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KMID : 0606320040210010022
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Journal of Phamacetical Sciences Sookmyung Women s University
2004 Volume.21 No. 1 p.22 ~ p.28
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Analysis of drug use pattern after implementing drug utilization review system in a community hospital
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Jin Chun-Xie
Lee Suk-Hyang
Oh Jung-Mi
Kim Jong-Joo
Oh Ock-Hee
Shin Hyun-Taek
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Abstract
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Drug use patterns were analyzed before and after the implementation of a commercially available computerized drug utilization review (DUR) system (Drug Information Framework-Korea, First DataBank, Inc.) in a community hospital. The DUR criteria for analysing drug use patterns were drug-drug interaction, drug dosing in pediatric, adult and geriatric patients and age-drug contra-indications. The prescription data of January 2004 right before the implementation were analyzed and compared with the data of June and July 2004 after the implementation of the system. The event rate of DUR conflicts in all the criteria except KFDA-labelled drug dosing in adult patients was decreased in June after the implementation of the system. However, the event rate of DUR conflict in July was increased in drug dosage in adult patients, drug interaction and age-drug contra-indication whereas the event rate was decreased in drug dosage in geriatric and pediatric patients. Over all drug use patterns were not significantly changed after the implementation of DUR system. Although further studies are needed for clarifying the baseline reasons far the non-compliance for the DUR standards, more intensive interventions are needed fur improving clinicians’ prescribing behaviors to minimize the conflict events with the DUR standards which may result in potential harmful effects in medication uses.
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