Lecture 13 Flashcards
Pharmacist need to be drug information synthesisers by providing medicines information that is?
-unbiased
-evidence based
-evaluated
-timely
How to determine the usefulness of medical information?
Usefulness =( relevance x validity)/ work
Why should Pharmacist be good at providing medicines information?
-Wide ranging therapeutic knowledge
-Ability to interpret and apply information
-Effective communication skills
-Easily accessible
In domain 01 Health and medicines management. “To provide evidence-based medicines information, you must be able to:”
- Select and appraise relevant scientific literature
- Understand the implications of the findings
You will need to use your professional judgement to determine…
To determine the clinical significance of the findings and the degree to which the can be applied to that specific situation.
If you are using the findings to help optimise care for individual patients, you should also determine…
the patient’s own preferences and develop an appropriate medicine management plan based on the combination of this information.
In the Code of Ethics 2011 What is principle 3?
Use your professional judgement in the interest of patents and the public and promote family, whanau and community health.
What are some disadvantages of information sources?
Media
- can blow issues out of proportion *may only report certain aspects *may not have all the facts
- Family/friends
- often not scientifically based
- views often based only on own experiences and beliefs
- often don’t have all the facts
- what works for one may not work for another
- Drug company
- can be biased
- data may be skewed
- Internet
- time consuming
- overwhelming
- quality - not necessarily regulated
What are the skills required to provide credible medicines information?
*Problem solving
*Aware of and able to utilise resources *Efficient search strategies
*Critical evaluation
*Determine reliability and value of information found
*Interpretation and application of information found
*Communication skills
*Able to communicate information effectively to
patients and healthcare professionals
What is evidence based practice?
- Applying the best available research results (evidence) when making decisions about health care.
- Health care professionals who perform evidence-based practice use research evidence along with clinical expertise and patient preferences.
- Systematic reviews (summaries of health care research results) provide information that aids in the process of evidence-based practice. AHRQ
What are some information sources?
- Tertiary
- Secondary and Primary *Company material *Internet
- Colleagues
What are some primary and tertiary sources of information?
*Trials/studies
*randomised controlled trial *cohort, case control, cross sectional *case series and reports pharmacoeconomic
Reviews
*systematic review, meta-analysis
*Editorials
*Letters
What is the hierarchy of evidence?
- Systematic reviews, meta analysis
- Randomised controlled trials
- Other types of studies/trials
- Case reports
Why do we document enquiries?
- Quality assurance
- Accountability
- Re-use answer
Data sheets are different because?
- Content controlled by Medsafe
- Required as part of license
- Not used for advertising purposes
- Contain a lot of useful information