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KMID : 0370220180620060410
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Yakhak Hoeji
2018 Volume.62 No. 6 p.410 ~ p.418
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A Current Analysis on Alert Override Reasons of Pregnancy Contraindication in the Drug Utilization Review system and the Policy Implication
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Jo Moon-Joo
Kim Jung-Ki
Jung Dong-Geuk
Kim Young-Ho
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Abstract
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The purpose of this study was to analyze the patterns of alert override reasons for the pregnant women and to find ways to improve the Drug Utilization Review (DUR) system. The target of the study was the texts data about Grade 1 and M drugs after pregnant contraindication DUR check of institutions from January to December 2016. In this study, we extracted the key texts of alert override reasons and categorized them into the standard items. In order to figure out the pattern of alert override reasons in respect of whether the criteria was appropriate for the reasons or not, they were classified into the umbrella concepts which were named as operational definitions. Descriptive statistics was carried out using R program for empirical analysis of the cases described alert override reasons during pregnancy contraindication DUR check. In conclusion, the number of the clinics was 332, the most in the institutions describing alert override reasons. Moreover, 'insufficient reason' was 38.9%, the most among the patterns of alert override reasons, and there were many 'meaningful reason (30.9%)' and 'clerical mistake (27.2%)' in the following order. In addition, 'insufficient reason' of the tertiary hospitals was 37.4%, the most among them, and 'clerical mistake' of the clinics was 11.6% in the following order. Among the ingredients of pregnancy contraindication that corresponded to the significant reason, dydrogesterone oral agents accounted for the highest, 46.1%.
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KEYWORD
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retrospective drug utilization review, pregnancy contraindication, alert override reason
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