Drug Information Services- DIC and Sources.

Drug information services
Drug and Poison information Center, Sources of drug information
Computerized services, and the storage and retrieval of information.

1. Drug Information Services
Mr. Ravinandan A P
Asst. Prof.
Department of Pharmacy Practice
Sree Siddaganga College of Pharmacy
Tumkur, Karnataka

2. Presentation Outlines……
1.Definition
2.Reasonfordruginformationcentre?
3.DrugandPoisoninformationcenter,
4.Sourcesofdruginformation
5.Computerizedservices,
6.Storageandretrievalofinformation.

3. Definition
“Theintegrationoflocating,analyzing,
applyingandcommunicatinginformation
aboutdrugs,usuallyforusebythe
personinthedecisionmakingrolein
patientmanagement”
Insimple,givinginformation
aboutdrugtotherequesters
likedoctors,nurses,
pharmacistandpatientsand
public

4. Definition
“Itisacurrent,criticallyexamined,
relevantdataaboutdrugsanddruguse
inagivenpatientorsituation”
–Currentinformation
–Critically examined information
–Relevant information

5. Goal
“Pharmacists to play a role as drug
consultants”

6. Why Drug Information ?
Tomeetanindicateddemandfrom
healthprofessionals
Tosupportappropriate,costeffective
druguse
Enhancethequalityofpatientcare
Finallyimprove patientmedical
conditions

7. Need of drug information
•Thenumberofdrugsintheinternationalmarkethas
increasedverymuch
•Thenewerdrugsaregenerallymorepotent&
selective,andformulationsbecomingincreasingly
complex
•Theliteratureondrugshasalsoexpandedand
coversawiderangeofinformation
•Tointroduceanewdrugintothepractice,the
professionalsneedtoevaluatethegiven
information.
•Asimple,quickreferencetoapharmacopoeiaor
formularyisnolongersufficient.

8. Providers of Drug
Information
Whoarethey?
•Knowledgeableaboutdatastorageand
recovery methods includes
PharmaceuticsandPharmacology
•Abletoobjectivelyevaluatescientific
literature

9. Providers of Drug
Information
•Abletoapplyinformationtothespecific
patientsituation
•Aneffectivecommunicatorwithpatients,
healthcareprofessionals,administrators
andthemedia

10. Drug Information (DI)
“A Fundamental Role For
All Pharmacists”

11. Drug Information Center
(DIC)
•AsourceofselectedcompleteDIfor
healthcareprofessionals
•Storedinformationisretrieved,
selected,evaluatedanddisseminated
inresponsetospecificquestions

13. Drug Information Specialist
“perceives,assessesandevaluates
drug informationneeds and
retrieves,evaluates,communicates
andappliesdatafromthepublished
literatureandothersourcesasan
integralpartofpharmaceutical
care”

14. Drug Information Resources
There are three sources
1.Primary (Journals)
2.Secondary (Indexing & Abstracting
Services)
3.Tertiary (Text Books)

15. Primary Sources
Advantages
•Providethemostcurrentinformation
•Shareopinionwithotherhealth
professionals
•Keepsabreastofprofessionalnews
•Keepsupwiththenewdevelopmentsin
pathophysiology,diagnosticagentsand
therapeuticregimen

16. Primary Sources
Limitations / disadvantages
•Noguaranteeofaccuracy
•Inadequacyofarticlesarecommon

17. Secondary Sources
Advantages
•Valuabletoolsforquickandselective
screeningoftheprimaryliteraturefor
specificinformation,data,citationand
articles
•Providesufficientinformationtoserveas
references for answering drug
informationrequests

18. Secondary Sources
Limitations
•Reviewsafinitenumberofjournals
•Usuallydescribeonlyarticlesand
clinicalstudies
•Abstracts are generally
interpretations

19. Secondary Sources
Examples
1.Micromedex
2.Lexicomp drug database
3.Medline
4.Clinalert
5.Drugs in Use
6.Drugdex
7.Index Medicus
8.Inpharma
9.IPA [International Pharmaceutical
Abstracts]

