotia; a multidisciplinary, multi-sectoral alliance to optimize drug use in NS
how does DEANS encourage appropriate drug use?
- identifying areas where optimization of drug use is needed
- developing interventions to provide targeted, evidence-informed knowledge to health care patients & providers
- evaluating the impact of the intervention s
t/f DEANS works closely with Dal continuing professional development programs and academic detailing
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what is Sleepwell NS?
initiative to reduce the inappropriate use of sedative hyponotics
what is choosing wisely NS?
a division of choosing wisely Canada, goal: improve quality of patient care by ensuring appropriate use of medical tests & treatments
choosing wisely NS is led by who?
Dal faculty of medicine and Doctors NS
