Developing and implementing a model for changing physicians' prescribing habits-- the role of clinical pharmacy in leading the change

Journal of Clinical Pharmacy and Therapeutics
E SchwartzbergS Shani

Abstract

Budgetary constraints led the Israeli Hillel Yaffe Medical Center management to implement policies for reducing expenditure while maintaining the quality of care. For this purpose, the pharmacy services management developed and implemented a three-tier intervention feedback model for changing physicians' prescribing habits, and achieving cost-effective changes in antibiotic utilization. A prospective drug utilization evaluation was conducted to profile antibiotic utilization. The results established a base from which a three-tier feedback, evidence-based intervention model was built. This model corresponds to the following three hierarchical levels: Level 1 activities involved management actions that influenced all levels of staff and concentrated mainly on the creation of guidelines. Level 2 activities involved the reorganization of the restricted antibiotics prescription authorization system, through the co-operation of the clinical pharmacy unit and the hospital infection control specialist. Level 3 focussed on clinical pharmacist activities on the wards. The model was implemented and assessed in the hospital from June 2002 until December 2004. Implementation of the model resulted in a cumulative decrease of 6,473 i.v. antib...Continue Reading

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Citations

Aug 8, 2009·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·John CoutsouvelisAnn Whitfield
Apr 5, 2011·Journal of Pain and Symptom Management·Glenn RosenbluthAndrew D Auerbach
Feb 24, 2010·Journal of Clinical Pharmacy and Therapeutics·S DeusterS Muehlebach
May 21, 2014·Diabetes Research and Clinical Practice·Jong-Yi WangWayne Huey-Herng Sheu
Apr 3, 2008·Expert Review of Anti-infective Therapy·Dimple PatelB Joseph Guglielmo
Sep 13, 2011·Drug and Alcohol Review·Caitlin E HughesNatasha Sindicich
Jul 19, 2016·Reviews on Environmental Health·Jackie WrightStewart Walker
Feb 26, 2019·Antimicrobial Resistance and Infection Control·Dilip NathwaniClaudie Charbonneau

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