20. Tertiary Sources
Advantages
•Provideeasyandconvenientaccesstoa
broadspectrumofrelatedtopics
•Backgroundinformationondrugsand
diseasesavailable
Examples:
•PharmacologybyKDTripathi
•PharmacologybyRang&Dale
•PharmacologybyGoodman&
Gilman

21. Tertiary Sources
Limitations
•Gapbetweenrecentdevelopmentsand
actualpublicationofbooks
•Omissionofpertinentdata
•Misinterpretationof literature
possible

22. Internet
•Vastamountofunregulatedhealthcare
information
•Offersbothfreeandpay-per-view
access
•Informationisaccumulatingata
tremendouspace
•Plannedsearchismoreproductivethan
simplybrowsingorsurfing

23. Internet
Limitations
•Relativelyslowspeedofretrieval
•Lackofcontroloverinternetcontent
•Essentialtoevaluateanyfacts
critically

25. Drug Information in India
•Therearenoresearchbasedperiodic
drugsandtherapeuticsinformation
leafletsavailableinIndia
•Pharmaceuticalmarketing-major
sourceofDI

26. Threats to Drug Information
•Information super high way
•Easier access to medical information
•Information retrieval by physicians “at
the point of care”

27. Future
Allpharmacistsmustbeeffectivedruginformation
providersregardlessoftheirpractice
DrugsandTherapeuticInformationService
TrainingandevaluationskillsofDIPharmacistneeds
tobehighlighted
Startpublishingevaluatedmedicalinformationon
theinternet
Assumebiggerroleinguidinghealthcare
professionalsinthemosteffectiveuseofthe
informationsources

28. Computerized services
•Computersareusefulforgettingthecompletedrug
informationwhichisusedtosatisfythequeriesby
patientsabouttoxicology,adversedrugreactions,
anddrug-druganddrug-foodinteractions.
•Thedruginformationaboutpharmacological
actions,adverseeffects,toxicity,druginteractions
etc.isnecessaryforpharmacistandthissearchhas
beensimplifiedbytheuseofcomputers.

29. Drug information storage and
retrieval system
•Forretrievalofmedicalinformation
internationaldatabanksareavailable,
exampleincludes:
•Micromedex
•Lexicompdruginformationsoftware
•Excerptmedial
•MEDLARS
•Bitnet
•Biosis
•Ama/net

30. Poison information center
(PIC)
•Poisoninformation:Definition
•Provisionofinformationregardingthe
identificationandtreatmentaspectsrelated
topoisoningwithanycompound

31. Reason for establishing PIC
•Toendaccidentalpoisoningdeaths
•Toproviderapidaccesstoinformation
valuableinassessing&treatingthe
poisoning
•Toassistwithpoisonprevention

32. Functions
•Assessandmaketreatmentrecommendations
duringpoisonings
•Providepublicandprofessionaleducational
programs
•Collect&analyzethedataonpoisoning

33. GOALS
•Toprovidecomprehensive,accurate
andtimelyinformationtotheir
customers/clients/requesters.
•Toenhancethemedicalcareofpatients
DrugInformationCenteralsoexistwith
samegoalsasPoisonInformation
center

34. Difference between DIC & PIC
DIC PIC
Clientele Health Care Professionals
(HCP) (only 10% from public)
PIC --Public (88%)
Call volume < 7 calls /day 103 calls/day/regional center
(range: 33 to 213)
Administration
difference
Hoursofoperation
9 AM to 5 PM on
weekdays
24 hours a day year round
Cost Less expensive More expensive
Staffing Pharmacist, Less numberPharmacist/Physician/Nurse,
Morenumber
Call complexityLess complex More complex
References Less number of referencesMore number of references
d) Procedural
difference
i)Responsetime
Average15to30minutes
(mayextendtodays)
Immediateresponse(average
time-5minutes)

35. Thank You