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[From: "Dr. Douglas Ball" <dball@hsc.kuniv.edu.kw> Subject: Proposed indicators for medicines/drug information services (2)]

Indices: Proposed indicators for medicines/drug information services (2)



 This is to accompany a separate message on the development of these
indicators for those who are interested and wish to participate.
 A formated list (in a table with bold, italics, etc.) can be obtained as  a
Word e-mail attachment by contacting me directly at
 dball@hsc.kuniv.edu.kw.
 Regards
 Douglas Ball (dball@hsc.kuniv.edu.kw)
 =======================

 Indicators for medicines information/drug nformation (MI)1 services

 Answers are Yes/No/Don't know unless otherwise indicated.

 Structure (are the necessary structures and mechanisms in place?)
 1. Presence of a constitution (operating document):
 2. At least one full-time3 professional staff e.g. doctor,  pharmacist,
nurse:
 3. Total number of professional staff (full-time equivalents)4
 4. At least one secretarial support person:
 5. Separate institutional budget for MI activities:
 6. The MI service is based in:
 . an academic institution e.g. university
 . a health institution e.g. hospital
 . a government department e.g. pharmaceutical services department
 7. Approximate percentage of the budget (including salaries) which
> comes from:
> . government e.g. Ministry
> . university or non-governmental organization (e.g. professional
> or consumer group)
> . pharmaceutical companies (including wholesalers or agents)
> . other (specify)
> 8. Dedicated office space (MI room), including basic furniture
> needs:
> 9. The following are present for use in MI activities:
> . A dedicated telephone line for receiving and responding to MI
> requests
> . Fax machine
> . Working photocopier
> . Working computer for accessing MI and/or storing records
> . MI e-mail address which is checked at least once a day during
> working hours
> 10. (a) The latest edition (or published within 3 years) of the
> following are present (in print or electronic):
> . Martindale. The Extra Pharmacopoeia
> . British National Formulary
> . Micromedex Healthcare OR AHFS Drug Information OR USP Drug
> Information
> . Specific reference on drugs in pregnancy & lactation (e.g.
> Briggs et al.)
> . General medicine text (e.g. Oxford Textbook of Medicine)
> . Basic pharmacology text (e.g. Goodman & Gilman)
> . Medical toxicology (e.g. Ellenhorn & Barceloux)
> . Pediatric drug reference (e.g. Handbook of Paediatric Drug
> Therapy)
> . Latest essential medicines list and/or national formulary
> . Issues of  WHO Drug Information & Essential Drugs Monitor less
> than 1 year old
> (b) Percent of key references above which are present (No. of
> references/10 x 100)
>
> Process (have the necessary procedures been established for
> implementation?)
>
> 1. Presence of standard operating procedures (SOPs) for handling
> requests:
> 2. Standard enquiry record forms are immediately available for use:
>
> 3. Systematic method of filing records which facilitates future
> access is being used:
> 4. Easy access to medical experts/consultant physicians if required
> for information:
> 5. SOPs for induction of new staff are present and have been
> reviewed in the past 5 years
> 6. At least 1 staff member received MI-related training in the past
> year
> 7. Access to a medical library or other source of biomedical
> journals
> 8. Staff participate in hospital ward rounds.
> 9. Staff are involved in teaching undergraduate/postgraduate health
> professionals.
> 10. MI service has hosted international MI colleagues for
> training/exchange in the past year
>
> Outcomes (are MI targets being achieved?)
>
> 1. Total number of MI requests in the previous calendar year:
> 2. Number of MI requests for past year was 90% or greater of the
> number the previous year
> 3. At least 1 issue of a MI bulletin or newsletter published in the
> past year:
> 4. Official participation in local or national therapeutic
> committee(s) in the past year:
> 5. At least 1 talk/presentation given to a professional or public
> body in the past year:
> 6. Annual report from previous calendar year available:
> 7. A 24 hour service is offered :
> 8. Self-audit5 exercise has been conducted and documented in the
> past year:
> 9. Percentage of callers satisfied with their contact and response
> from the MI service
> 10. Approximate percentage of enquiries related to poisonings or
> toxicology information
>
> Notes
> 1'Medicines information' (MI) has the same meaning as the commonly used
> term 'drug information'.
> 2DK = don't know
> 3Full-time occupation with DIC; not expected to carry out other duties
> e.g. teaching, dispensing, clinical duties
> 4Add up the hours spent by staff on MI services during working hours in
> one week and divide by the total number of working hours in one week.
> 5Taking a random sample of past records, checking the accuracy of the
> information provided, documenting the results.
>
> Supplementary indicators
> These are examples of indicators which may also be used to study the MI
> activities in more detail. More specific indicators can be developed
> locally to suit the needs of individual centres.
>
> Structure
> 1. Total annual budget (excluding salaries) is greater than US$
> 2,000
> Processes
> 1. Access to evidence-based medicine resources (e.g. Cochrane
> Library, Best Evidence)
> 2. What is the approximate number of working hours spent on MI
> daily in the past month?
> 3. What is the approximate average time spent in handling requests?
> 4. What percentage of requests could not be satisfactorily resolved
> in the past year?
> 5. Is a register maintained of clinical interventions?
> Outcomes
> 1. No. of different bulletins produced
> 2. All scheduled issues of bulletin were produced
> 3. Satisfaction survey of users of bulletin conducted and  documented

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