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KMID : 0370220150590060278
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Yakhak Hoeji
2015 Volume.59 No. 6 p.278 ~ p.283
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Tiering ‘Drug Combinations to Avoid’ and ‘Drug-age Precaution’ DUR Alerts by Severity Level and its Application
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이수옥:Lee Soo-Ok
제남경:Je Nam-Kyung/김동숙:Kim Dong-Sook/천방옥:Cheun Bang-Ok/황인옥:Hwang In-Ok
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Abstract
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The computerized prospective Drug Utilization Review (DUR) program supported by the Korean government has provided alerts to physicians and pharmacists since December 2010. This study aims to propose and apply the tiering system in “drug combinations to avoid (DCA)” and “age-precaution” alerts based on severity to improve the compliance of users. To propose the severity and clinical importance of 647 DCA alerts and 140 age precautions, a Delphi evaluation survey was conducted. An expert panel comprising 5 clinical pharmacists and 5 physicians were participated in mail surveys. Based on the results of Delphi survey, DCA pairs were classified into 3 groups; group 1 (70.6%), 2 (26.9%), and 3 (2.8%). Drug-age precaution ingredients were also classified into three groups; group 1 (53.6%), group 2 (40.7%), and group 3 (5.7%). When this grouping was applied to claim data from 2011 to 2013, the majority of alerts had occurred in the groups of high severity. Presenting DUR alerts with severity level is expected to improve the compliance of clinicians. The implementation
of tiering system in DUR criteria should be considered.
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KEYWORD
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drug utilization review (DUR), drug combinations to avoid (DCA), drug-age precaution, tiering
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