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병용금기, 연령금기 경고 등급화 방안과 DUR 처방변경률 분석
이수옥(Soo Ok Lee),제남경(Nam Kyung Je),김동숙(Dong-Sook Kim),천방옥(Bang Ok Cheun),황인옥(In Ok Hwang) 대한약학회 2015 약학회지 Vol.59 No.6
Abstract—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.
ScienceON
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