- The use and integration of data, information, knowledge, technology, and
automation in the medication use process for the purpose of improving health outcomes. (The American Society of Health-System Pharmacists) - The application of technology and information systems to the medication use process to improve outcomes, and increase safety and efficiency. Who is an Informatics Pharmacist? - Dual specialist - Knowledgeable about both Pharmacy Practice and Informatics Competencies and Characteristics of an Informatics Pharmacist -communication Skills -technology oriented -innovative -analytical Roles of an Informatics Pharmacist -ensure patient safety -serve as a liaison between pharmacy and other departments -provide education to healthcare professionals -serve as a resource for hospital staf Pharmacy Practice Applications 1. Support for Clinical Services Specific clinical services: a. Medication review Drug Interaction Checking Adverse Drug Reaction Identification Laboratory Tests Interpretation b. Medication counseling c. Patient monitoring d. Pharmaceutical care planning e. Pharmacotherapy decisions 2. Pharmacy and Therapeutic activities 3. Publications 4. Education 5. Drug usage evaluation 6. Investigational drug research 7. Coordination of reporting programs 8. Poison information Types of requested information (Medication information) 1. Pathophysiology 2. Symptomatology 3. Risk Factors 4. Causative Agents 5.Complications
6. Parmacotherapy 7. Non-drug management 8. Lifestyle changes, etc.
9. Drug Development Process 10. Pharmacognosy 11. Pharmacopeial Information
The overall amount of medical information is growing at an alarming rate; even the body of knowledge covering only drug information seems to be endless. There are vast amounts of data on drugs that are approved by the Food and Drug Administration (FDA), and on agents undergoing clinical investigation. There are many sources of information available that can help answer drug-related questions. Deciding which one is best for a specific situation is the key. This outline will discuss drug information sources and explain how to efectively utilize them. Exercises posted on the web, and the self-paced news group will assist you in developing the skills to efficiently utilize these resources to better manage your patients' drug related problems. A. Primary Literature Definition: Primary literature forms the foundation of the literature hierarchy. It is the source of information for the development of secondary and tertiary literature resources. Primary literature is comprised of original research that is written in the author(s) own words. It consists of research studies, case reports, editorials, and letters to the editor. Most primary literature contains a detailed description of the study design, methodology, and scientific results. The reader is able to critique and analyze the study in order to develop a conclusion. Advantages: Most current evidence Provide data on new drugs Can personally assess validity of studies Disadvantages: May not lead one to best decision because of limited scope Data can be poor or controversial Every study has limitations Too complex for patients Examples: New England Journal of Medicine Archives of Internal Medicine JAMA (Journal of the American Medical Association) CHEST (from the American College of Chest Physicians) Clinical Pharmacy and Therapeutics Annals of Pharmacotherapy British Medical Journal B. Secondary Literature
Definition: The secondary literature is compiled by indexing and abstracting
services that can be used to systematically locate various types of published literature. The indexing system usually provides bibliographic information indexed by topic and will allow the user to view a brief description of the information within most citations. Advantages: Can construct searches to find specific information at high granularity Disadvantages: Often require more expertise to use than primary or tertiary resources Retrieved references must be filtered for quality Must track down resources before looking for answers Too complex for patients Examples: PubMed/OVID/MedLine C. Tertiary Literature Definition: The information presented in tertiary literature is core knowledge established via primary literature or accepted as standard of practice within the medical community. Drug information contained in the tertiary literature is generally well-established information that is approved and accepted by the FDA (i.e. a FDA labeled indication) or well founded in the primary care literature (i.e. an unlabeled but well-documented use for an FDA approved drug). Advantages: Provide comprehensive information Information reflects views of multiple experts in field Fast, easy to use, and may be good for patients Disadvantages: Usually at least 2 years out of date by publication High dependency on interpretation of authors **Pharmacists can address this by consulting at least 2 tertiary resources to find corroborating information Examples: Textbooks, Handbooks, Monographs, Compendia, Published symposia