The definition of drug utilization review: Statement of issues

Wg, Erwin

doi:10.1038/clpt.1991.188

Cited by 21 publications

(8 citation statements)

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“…The KIDS aims to develop the criteria for rational drug use, investigate drug utilization patterns, and provide guidance on medications for health care professionals. A DUR is defined as an “authorized, structured, and continuing program that reviews, analyzes, and interprets patterns of drug usage in a given health care delivery system against predetermined standards.” The DUR has been developed to prevent medication errors and improve the quality of pharmaceutical care. A DUR provides feedback to physicians and pharmacists on the possibility of the adverse effects of their prescriptions for patients.…”

Section: Developing Dur Criteria and Monitoring For Rational Drug Usementioning

confidence: 99%

New initiatives for pharmacovigilance in South Korea: introducing the Korea Institute of Drug Safety and Risk Management (KIDS)

Shin

Jung

Ahn

et al. 2014

Pharmacoepidemiol Drug Saf

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Section: Developing Dur Criteria and Monitoring For Rational Drug Usementioning

confidence: 99%

New initiatives for pharmacovigilance in South Korea: introducing the Korea Institute of Drug Safety and Risk Management (KIDS)

Shin

Jung

Ahn

et al. 2014

Pharmacoepidemiol Drug Saf

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“…Since then, HIS has been regarded as a tool to improve patient safety [3]. A drug utilization review (DUR) system is a knowledge-based practice of the HIS which gives time-pressed doctors invaluable information when prescribing drugs, and it can prevent any harm to patients from medication errors [4]. …”

Section: Introductionmentioning

confidence: 99%

Impact of Doctors' Resistance on Success of Drug Utilization Review System

et al. 2014

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ObjectivesThe drug utilization review (DUR) system, which checks any conflict event of medications, contributes to improve patient safety. One of the important barriers in its adoption is doctors' resistance. This study aimed to analyze the impacts of doctors' resistance on the success of the DUR system.MethodsThis study adopted an augmented the DeLone and McLean Information System (D&M IS) Success Model (2003), which used doctors' resistance as a socio-technological measure. This study framework is the same as that of the D&M IS Success Model in that it is based on qualities, such as system, information, and services. The major difference is that this study excluded the variable 'use' because it was not statistically significant for mandatory systems. A survey of doctors who used computers to enter prescriptions was conducted at a Korean tertiary hospital in February 2012.ResultsThis study is very meaningful in that it is the first study to explore the success factors of the DUR system associated with doctors' resistance. Doctors' resistance to the DUR system was not statistically associated with user usefulness, whereas it affected user satisfaction.ConclusionsThe results indicate that doctors still complain of discomfort in using the DUR system in the outpatient clinical setting, even though they admit that it contributes to patient safety. To mitigate doctors' resistance and raise user satisfaction, more opinions from doctors regarding the DUR system have to be considered and have to be reflected in the system.

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“…의료 오류를 효과적으로 감소시키는 방법은 의사가 처방을 내 릴 때 임상적 의사결정(Clinical Decision Support System, CDSS) 을 지원하는 것 즉, 환자 특성에 적합한 처방을 추천하고, 처방 할 내용에 대한 중복이나 금기를 체크하고 그리고 알레르기 같은 정보를 경고하는 기능들이다 (Lee et al, 1996;Staggers et al, 2001). 이와 같이 의약품 사용 전에 정한 기준에 따라 평가 하는 구조화되고 지속적인 노력을 의약품 사용평가(Drug Utilization Review, DUR)이라고 하며 우리나라에서는 세계 최초 로 국가 전체 모든 요양기관을 대상으로 동시적 의약품 사용 평가(concurrent DUR)를 적용하였다 (Erwin, 1991;Park, 2010 (Park, 1996;Lee, 2010;Park, 2010;Choi and Park, 2010;Kim et al, 2010;.…”

Section: Drawbackunclassified

A Case Study of Implementation of Concurrent Drug Utilization Review System at a General Hospital

Choi¹,

Kim²

2013

Journal of Korean Institute of Industrial Engineers

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Medical errors such as adverse drug event, improper transfusion, wrong-site surgery, mistaken patient identity and so on commonly occur at health care practice. Information technology, like Drug Utilization Review(DUR) system which reviews, analyzes, and interprets medication data when prescribing, can play a key role in reducing such medical errors and improving patient safety. Korean Government has guided all hospitals to implement concurrent DUR(cDUR) system, which is the first case worldwide in that all healthcare providers have to use cDUR system when prescribing. This paper introduced a case study that a tertiary hospital has integrated the cDUR system into its comprehensive Hospital Information System(HIS) and analyzed the whole prescription data during a week right after adoption of cDUR system. Considering technical strength and weakness, the cDUR system was integrated into the HIS, using Broker Servers for minimizing doctors' anxiety. As the quantitative analysis of the whole prescription data, DUR conflict events, which mainly included duplicate medications and contra-indicated drug interactions for outpatients, were 2.77%. Although only 0.7% is for the contraindicated drug interactions, it will be greatly devoted to achieve the purpose of DUR such as improving patient safety.

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The definition of drug utilization review: Statement of issues

Abstract: Clinical Pharmacology and Therapeutics (1991) 50, 596–599; doi:

Cited by 21 publications

References 0 publications

New initiatives for pharmacovigilance in South Korea: introducing the Korea Institute of Drug Safety and Risk Management (KIDS)

New initiatives for pharmacovigilance in South Korea: introducing the Korea Institute of Drug Safety and Risk Management (KIDS)

Impact of Doctors' Resistance on Success of Drug Utilization Review System

A Case Study of Implementation of Concurrent Drug Utilization Review System at a General Hospital

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