+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

How pharmacists respond to on-line, real-time DUR alerts



How pharmacists respond to on-line, real-time DUR alerts



Journal of the American Pharmaceutical Association 38(2): 149-154



To quantify the type and frequency of drug utilization review (DUR) alerts sent by one claims processor to pharmacists; identify how pharmacists respond to these on-line, real-time DUR messages; and quantify the interventions taken by these pharmacists as a result of these alerts. Retrospective analysis of Medicaid claims from July 1, 1995, through June 30, 1996. State of Delaware. 55,000 Medicaid recipients served by 170 participating pharmacies and 2,000 physicians. All on-line DUR alerts sent to pharmacists and the pharmacists' responses were categorized by alert type and analyzed by drug class. Pharmacists' response (dispensed prescription, contacted prescriber, talked with patient, consulted own reference sources) and drug classes. During the study period, 807,017 claims generated 83,260 DUR alerts involving 73,554 (9.1%) prescriptions. Prescriptions were not dispensed in 20.9% of cases because of the DUR message. Prescriptions were dispensed 17.7% of the time after the pharmacist contacted the prescriber, in 20.6% of cases after the pharmacist talked with the patient, and 37.2% of the time after reviewing internal resources. Action taken by pharmacists varied among and within DUR criteria categories. Specific examples of alerts generated in high-frequency and high-profile areas are reviewed, some of which generated inconsistent responses. Among Delaware Medicaid providers, drug alerts resulted in pharmacists not dispensing prescriptions in a surprising percentage of situations. Pharmacists' responses varied according to the drug class involved and the type of alert received.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046280717

Download citation: RISBibTeXText

PMID: 9654846


Related references

How Pharmacists Respond to On-Line Real-Time Our Alerts. Journal of the American Pharmaceutical Association (1996) 38(2): 149-154, 1998

10 real-time alerts!. Nursing Management 31(5): 24-25, 2000

Real-time alerts!. Nursing Management (Springhouse) 31(5): 24-25, 2000

Real-time data acquisition and alerts may reduce reaction time and improve perfusionist performance during cardiopulmonary bypass. Perfusion 30(1): 41-44, 2015

Real-time alerts and reminders using information systems. Anesthesiology Clinics 29(3): 389-396, 2011

Real-time wireless decision support alerts on a Palmtop PDA. Proceedings. Symposium on Computer Applications in Medical Care 1995: 174-177, 1995

Practical considerations in the use of real-time continuous glucose monitoring alerts. Journal of Diabetes Science and Technology 4(3): 733-739, 2010

Triple-low Alerts Do Not Reduce Mortality: A Real-time Randomized Trial. Anesthesiology 130(1): 72-82, 2019

Geomagnetic services; real-time alerts, data, and disturbance predictions. SEG Abstracts 1984(1): 218-219, 1984

Notification of real-time clinical alerts generated by pharmacy expert systems. Proceedings. AMIA Symposium 1999: 325-329, 1999

Using real-time alerts for clinical trials: Identifying potential study subjects. Applied Clinical Informatics 2(4): 472-480, 2011

Real-time automated clinical deterioration alerts predict thirty-day hospital readmission. Journal of Hospital Medicine 11(11): 768-772, 2016

Acute Kidney Injury in Real Time: Prediction, Alerts, and Clinical Decision Support. Nephron 140(2): 116-119, 2018

A randomized trial of real-time automated clinical deterioration alerts sent to a rapid response team. Journal of Hospital Medicine 9(7): 424-429, 2014

Automated Collection of Real-Time Alerts of Citizens as a Useful Tool to Continuously Monitor Malodorous Emissions. International Journal of Environmental Research and Public Health 13(3):, 2016