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Biomedical subjects

M G Duffy

Publications and source records attributed to M G Duffy.

10 recordsLinked to original sources

Multidisciplinary audit of digoxin.

Use review of digoxin as part of a medical care evaluation study in a hospital is described. This drug audit within the hospital's quality assurance program used a multidisciplinary approach. The study was designed to measure the incidence of digoxin toxicity, evaluate monitoring practices for digoxin use and evaluate the adequacy of digoxin dosing patterns. Forty-eight patients were involved. Results indicated that some patients were not adequately assessed in regard to renal function and digoxin serum level. Further, there was a 17% incidence of digoxin toxicity. Studies such as this give pharmacists an opportunity to use their knowledge of proper drug use through a structured hospital program.

Adult

Quality of care evaluation applied to assessment of clinical pharmacy services.

Drug information supplied in a clinical setting was evaluated to determine the quality of care provided by a group of clinical pharmacists. Both process and outcome were assessed to determine the pharmacists' effectiveness in supplying clinical pharmacy services as well as to determine the relationship between these services and patient outcomes. Evaluation was conducted by a group of five physicians and the coordinator of the clinical pharmacy program. The method of evaluation seemed to contain a very high degree of interviewer reliability. Results indicate a moderate correlation, significant beyond the 0.01 level, between intermediate outcomes and the clinical pharmacy care process. The review group judged approximately three-fourths of the drug information communications as having at least a "significant" potential for benefiting the patient. Outcome measurement indicated, however, that only 14.5% of these communications were judged as actually benefiting the patient while 25% were judged as probably benefiting the patient.

Communication