Phin Prelims Lec 1
Phin Prelims Lec 1
Phin Prelims Lec 1
INFORMATICS
• is most simply defined as computer applications in Patient laboratory values, drug orders, patient’s weight
medical care.
INFORMATION
• comprises the theoretical and practical aspects of
information processing and communication based • Data that has relevance and purpose
on knowledge and experience derived from • Has meaning because it is contextualized,
processes inmedicine and health care categorized, calculated, corrected, or condensed
Health informatics EXAMPLE:
• The development and assessment of methods and Knowing particular lab result was high or low from
systems for the acquisition, processing and reference value
interpretation of patient data with the help of
knowledge from scientific research KNOWLEDGE
• It covers all aspects of the generation, handling,
• Broader, deeper, and richer than data and
communication, storage, retrieval, management,
information
analysis, discovery and synthesis of data,
information and knowledge in the entire scope of ALERT
healthcare.
• a patient- and context-sensitive warning presented to
the ordering provider at the time an order is being
entered. Used to inform the provider of a clinical
concern relevant to the patient and order being
placed.
CLINICAL REMINDER
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NOTIFICATION
TELEHEALTH
TELEMEDICINE
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AREAS OF RESPONSIBILITY
1. Inormation management
2. Knowledge delivery 5.CHANGE MANAGEMENT
3. Data analysis • When dealing with knowledge to guide healthcare
4. Clinical informatics
delivery, the only constant is change.
5. Change management
• Treatments come and go, diagnostic tools evolve,
1. INFORMATION MANAGEMENT clinical practice changes.
• Informatics Pharmacist must generate and share WHAT DOES AN INFORMATICS PHARMACIST DO?
this information with various healthcare
• Maintain databases of medication management
professionals to ensure patient safety while also
systems
measuring the usage and effectiveness of this
• Liaison between information technology (IT) and
information throughout the clinical process.
pharmacy
➢ Understanding system capabilities and
limitations
• Identify solutions to and resolve system problems
• Work with interdisciplinary teams to implement new
technology
➢ Barcode Medication Administration
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1925
1959
New Normal
ONLINE PHARMACY:
• MedExpress Drugstore
• AideApp
• Dima
• MedGrocer
• Mercury Drugstore
• Rose Pharmacy
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• Generally, the best method to find information WHAT ARE PRIMARY RESOURCES?
includes a stepwise approach moving first through: • Original published or unpublished works that
Tertiary > secondary > primary introduce new knowledge or enhance existing
Tertiary Sources knowledge on a subject.
• Include research results and case reports as well as
• Provide the practitioner with general information evaluative and descriptive studies.
needed to familiarize the reader with the topic. • These are the foundation for the secondary and
• Provide rapid access to information tertiary literature
• General source • Provide the most accurate information because they
• Excellent first-line resources contain the original communication of ideas
• Rapid access to information
Advantages
Example of Tertiary Sources:
• Access to detailed information about a topic and the
➢ Textbooks ability to personally assess the utility and validity of
➢ Drug Compendia study results.
➢ Review Articles in journals • More recent than tertiary or secondary literature.
➢ Full text computer/ handheld databases • Peer-reviewed
➢ Internet
Disadvantages
Secondary Sources
• Misleading conclusions based on only one trial
• If the information from the tertiary sources is not without the context of other researches.
recent or comprehensive enough, it may be • There is a need to have good skills in medical
employed to direct the reader to review primary literature evaluation.
articles that might more insight on the literature • Longer time needed to evaluate the large volume of
provide topic. literature available.
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Indexing
Abstracting
Advantages
• Saves time
• Cheaper than journal
• On-line easy to search
• Updated information can be sent to you periodically
Disadvantages
• Time lag
The time lag for most secondary sources is 4-8
weeks after primary resource publication
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information for health care providers. Contains full C. INFORMATION ON DRUG SIDE EFFECTS
text information on
Meyler's Side Effects of Drugs
• generic, brand, herbal or investigational drugs
• Side effects of Drugs Annual
Drug Facts and Comparisons
• lists and discusses side effects associated with drug
• FDA approved drugs and investigational and orphan therapy; comprehensive index referenced by drug
agents; legend and OTC listings; and adverse drug reaction
• good quick-source • published approximately
• alphabetical listing of drugs by generic name; many Remington: The Science and Practice of Pharmacy
charts, algorithms, and tables with information; not
• information concerning the practice of pharmacy
referenced
and pharmaceutical sciences
• published annually
• republished approximately every
Martindale: The Complete Drug Reference
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HANDBOOK OF CLINICAL
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➢ Discussion of utility of the dosage form. • Contains the official substance and product and
product standards.
EXTERMPORANEOUS FORMULATIONS
• Official preparation instructions are given for a
American Society of Health-System Pharmacists limited number of commonly compounded
• [www.ashp.org] products.
• Compilation of PUBLISHED RECIPES with • Some journals are especially useful for
STABILITY DATA. compounding “recipes” (ex. International Journal of
• Most products are ORAL FORMULATIONS to reflect Pharmacy Compounding, U.S. Pharmacist, or
the unique needs of some pediatric patients. American Druggist)
• Information is also provided about LEGAL and PHARMACOLOGY
TECHNICAL ISSUES in compounding practices.
GOODMAN & GILMAN’S:THE PHARMACOLOGICAL
MERCK INDEX BASIS OF THERAPEUTICS
• Provides descriptions of the chemical and McGraw-Hill
pharmacologic information about a variety of • A Classic pharmacology text that provides
products. information about PHARMACOKINETICS and
• Contains: PHARMACODYNAMICS of a number of drugs.
➢ CAS number • Focused to provide a correlation between
➢ Chemical structure PRINCIPLES OF PHARMACOLOGY AND
➢ Molecular weight CONTEMPORARY CLINICAL PRACTICE
➢ Physical data: solubility, which may be
especially useful in compounding. BASIC & CLINICAL PHARMACOLOGY
• Available: print online and on CDROM
Lange
REMINGTON: THE SCIENCE AND PRACTICE OF • [www.mcgraw-hill.com]
PHARMACY • Organized by THERAPEUTIC CLASS OF AGENTS
• Contains:
Lippincott Williams and Wilkins ➢ General discussion of pharmacology principles
• Contains information about all aspects of ➢ More detailed discussion of specific agents
pharmacy practice. • Figures and tables are used frequently to illustrate
• Discussion: difficult
➢ Social issues impacting pharmacy
➢ Information about the basics of pharmaceutics, PRINCIPLES OF PHARMACOLOGY
manufacturing, pharmacodynamics, and
Lippincott Williams & Wilkins
medicinal chemistry.
• [www.lww.com]
• Information is provided regarding common
• Designed for medical students
compounding
• Offers a good discussion of pharmacology in the
A PRACTICAL GUIDE TO CONTEMPORARY PHARMACY context of a variety of biologic processes.
PRACTICE • The use of cases with accompanying study
questions makes clinical application of these
Lippincott Williams and Wilkins
principles easy.
• [www.lww.com]
• A text resource with CD-ROM DRUG INTERACTIONS
• Organized in an OUTLINE FORMAT to easily find
information. HANSTEN AND HORN’S DRUG INTERACTION
• Discussion: ANALYSIS AND MANAGEMENT
➢ Compounding techniques • Updated quarterly
➢ Explanations of additives used in compounding
• Provides RAPID INFORMATION regarding severity
USP / NF and likelihood of an interaction and actions
needed to minimize this risk based on the case
• Available in both text and CD-ROM format studies and primary literature available.
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TEXTBOOK OF THERAPEUTICS
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