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PHM 552 EXAM II QUESTIONS WITH COMPLETE SOLUTIONS
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PHM 552 EXAM II QUESTIONS WITH COMPLETE SOLUTIONS
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PHM 552 EXAM II QUESTIONS WITH COMPLETESOLUTIONS
Describes the process used to assure *safe and effective* use of
drugs in a cost conscious manner Correct Answers medication
...... ......
management
-key to medication management in a hospital is the *formulary
system*
• A *continually updated list of medications* established by the
Pharmacy and Therapeutics (P&T) Committee
• Supported by *current evidence-based medicine*, judgment of
physicians, pharmacists and other experts in the diagnosis and
treatment of disease and preservation of health
• The primary purpose is to encourage the use of *safe,
effective, and most affordable medications* Correct Answers
......
drug formulary
......
• List of medications which limits access of a prescriber to
certain medications
• Limited selection --> ↓ cost
• A common practice in the hospital setting Correct Answers
......
closed formulary
......
A list of medications in which prescribers have no restrictions
on ordering/prescribing medications
,• Broader selection -->↑ costs Correct Answers open formulary
...... ......
Certain medications on the formulary are limited or restricted to
specific physicians, patient care areas, or disease states via
formulary restrictions
• Example: Certain antibiotics can only be ordered by Infectious
Disease (ID) physicians Correct Answers RESTRICTED
...... .... ..
formulary medications
-usually to minimize side effects and costs
WHAT HAPPENS WHEN A NON-FORMULARY
MEDICATION IS ORDERED IN A CLOSED FORMULARY
HOSPITAL? Correct Answers -A non-formulary medication will
...... ......
go through an *approval process* if it is
needed
-Many CPOE systems give an alert to the prescriber that the
medication is non-formulary
-The physician will *need to present evidence* that the
medication is appropriate for the patient
----Typically, the patient has tried other medications, or the
alternative is not appropriate
(Analogous to filling out a prior authorization in the out-patient
setting)
What questions would you ask the prescriber if he/she orders a
non-formulary antibiotic? Correct Answers "is there a therapeutic
...... ......
interchange?"
, "are there any contraindications?
ETC.
-Composed of representatives from *medical staff,
administration, pharmacy, and nursing*
-A committee with oversight for medication management
including the drug formulary
-*Reviews the medication list* and guidelines on a regular basis
to assure that it is current and meets the needs of the medical
staff and patients Correct Answers Pharmacy and Therapeutics
...... ......
(P&T)
• Establishes and *maintains the formulary*
• Prevents and monitors *adverse drug reactions* and
medication
errors
• *Educates* health professionals to the optimal use of
medications
• Develops of *protocols and procedures* for medications on the
formulary Correct Answers P&T Committee
...... ......
How are formulary drugs evaluated? Correct Answers -DUR
...... ......
(drug utilization review)
-MUE (medication use evaluation)
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