Tags

Type your tag names separated by a space and hit enter

Pharmacy-coordinated process for evaluating physician drug prescribing.
Am J Hosp Pharm. 1989 Sep; 46(9):1787-91.AJ

Abstract

A pharmacy-coordinated process is described in which the frequency and types of inappropriate drug prescribing are evaluated as part of the medical staff quality assurance and physician credentialing program. A pharmacist intervention program was implemented at an 838-bed private hospital to review all medication orders for appropriateness and to intervene with physicians and nurses when problems in drug prescribing or administration were identified. During a five-year period there were more than 6500 drug therapy interventions. Because of the recurrent problems identified, the medical staff asked the pharmacy department to develop a process for objectively evaluating the quality of prescribing practices that could be used in the medical staff quality assurance program and in physician credentialing. The drug-prescribing activities of physicians applying for clinical privileges are subjected to a "macro" review by using a computerized clinical financial information system to extract drug-use information from patients' bills. In a "micro" review, patient records are retrospectively analyzed by Pharm.D. clinical specialists; all medications prescribed by the physician for those patients being evaluated are scrutinized. Appropriate response scores are calculated by dividing the number of appropriate responses by the total responses. The pharmacy department in this hospital has assumed a more active role in patient care through its participation in a process for objectively evaluating the quality of prescribing practices.

Authors+Show Affiliations

College of Pharmacy, North Dakota State University, Fargo 58105.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2508469

Citation

Peterson, C D., and D E. Goldberg. "Pharmacy-coordinated Process for Evaluating Physician Drug Prescribing." American Journal of Hospital Pharmacy, vol. 46, no. 9, 1989, pp. 1787-91.
Peterson CD, Goldberg DE. Pharmacy-coordinated process for evaluating physician drug prescribing. Am J Hosp Pharm. 1989;46(9):1787-91.
Peterson, C. D., & Goldberg, D. E. (1989). Pharmacy-coordinated process for evaluating physician drug prescribing. American Journal of Hospital Pharmacy, 46(9), 1787-91.
Peterson CD, Goldberg DE. Pharmacy-coordinated Process for Evaluating Physician Drug Prescribing. Am J Hosp Pharm. 1989;46(9):1787-91. PubMed PMID: 2508469.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pharmacy-coordinated process for evaluating physician drug prescribing. AU - Peterson,C D, AU - Goldberg,D E, PY - 1989/9/1/pubmed PY - 1989/9/1/medline PY - 1989/9/1/entrez SP - 1787 EP - 91 JF - American journal of hospital pharmacy JO - Am J Hosp Pharm VL - 46 IS - 9 N2 - A pharmacy-coordinated process is described in which the frequency and types of inappropriate drug prescribing are evaluated as part of the medical staff quality assurance and physician credentialing program. A pharmacist intervention program was implemented at an 838-bed private hospital to review all medication orders for appropriateness and to intervene with physicians and nurses when problems in drug prescribing or administration were identified. During a five-year period there were more than 6500 drug therapy interventions. Because of the recurrent problems identified, the medical staff asked the pharmacy department to develop a process for objectively evaluating the quality of prescribing practices that could be used in the medical staff quality assurance program and in physician credentialing. The drug-prescribing activities of physicians applying for clinical privileges are subjected to a "macro" review by using a computerized clinical financial information system to extract drug-use information from patients' bills. In a "micro" review, patient records are retrospectively analyzed by Pharm.D. clinical specialists; all medications prescribed by the physician for those patients being evaluated are scrutinized. Appropriate response scores are calculated by dividing the number of appropriate responses by the total responses. The pharmacy department in this hospital has assumed a more active role in patient care through its participation in a process for objectively evaluating the quality of prescribing practices. SN - 0002-9289 UR - https://www.unboundmedicine.com/medline/citation/2508469/Pharmacy_coordinated_process_for_evaluating_physician_drug_prescribing_ DB - PRIME DP - Unbound Medicine ER -