1. Penanggung o Internal Rumah Sakit (KFT/IFRS) jawab/pelaksana DUE o Peneliti dari luar (universitas) o Kolaborasi o Lembaga lain
2 Selection of agents o High-volume medicine use
o Medicines with a low therapeutic index o Medicines with a high incidence of ADRs o Expensive medicines o Medicines that are critically important, including those in the following categories: cardiovascular, emergency, toxicology, oncology, intravenous medicines, and narcotic analgesics o Antimicrobial medicines, both prophylactic and therapeutic o Injections o Medicines undergoing evaluation for addition to the formulary o Medicines used for off-label indications o Medicines used for high-risk patients 3 & 4. Indikator, kriteria dan Indikator proses nilai ambang batas o Indications ……………………………………………………….. evaluasi o Dose ………………………………………………………………. o Quantity dispensed……………………………………………. o Preparation………………………………………………………………. (buat dalam bentuk o Monitoring………………………………………………………………….. table seperti dalam o Contraindications…………………………………………………. contoh materi kuliah) o Drug interactions……………………………………………………. o Administration…………………………………………………….. o Patient education………………………………………………………
Indikator outcome (TD, KGD, EFIKASI, dll)
……………………………………………………………………………………………………..
Indikator administrative farmasi:
o Correct cost to patient o Accurate billing records o Accurate dispensing records o Appropriate use of generic medicines or therapeutic equivalents o Appropriate use of formulary medicines o Appropriate quantity dispensed
5 Pengambilan data Prospektif/retrospektif
Jenis data Jumlah pasien/resep Periode pengambilan data Pengolahan data
6 Penyajian hasil evaluasi o Grafik
o Diagram o Narasi o Lain-lain
7 Rekomendasi hasil o Appropriate/inappropriate
evaluasi o Acceptable/unacceptable o Other drug use problem
8 Intervensi o In-service/continuing education programs
o Written guidelines for drug use o Development of special drug order forms o Changes in hospital policies and procedures o Formulary additions and deletions o Prescribing restrictions o Formal and informal counseling