medication use evaluation - dr. z (but actually dr. kline)

what is the origin of the term “medication use evaluation”?

a. 1969 Task Force on Prescription Drugs

b. Omnibus Budget Reconciliation Act of 1990 (OBRA 90)

c. 1992 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Standards

d. 2007 Institute of Medicine (IoM), Preventing Medication Errors

c.

what did the 1992 JCAHO Standards do with MUE?

expanded it to include all meds and all aspects of medication use

-prescribing

-dispensing

-administering

-monitoring

-outcomes

what is a tool employed to promote the systematic improvement in medication-related performance in a healthcare setting?

a. DUR

b. MUE

c. ADE

b.

MUE is a performance improvement method that aims to optimize ______ through __________

optimize patient outcomes through evaluation and improvement of med use

what type of MUE concentrates on a specific drug and/or disease state?

a. narrowly focused

b. broadly focused

a.

what type of MUE is designed to encompass a therapeutic class or indication?

a. narrowly focused

b. broadly focused

b.

what MUE outcome is patient-centered: clinical events, QOL?

a. therapeutic outcomes

b. process outcomes

a.

what MUE outcome has to do with processes related to the use of medications: prescribing, dispensing, administering, monitoring?

a. therapeutic outcomes

b. process outcomes

b.

T/F MUEs are multidisciplinary and system-wide

TRUE

performance improvement framework is used by healthcare organizations to improve what areas in patient care?

safety

efficacy

quality

efficiency

what performance improvement framework aligns with the MUE process?

FOCUS-PDCA model

what is the FOCUS-PDCA model?

F: find process to target for improvement

O: organize team that knows the process

C: clarify current knowledge of process

U: understand causes of process variation

S: select process improvement

P: PLAN

D: DO

C: CHECK

A: ACT

what are the next steps when MUE outcomes are undesired/negative?

• understand the causes of process variation

  • conduct a RCA and consider the “five whys” = asking 5 times why the problem exists

• develop ideas to address the root cause of process variation

  • utilize FACES tool = feasability, acceptability, cost/benefit, effectiveness, sustainability