Benchmarking assessment of therapeutic drug monitoring in small community hospitals

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Title Benchmarking assessment of therapeutic drug monitoring in small community hospitals
Publication Type thesis
School or College College of Pharmacy
Department Pharmacology & Toxicology
Author Balk, Mark Allen
Date 1995-08
Description Analysis of a drug utilization evaluation (DUE) of the therapeutic drug monitoring (TDM) process performed by the pharmacy department at a small community hospital showed an opportunity for improvement in the TDM process. A review of the literature identified no information on best practices on which to build a model for the provision of TDM as a clinical service. The benchmarking process was utilized to evaluate the TDM services of institutions of a similar size. This evaluation included analysis of the TDM process as well as model development of TDM services. A telephone contact was used to survey 48 small community hospitals that provided TDM services. The information requested on the survey included institution demographics, institution policy on TDM, and the TDM process at that institution, TDM protocols, and level of cooperation between the pharmacy department and nursing department, laboratory department, and physical staff. The data were analyzed to identify similarities and differences between institutions and their best practices with regard TO TDM. Therapeutic drug monitoring was being performed by 43 of the 48 hospitals surveyed. Thirty-six of the 43 respondents stated that they had a formal policy on TDM. The process work flow used to TDM was similar for each institution. The pharmacy department had developed a protocol for therapeutic drug monitoring of aminoglycosides in 35 of the 43 hospitals surveyed. Those protocols feel into three categories, or models. Respondents of the 43 hospitals surveyed rated their perceived level of cooperation between the pharmacy department and laboratory, nursing, and physical staff. Analysis of the mean cooperation ratings between these departments showed no significant differences in cooperation between larger and smaller institutions in the survey. Use of the benchmarking process can be important tool for pharmacists to use when developing new services or looking at old ones. Constantly reviewing and adapting to best practices can lead to rapid improvements in an institution's services.
Type Text
Publisher University of Utah
Subject Policy; Protocols; Benchmarking
Subject MESH Drug Monitoring; Drug Utilization; Hospital Administration; Hospitalists
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "A benchmarking assessment of therapeutic drug monitoring in small community hospitals". Spencer S. Eccles Health Sciences Library. Print version of "A benchmarking assessment of therapeutic drug monitoring in small community hospitals" available at J. Willard Marriott Library Special Collections. RM31.5 1995 .B34.
Rights Management © Mark Allen Balk.
Format application/pdf
Format Medium application/pdf
Format Extent 573,759 bytes
Identifier undthes,4397
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Master File Extent 573,832 bytes
ARK ark:/87278/s6qr502d
Setname ir_etd
ID 191979
Reference URL https://collections.lib.utah.edu/ark:/87278/s6qr502d
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