To the Third, Second, or First Degree
Where would I start when using Front Line Pharmacist Approach to Evidence Selection... I need it to be fast, I got things to do. Provide example!
What is Tertiary? Major Compendia, Textbooks, Websites, Local protocols?
There are four central components to Evidence Based Practice - all inform the healthcare decision. Name them.
What is Context of Care Delivery, Best Available Evidence, Patient Preference, Professional Judgement?
Who write's all the guidelines? Name two.
What are government agencies, managed care organizations, professional associations, expert interest groups?
The MERP Index has pretty colors! Blue, orange, yellow, green - what could they possibly mean?
What is No Error, Error (No Harm), Error (Harm), Error (Death)?
No Blame places an emphasis on what kind of environment?
What is a Culture of Safety?
This can be tertiary or secondary sources - upgrade your compendia - I've got a little more time but not by much...
What is Evidence/Knowledgebases? Ex: UpToDate, Clinical Key, Clinical Practice Guidelines
The Hierarchy of Evidence tells us that not all evidence, unlike all people, are equal - clinicians prefer the top of the pyramid, which includes what?
What is systemic reviews, meta-analyses, clinical practice guidelines, and randomized control trials (RCT)?
Where do those jokers get the data for the guidelines from?
What is primary literature?
Includes scientific data, clinical trials, observational studies.
Category A
In this culture we don't target the person but rather...
What are the flaws in the process?
We're slowing it down; this is straight secondary evidence starting to include large repositories of data. I'd look at these for published journals...
What is PubMed/Medline, EMBASE, IPA, Web of Science, GoogleScholar, ClinicalTrials.gov?
Deviations away from the Clinical Practice Guidelines (CPG) is due to multiple factors, can you name a few?
What is patient preference, clinical judgement, and/or care delivery?
Guidelines development methods include levigation, trituration - just kidding, there's four. Name two.
What is Expert Opinion Method, Consensus Method, Evidence-Based Method, and Combination of the Above Methods?
When my nurse gave me a Tide pod instead of my multi-compressed tablet what set of MERP categories does this fall into?
One of the best tools to promote medication safety involves the patient's ability to identify potential errors and their treatment. What is this called?
What is patient education?
You ever hear that old children's song "First is the worst, second is the best, third is the one with the hairy chest?" Well in this case first is THE primary gold. What resources do you find here?
What is e-Journals, Conference Proceedings, early release materials straight from mft (not yet FDA approved)?
CPG's will DOC's or Drug of Choice. But what will the drug of choice really tell you?
What is the drug class?
The IOM or Institue of Medicine published the Standard's for Trustworthy Guidelines, that focused on numerous things including managing conflicting what?
What are interests?
Which MERP category constitutes an error of omission?
What is Category B?
The involvement of this type of team is also crucial in addressing med errors - you know, it builds understanding, so when you see their name on prescriptions you know why it's always wrong.
What is an Inter-Professional Team?
There's one more after primary - the one lone specialist, an observer and a thinker.
What is Expert? Includes Drug Info Specialist, Health Sciences Librarian, Consult Clinician Specialist
There's a term I'm looking for here - the umbrella term for guideline directed therapy, it improves healthcare quality and patient outcomes and is found in every healthcare institution.
What is The Standard of Care?
Please grow two more eyes or at least that's what it sounds like in this part of the Trustworthy Guidelines, before publication, a second set of eyes are absolutely essential.
What is Peer Reviewed?
Interventions can be awkward, all your friends gathered around to address your chocolate habits - 'snorting chocy is not good for you...' but in this context it includes what?
What is change in therapy or active medical/surgical treatment?
Those things that trees grow underground, helps keep them grounded- its' also a process used to analyze causes and how to address them.
What is Root Cause Analysis?