Test 3 Drug Utilization Review Strategies Flashcards

1
Q

Define DUR

A

Review of physician prescribing, pharmacist dispensing, and patient use of drugs.

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2
Q

DUR within a health system

A

Ongoing quality assurance process designed to ensure that drugs are used appropriately, safely, and effectively.

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3
Q

Rationale for DUR

A
  • Identify changes to pharmacotherapy that will improve patient outcomes
  • Maximize return on investment of each health care dollar
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4
Q

Benefits of DUR to Pharmacist

A
  • Opportunity to identify and resolve problems

* Documentation of intervention demonstrates value of pharmacist

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5
Q

Types of DUR

A
  • Concurrent – during treatment
  • Retrospective – after treatment
  • Prospective – before treatment
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6
Q

Concurrent (CDUR); advantages and disadvantages

A
  • Ongoing monitoring of therapy during the course of the treatment
  • Advantages: Identifying problems at point of care
  • Disadvantages: Often more research related or used in institutional settings
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7
Q

Retrospective DUR (RetroDUR); advantages and disadvantages

A
  • Monitoring of past therapy for patterns of inappropriate use or abuse
  • Advantages: Identifying which medications of concern are most routinely prescribed; require limited resources
  • Disadvantages: Use of historical data may limit conclusions; immediate impact on patient care limited
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8
Q

Prospective DUR (ProDUR); advantages and disadvantages

A
  • Monitoring of therapy prior to dispensing to identify and resolve therapeutic issues
  • Advantages: Occurs before patient receives medication
  • Disadvantages: Can be ignored at POS
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9
Q

List the 10 steps for performing DUR.

A
  • Gain organizational authority
  • Delineate scope of DUR
  • Identify important medications
  • Identify indicators
  • Establish thresholds
  • Collect and organize data
  • Evaluate medication use per threshold
  • Intervene to improve medication use
  • Assess effectiveness of intervention
  • Communicate with appropriate individuals
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10
Q

intent of prior authorization.

A

prevent the prescribing of certain medications unless defined and specific criteria are first met

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11
Q

Discuss the methods and materials used in prescriber education programs.

A
  • methods: print, face-to-face

- materials: results of DUR, comparison to peers, guidance from experts in the field

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