Evaluation of a systematic process for conducting prospective drug utilization review in pharmacy practice
Abstract
This study evaluated the effect of a systematic training program and decision aid on the quality of pharmacists' clinical decision making related to legally mandated pro-DUR responsibilities. A prospective, pretest-posttest design was used with a convenience sample of 176 pharmacists in Arizona, Illinois, Iowa, and Tennessee. Interventions included: a pretest—identification of medication-related problems in patient cases (Pretest No DAI); a first intervention—identification of medication-related problems with use of a dispensing aid, the Dispensing Appropriateness Index (DAI); and a posttest—identification of medication-related problems after a pro-DUR training program (DAI + SMORES). The rate of pharmacists' correct identification of major and minor medication-related problems showed significant increases from the pretest No DAI to the DAI and from the pretest No DAI to the posttest DAI + SMORES. The rate of pharmacists' correct identification of major and minor medication-related problems did not show a statistically significant increase from the pretest DAI to the posttest DAI + SMORES. Decision aids such as the DAI may help pharmacists to identify more medication-related problems, thereby decreasing medication errors.
Degree
Ph.D.
Advisors
Rupp, Purdue University.
Subject Area
Pharmaceuticals|Adult education|Continuing education|Health education
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