PMID: 15369426Sep 17, 2004Paper

Current status of prospective drug utilization review

Journal of Managed Care Pharmacy : JMCP
Thomas R FuldaDale B Christensen

Abstract

The Omnibus Budget Reconciliation Act of 1990 offered the promise that prospective drug utilization review (pDUR) systems would improve the quality of drug prescribing and patient drug use. There is little evidence that this promise has been fulfilled. To the contrary, there is growing evidence that suboptimal use of drugs (in terms of preventable drug-related morbidity) is at least as costly as the prescription drugs themselves. Online computerized pDUR has been the subject of numerous critical examinations in the pharmacy and medical literature. Recent publications have sought to illustrate perceived shortcomings in the DUR systems currently in use. We focus on the state of the art with regard to pDUR, what is known about its effectiveness, and how emerging technologies may change pDUR and consider the work that may be needed to establish its effectiveness. A growing body of literature documents numerous problems and concerns with respect to the quality of DUR criteria, DUR alerts, and the response of health care professionals to these alerts. Problems with the current pDUR "system" can be grouped into those involving technical aspects (e.g., duplicate messaging from in-store and online systems, or message text limitations) a...Continue Reading

Citations

Aug 18, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Dong-Sook KimSukhyang Lee
Jan 28, 2009·BMC Medical Informatics and Decision Making·Bengt AstrandAnders Ekedahl
Nov 13, 2021·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Seunghee LeeSuehyun Lee

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