The way to DIC
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The document discusses drug and poison information centers (DICs/DPICs) and the role of drug information specialists. It outlines the main functions of DICs which include answering drug-related inquiries, providing drug evaluations, developing publications, documenting adverse drug reactions, and maintaining drug formularies. The document also discusses the training and skills required of drug information specialists, such as knowledge of evidence-based medicine, study design, literature appraisal, and pharmacoeconomics. Finally, it provides recommendations for establishing a DIC, including necessary physical space, equipment, and resources.
The way to DIC
- 1. Mohammad M. Kamal Nawar Steward of Clinical Pharmacy Department and Drug Information Center Egyptian Railway Medical Center Ministry of Transport, Cairo Raghda Shehab El-Din Central Administration of Pharmaceutical Affairs Ministry of Health, Cairo
- 2. • In fact it could be represented with more precise title, D&PICs, Drug and Poison Information Centers. • These centers concern with any medical, pharmaceutical information related to drugs and poisons for both humans and animals. • DIC could be considered as one of the clinical pharmacy application shapes and tasks, however, it isn’t restricted within the hospital small scale, and it could be applied everywhere dealing with drugs and public health.
- 3. The pharmacist working in such places, DICS, is known as Drug Information Providing specialist or even as Drug Informatics Specialist (DIS).
- 4. • Increased availability of internet information recourses. • Obtain, manage, interpret and use of information. • Influence pharmacy students and developing their role as drug consultants. • Decentralizing pharmacists in hospitals. • Offering drug consulting services for health care professionals and aiding researchers. • Support for clinical services. • Answering embarrassing drug-related inquiries. • Developing therapeutic protocols and guidelines. • Involved in P&T committees’ activities (Decision making while drug choosing, formulating medication use policies and drug formularies). • Developing publications (papers, websites, flyers, brochures). • Educating pharmacy students and other health care professionals. • Pharmacovigilance.
- 5. • Prevention of ADE. • Growth of information technology. • Changes in the health care environment. • Sophistication of medication therapy. • More knowledgeable patients.
- 6. • Loss of skills needed (soft skills, searching skills, retrieval skills, appraisal skills, ..) and loss of resources teaching them such skills. • Unawareness of EBM practice.
- 7. •االجابةعلىاالستفساراتالدوائيةوالسمومومعلوماتها. •تقديمتقييمفنيعناألدويةللجانالمناقصاتوP & T. •كتابةالنشراتالطبيةوالدوائيةوالتوعويةللفريقالطبيوالمرضى. •التوثيقالدوائيومنهتسجيلأيشكاوىأونتائجايجابيةأوسلبيةعناألدوية،عمل قاعدةبياناتدوائيةخاصةبمرضىالمكان(التاريخالدوائيللمريض). •متابعةمشاكلاألدويةوتدوينآثارهاالسلبيةبالتنسيقمعالجهاتالرسميةبالدولةو شركاتالدواء. •عملقائمةاألدويةاألساسيةبالمستشفىDrug Formulary،وتحديثهابصفةمستمرة . •تنفيذمراجعةاستخداماألدويةDrug Use ReviewبالتعاونمعلجنةالـP & T،و ذلكبإعدادالمعاييرلألدويةالمراداستعمالهاومناقشةهذهالمعاييرمعاألطباءللوصول ألفضلبروتوكولعالجيمبنيعلىاألدلةوالبراهين. •تنفيذدراساتاألدويةقيداالختبارInvestigational Drugs. •مهمةأخرىتقومبهابعضمراكزالدواء،وهيتقديمالمعلوماتعنالسموم،خاصة معحاالتالتسممالدوائيوالكيميائي.
- 8. • INDICATIONS AND THERAPEUTIC USE • DOSING • DRUG ADMINISTRATION • DRUG INTERACTIONS • ADVERSE DRUG REACTIONS • PRODUCT-SPECIFIC CONCERNS
- 9. • Hospital Based-DICs • College Based-DICs • Community Based-DICs • Industry Based DICs
- 10. • Evolution, role and opportunities of drug informatics • Modified systematic approach • Effective responses and recommendations • Drug information resources • Electronic information management • Fundamentals of study design and clinical trials and clinical trials evaluation • Literature critical appraisal • Pharmacoeconomics • Evidence based medicine principles • Principles of medical biostatistics and clinical application of statistical analysis • Documentation and professional writing • Legal and ethical aspects of drug information practice • Pharmacy and therapeutics committee • Drug evaluation monographs • Quality improvement and the medication use process • Medication problems ( ADR, SE, ADE...) and errors • Investigational drugs • Soft skills (communication, ….) • Toxicology, poisons and venom
- 11. • Place: space of about 16 m2 Separated room is more preferred • Network : LAN/WLAN • Phone • Computers and their accessories • Library • Furniture : tables , chairs, …. • Subscription into some websites • Air-conditioning