Article Summary
The Drug Utilization Review process has received major updates including built-in reporting to review historical DUR checks.
Created January 28, 2019 By MDScripts
The Drug Utilization Review process has received major updates including built-in reporting to review historical DUR checks.
Drug Utilization Review is the evaluation of drugs, allergies and other conditions to determine whether problems can occur from the prescribing or dispensing of a combination of medications.The DUR process allows providers to perform several different allergy and interaction checks when dispensing medications and writing prescriptions. The following contra-indication checks are being performed when a DUR check is requested:
Previously, the DUR check was only available during the dispensing operation, but this has now been expanded to the Patient Profile and Prescription writing. Dur Checks can be manually run from the Patient Profile screen and the Dispense Cart by clicking on the "Check DUR" button. It is automatically run when writing prescriptions using the RxPad screen.
Select Allergies/DUR tab on the patient profile tab.
Select Proceed to DUR. This step may be set as Required or Optional for sites that have DUR enabled.
DUR is automatically performed when writing in-house or e-prescriptions using the RxPad screen.
The DUR information is separated into three categories of information that are reviewed during the check.
The example below shows the Allergies/DUR tab on the patient profile, where new Medications, Allergies, and Conditions can be added. The patient shown is currently taking several medications reported in the month of January. They are also Allergic to two medications and are Diabetic (Illness/Condition). The Allergies and Illnesses/Conditions are based on ICD-10 codes and can be looked up using the ICD-10 code or name.
When a DUR check is performed the user will be shown all potential contraindications as a set of boxes. The boxes will give details on each contraindication found and whether it is a Moderate or Severe interaction. The example below shows a Drug-to-Drug interaction between Keflex and Glucophage as well as an interaction between Keflex and the patient's allergy to Penicillin:
Providers should use the Contraindication information to ensure patient safety and review alternate treatment options if deemed necessary given the severity of the interaction.
NOTE: DUR checking is available for all sites, but may be disabled, or set as Optional for your site. Contact Customer Support or your Sales rep if you would like more details on enabling DUR support in your site.