Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information

Objectives: To identify the 30 most common adverse drug events or reactions (ADE/ADRs) within the top 200 medications: (1) by raw incidence, (2) weighted by prescription volume, (3) and weighted by retail dollars. Methods: The Pharmacy Times Top 200 Medications (as ranked by prescription volume)...

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Main Authors: Mary E. Kiersma, Aleda M. H. Chen, Kristin R. Villa, Brian M. Shepler, Matthew M. Murawski
Format: Article
Language:English
Published: University of Minnesota Libraries Publishing 2011-01-01
Series:INNOVATIONS in Pharmacy
Subjects:
Online Access:https://pubs.lib.umn.edu/index.php/innovations/article/view/219
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author Mary E. Kiersma
Aleda M. H. Chen
Kristin R. Villa
Brian M. Shepler
Matthew M. Murawski
author_facet Mary E. Kiersma
Aleda M. H. Chen
Kristin R. Villa
Brian M. Shepler
Matthew M. Murawski
author_sort Mary E. Kiersma
collection DOAJ
description Objectives: To identify the 30 most common adverse drug events or reactions (ADE/ADRs) within the top 200 medications: (1) by raw incidence, (2) weighted by prescription volume, (3) and weighted by retail dollars. Methods: The Pharmacy Times Top 200 Medications (as ranked by prescription volume) was utilized to identify the top 200 medications in 2008. The ADE/ADRs for each medication were obtained from Facts and Comparisons, Micromedex, and Lexi-Comp and entered into a database. These ADE/ADRs were compiled and summed, identifying the number of times each appeared. These then were ranked to identify the 30 most common ADE/ADRs. The actual prescription volume and total retail dollars for each medication were obtained and listed next to each medication's ADE/ADR. The incidence of each ADE/ADR then was weighted by actual prescription volume and retail dollars to determine the top 30 most common ADE/ADRs. Results: Initial evaluation resulted in 9829 individual ADE/ADRs and summed into 1477 distinct ADE/ADRs, after adjusting for interchangeable terminology. Examples of the 30 most common ADE/ADRs (raw incidence) included: dizziness/vertigo, headache, nausea, vomiting, and diarrhea/loose stools. The list remained the same after weighting by actual prescription volume. After weighting by retail dollars, the order of ADE/ADRs changed slightly. Conclusion: Knowledge of ADE/ADRs is important for pharmacists in all healthcare settings. Consolidating ADE/ADRs for medications may enable pharmacists to recall the most common side effects and aid in earlier identification of ADE/ADRs, which may positively impact patient safety across practice settings. Type: Original Research
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spelling doaj.art-8674173e8ba44207b27bc2ae3f0c17722022-12-22T03:17:39ZengUniversity of Minnesota Libraries PublishingINNOVATIONS in Pharmacy2155-04172011-01-012110.24926/iip.v2i1.219Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug informationMary E. KiersmaAleda M. H. ChenKristin R. VillaBrian M. SheplerMatthew M. MurawskiObjectives: To identify the 30 most common adverse drug events or reactions (ADE/ADRs) within the top 200 medications: (1) by raw incidence, (2) weighted by prescription volume, (3) and weighted by retail dollars. Methods: The Pharmacy Times Top 200 Medications (as ranked by prescription volume) was utilized to identify the top 200 medications in 2008. The ADE/ADRs for each medication were obtained from Facts and Comparisons, Micromedex, and Lexi-Comp and entered into a database. These ADE/ADRs were compiled and summed, identifying the number of times each appeared. These then were ranked to identify the 30 most common ADE/ADRs. The actual prescription volume and total retail dollars for each medication were obtained and listed next to each medication's ADE/ADR. The incidence of each ADE/ADR then was weighted by actual prescription volume and retail dollars to determine the top 30 most common ADE/ADRs. Results: Initial evaluation resulted in 9829 individual ADE/ADRs and summed into 1477 distinct ADE/ADRs, after adjusting for interchangeable terminology. Examples of the 30 most common ADE/ADRs (raw incidence) included: dizziness/vertigo, headache, nausea, vomiting, and diarrhea/loose stools. The list remained the same after weighting by actual prescription volume. After weighting by retail dollars, the order of ADE/ADRs changed slightly. Conclusion: Knowledge of ADE/ADRs is important for pharmacists in all healthcare settings. Consolidating ADE/ADRs for medications may enable pharmacists to recall the most common side effects and aid in earlier identification of ADE/ADRs, which may positively impact patient safety across practice settings. Type: Original Researchhttps://pubs.lib.umn.edu/index.php/innovations/article/view/219adverse drug reactionadverse drug event
spellingShingle Mary E. Kiersma
Aleda M. H. Chen
Kristin R. Villa
Brian M. Shepler
Matthew M. Murawski
Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information
INNOVATIONS in Pharmacy
adverse drug reaction
adverse drug event
title Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information
title_full Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information
title_fullStr Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information
title_full_unstemmed Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information
title_short Pharmaceutical systematics: Description and preliminary investigation of an alternative method for structuring drug information
title_sort pharmaceutical systematics description and preliminary investigation of an alternative method for structuring drug information
topic adverse drug reaction
adverse drug event
url https://pubs.lib.umn.edu/index.php/innovations/article/view/219
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AT matthewmmurawski pharmaceuticalsystematicsdescriptionandpreliminaryinvestigationofanalternativemethodforstructuringdruginformation