Podcast
Questions and Answers
What is one reason pharmacists are essential in medication therapy management?
What is one reason pharmacists are essential in medication therapy management?
- They are experts in medication therapy. (correct)
- They can prescribe medications.
- They perform surgeries to improve health.
- They conduct physical exams on patients.
Which action can pharmacists take based on their DUR findings?
Which action can pharmacists take based on their DUR findings?
- Collaborate with the health care team to improve drug therapy. (correct)
- Ignore all findings.
- Prescribe new medications independently.
- Prevent all patients from using any medication.
Which of the following is NOT an issue addressed by Concurrent DUR?
Which of the following is NOT an issue addressed by Concurrent DUR?
- Drug-drug interactions
- High or low dosages
- Inadequate patient nutrition (correct)
- Duplicate therapy
What type of drug interactions are pharmacists often concerned about?
What type of drug interactions are pharmacists often concerned about?
What is a common outcome of identifying underutilization during DUR?
What is a common outcome of identifying underutilization during DUR?
How do pharmacists improve overall drug effectiveness?
How do pharmacists improve overall drug effectiveness?
Which of the following is a precaution related to drug therapy that pharmacists consider?
Which of the following is a precaution related to drug therapy that pharmacists consider?
What is a major responsibility of pharmacists when reviewing patient records?
What is a major responsibility of pharmacists when reviewing patient records?
What is the primary purpose of Drug Utilization Reviews (DURs)?
What is the primary purpose of Drug Utilization Reviews (DURs)?
Which type of medication review occurs before medication is dispensed?
Which type of medication review occurs before medication is dispensed?
What does a concurrent medication review involve?
What does a concurrent medication review involve?
Which outcome is NOT typically associated with Drug Utilization Reviews?
Which outcome is NOT typically associated with Drug Utilization Reviews?
Which phase of medication review would best help develop prospective standards?
Which phase of medication review would best help develop prospective standards?
What is an important objective of ongoing monitoring in medication reviews?
What is an important objective of ongoing monitoring in medication reviews?
How do Drug Utilization Reviews contribute to healthcare costs?
How do Drug Utilization Reviews contribute to healthcare costs?
Which of the following best describes the retrospective medication review process?
Which of the following best describes the retrospective medication review process?
What is the primary purpose of a Medication Review?
What is the primary purpose of a Medication Review?
Which of the following is a potential consequence of drug-drug interactions?
Which of the following is a potential consequence of drug-drug interactions?
What is the role of DUR programs in medication management?
What is the role of DUR programs in medication management?
Which factor is NOT considered during a Medication Review?
Which factor is NOT considered during a Medication Review?
What does concurrent monitoring of drug therapy allow pharmacists to do?
What does concurrent monitoring of drug therapy allow pharmacists to do?
Which term is used to describe the process of evaluating drug therapy and making adjustments as necessary?
Which term is used to describe the process of evaluating drug therapy and making adjustments as necessary?
How can a pharmacist intervene when a drug-drug interaction is identified?
How can a pharmacist intervene when a drug-drug interaction is identified?
Which of the following is a common precaution taken during a Medication Review?
Which of the following is a common precaution taken during a Medication Review?
What is the first step in the process of evaluating drug use for optimal outcomes?
What is the first step in the process of evaluating drug use for optimal outcomes?
Which method is least effective for gathering data on actual medication use?
Which method is least effective for gathering data on actual medication use?
During the evaluation step, what should be determined before comparing optimal and actual use?
During the evaluation step, what should be determined before comparing optimal and actual use?
What is the primary focus during the intervention step?
What is the primary focus during the intervention step?
What should be assessed during the evaluation of the Medication Review Program?
What should be assessed during the evaluation of the Medication Review Program?
Which step is involved in tracking patterns that lead to corrective actions?
Which step is involved in tracking patterns that lead to corrective actions?
What is a potential goal for pharmacists using DUR information?
What is a potential goal for pharmacists using DUR information?
What approach is emphasized for improving patient care in medication use?
What approach is emphasized for improving patient care in medication use?
What is primarily assessed during prospective DUR?
What is primarily assessed during prospective DUR?
Which of the following issues is NOT typically addressed by retrospective DUR?
Which of the following issues is NOT typically addressed by retrospective DUR?
What does the step 'Determine Optimal Use' in conducting a drug use evaluation involve?
What does the step 'Determine Optimal Use' in conducting a drug use evaluation involve?
In retrospective DUR, how might pharmacists improve patient care?
In retrospective DUR, how might pharmacists improve patient care?
Which of the following conditions is typically included in the issues addressed by prospective DUR?
Which of the following conditions is typically included in the issues addressed by prospective DUR?
What type of data do pharmacists utilize in retrospective DUR?
What type of data do pharmacists utilize in retrospective DUR?
Why is monitoring drug abuse/misuse significant in prospective DUR?
Why is monitoring drug abuse/misuse significant in prospective DUR?
Which of the following is a critical component of prospective DUR?
Which of the following is a critical component of prospective DUR?
Study Notes
Overview of Medication Review
- Medication Review, also known as Drug Utilization Evaluations (DUE) or Medication Utilization Evaluations (MUE), involves a structured ongoing review of medication prescribing, dispensing, and use.
- Goals include understanding prescribing trends, improving medication utilization, and ensuring safe and effective drug therapy.
Importance of Medication Review
- DUR programs assist in interpreting and evaluating medication use, minimizing healthcare resource insufficiencies.
- Pharmacists are vital in this process due to their expertise, as they monitor drug therapy outcomes and collaborate with healthcare teams.
Ongoing Monitoring
- Offers an opportunity for pharmacists to alert prescribers to potential drug interactions and necessary medication adjustments.
- Useful in preventing adverse drug reactions and ensuring drug effectiveness.
Common Issues Addressed
- Drug-drug interactions
- Over/underutilization of medications
- Duplicate therapy
- Drug-disease interactions
- Precautions based on age, gender, and pregnancy status.
Classification of Medication Review
- Prospective: Evaluates a patient’s therapy before medication dispense, identifying potential issues prior to dispensing.
- Concurrent: Ongoing review during treatment, allows for immediate adjustments based on patient response.
- Retrospective: Reviews therapy after drug administration to identify past issues and implement future improvements.
Steps in Conducting Drug Use Evaluation
- Determine Optimal Use: Define criteria for optimal versus actual use, focusing on relevant outcomes and drugs.
- Measure Actual Use: Gather data from medical records, prescription records, or electronic claims.
- Evaluate: Set acceptable thresholds for comparison, identify discrepancies, and analyze patterns.
- Intervene: Implement corrective actions targeting identified issues such as prescribing patterns or drug quality.
- Evaluate the Review Program: Assess the effectiveness and document outcomes to guide ongoing improvements.
Benefits of Drug Utilization Reviews
- Improves quality of patient care and therapeutic outcomes.
- Reduces inappropriate pharmaceutical spending, thus lowering healthcare costs.
Role of Pharmacists
- Monitor multiple medications, including potential duplications and interactions.
- Proactive involvement in therapy adjustments based on patient and laboratory data.
Examples of Drugs Requiring Monitoring
- Medications for asthma and diabetes often warrant regular reviews to ensure advanced or appropriate treatments are utilized based on patient history.
Conclusion
- Collaborative efforts among healthcare providers are essential for effective DUR.
- Ongoing evaluation and adjustment of medication review programs ensure continuous improvement in patient care and medication safety.
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Description
This quiz covers important aspects of medication review, including dosage modification, drug-drug interactions, and patient precautions. Understand the nuances of therapeutic interchange and generic substitution as you prepare for real-world pharmacy practice.
