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Pharmaceutical industry wins "round one" in protections against product liability claims. 制药行业赢得了“第一轮”对产品责任索赔的保护。
Hospital formulary Pub Date : 1995-04-01
B Gatty
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引用次数: 0
A team approach to adverse drug reaction surveillance: success at a tertiary care hospital. 药物不良反应监测的团队方法:三级保健医院的成功案例。
Hospital formulary Pub Date : 1995-04-01
E Saltiel, E Johnson, R Shane
{"title":"A team approach to adverse drug reaction surveillance: success at a tertiary care hospital.","authors":"E Saltiel,&nbsp;E Johnson,&nbsp;R Shane","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective adverse drug reaction (ADR) reporting system has been in place at Cedars-Sinai Medical Center for 7 years. Initially, the system identified 300 to 400 ADRs per year. After adding a checklist, that number increased to 750 to 850 per year, an ADR rate of about 2% of total patient admissions. To increase the ADR reporting rate, we initiated a concurrent surveillance program in conjunction with the retrospective system. In the first year of the program, the combined systems identified 1,174 ADRs. In addition, the ADR rate per 100 patient days increased to between 0.5 and 0.7, and the ADR per admission rate increased to 4%. As a result of the more effective ADR surveillance program, the P & T Committee has additional data from which to develop guidelines and educational programs to increase ADR awareness and prevention, and thus, to improve patient outcomes.</p>","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 4","pages":"226-8, 231-2"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety, efficacy, and lipid profile of doxazosin at a VA medical center. 多沙唑嗪在退伍军人医疗中心的安全性、有效性和脂质特征。
Hospital formulary Pub Date : 1995-04-01
D Boston, C Collins
{"title":"Safety, efficacy, and lipid profile of doxazosin at a VA medical center.","authors":"D Boston,&nbsp;C Collins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Veterans Administration Lakeside Medical Center (VALMC) is a 500-bed hospital located in downtown Chicago providing a broad scope of inpatient and outpatient medical services for more than 12,000 veterans. The VALMC Pharmacy and Therapeutics Committee requested a study to evaluate doxazosin mesylate (Cardura) to determine if this agent would be an acceptable alternative to other formulary agents. It appears that doxazosin provides several therapeutic advantages, including once-daily dosing, when compared with other more costly antihypertensive agents.</p>","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 4","pages":"233-6"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21013996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changing relationship between health care professionals and the pharmaceutical industry. 医疗保健专业人员与制药行业之间不断变化的关系。
Hospital formulary Pub Date : 1995-03-01
E Arriola
{"title":"The changing relationship between health care professionals and the pharmaceutical industry.","authors":"E Arriola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although UCLA had established policies and procedures for visiting pharmaceutical representatives, changes in both the pharmaceutical business environment and in UCLA's physical environment mandated an update. To deal with the changes, a multidisciplinary team comprised of various departmental staff members met to develop a new vendor representative visitation policy that included the practice of drug sample distribution. More stringent registration requirements and shared responsibility for policy enforcement are the key elements of the new policy.</p>","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 3","pages":"161-5; discussion 163-9"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who should conduct outcomes research? 谁应该进行结果研究?
Hospital formulary Pub Date : 1995-03-01
R Briglia, J Erickson, M M Stoogenke
{"title":"Who should conduct outcomes research?","authors":"R Briglia,&nbsp;J Erickson,&nbsp;M M Stoogenke","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 3","pages":"171-2"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The drive to reform the FDA gains momentum. 改革FDA的呼声越来越高。
Hospital formulary Pub Date : 1995-03-01
B Gatty
{"title":"The drive to reform the FDA gains momentum.","authors":"B Gatty","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 3","pages":"178, 177"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automation in pharmacy: two institutions' experiences with novel distribution systems. 制药自动化:两所机构在新型分销系统方面的经验。
Hospital formulary Pub Date : 1995-02-01
R B Vrabel, L Mackowiak
{"title":"Automation in pharmacy: two institutions' experiences with novel distribution systems.","authors":"R B Vrabel,&nbsp;L Mackowiak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A computerized medication system, implemented at Rochester (MN) Methodist Hospital in 1987, has been adopted by the hospitals at the Mayo Medical Center, Rochester, MN. A key component of the medication system, which uses individualized patient medication envelopes, is the delivery of doses of medications to nursing units just before their administration time. The system has been shown to provide greater nursing support, increase patient safety by reducing medication errors, and decrease both full-time equivalent costs and operating costs. The immediate impact of the system has been to shift dose scheduling from a nursing to a pharmacy responsibility. At Duke University, an automated pharmacy system (APS) has been in operation since October 1993 and is used to dispense the majority of unit dose drugs. The APS provides up-to-the-minute information about the drugs that patients are receiving, which is used to fill each patient's unit dose drawer. It has not dispensed an incorrect drug since its installation and has allowed centralization of the unit dose cart system. Other benefits include decreased billing labor and increased drug usage reporting.</p>","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 2","pages":"106-13"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antibiotic therapeutic interchange program: six years of experience. 抗生素治疗交换项目:六年经验。
Hospital formulary Pub Date : 1995-02-01
L Frighetto, D Nickoloff, P Jewesson
{"title":"Antibiotic therapeutic interchange program: six years of experience.","authors":"L Frighetto,&nbsp;D Nickoloff,&nbsp;P Jewesson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To assess the long-term impact of a therapeutic interchange program on the use of target antimicrobial drugs, we conducted a retrospective study of target drug utilization at our institution--a 1,000-bed Canadian tertiary care teaching hospital. Data were assessed to determine target drug utilization, incidence of therapeutic interchanges, and patient-target drug exposures. Results showed that the incidence of therapeutic interchanges per patient-target drug exposure decreased from a mean of 23% to 2%, resulting in a total net savings for the target drugs of approximately $1.07 million (Canadian) over 6 years. Prescriber acceptance and low manpower requirements combine to make this a useful method of altering prescribing patterns and reducing drug and drug delivery costs.</p>","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 2","pages":"92-3, 97-8, 100 passim"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How a CQI program improved aminoglycoside use in a community hospital. CQI计划如何改善社区医院氨基糖苷的使用。
Hospital formulary Pub Date : 1995-02-01
W E Wade, C Y McCall
{"title":"How a CQI program improved aminoglycoside use in a community hospital.","authors":"W E Wade,&nbsp;C Y McCall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The P & T Committee of our institution, a 285-bed, non-tertiary care regional medical center, undertook a study to evaluate the use of the aminoglycoside amikacin sulfate (Amikin). Results of an initial DUE, a follow-up to an educational effort, and the estimated annual cost savings that could be achieved with appropriate prescribing of aminoglycosides are presented.</p>","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 2","pages":"114-6"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health issues on hold, but lurking behind GOP's Contract with America. 健康问题被搁置，但潜伏在共和党与美国的合同背后。
Hospital formulary Pub Date : 1995-02-01
B Gatty
{"title":"Health issues on hold, but lurking behind GOP's Contract with America.","authors":"B Gatty","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76912,"journal":{"name":"Hospital formulary","volume":"30 2","pages":"118, 117"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21012283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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