Research in Social and Administrative Pharmacy
Volume 1, Issue 4 , Pages 526-545 , December 2005

Perspectives on Drug and Therapeutics Committee policy implementation

  • Ee Lyn Tan, B.Pharm., B.PharmSci. (Hons.), Ph.D.

      Affiliations

    • Faculty of Pharmacy, The University of Sydney, Sydney, Australia
    • Therapeutics Centre, St Vincent's Hospital, 380 Victoria Street, Darlinghurst 2010, Sydney, New South Wales, Australia
    • Corresponding Author InformationCorresponding author. Therapeutics Centre, St Vincent's Hospital, 380 Victoria Street, Darlinghurst 2010, Sydney, New South Wales, Australia. Tel.: +61 2 83822199; fax: +61 2 83822724.
    • ,
  • Richard O. Day, M.D., F.R.A.C.P.

      Affiliations

    • Therapeutics Centre, St Vincent's Hospital, 380 Victoria Street, Darlinghurst 2010, Sydney, New South Wales, Australia
    • Faculty of Medicine, The University of New South Wales, Sydney, Australia
    • Tel.: +61 2 83822331; fax: +61 2 83828382.
    • ,
  • Jo-anne E. Brien, B.Pharm., BS.(Pharm.), Pharm.D.

      Affiliations

    • Faculty of Pharmacy, The University of Sydney, Sydney, Australia
    • Therapeutics Centre, St Vincent's Hospital, 380 Victoria Street, Darlinghurst 2010, Sydney, New South Wales, Australia
    • Faculty of Medicine, The University of New South Wales, Sydney, Australia
    • Tel.: +61 2 83822605; fax: +61 2 83824219.

References 

  1. Classen D, Metzger J. Improving medication safety: the measurement conundrum and where to start. Int J Qual Health Care. 2003;15(suppl 1):i41–i47
  2. Adu A. Evaluation of antibiotic policies [Ph.D. thesis]. Department of Pharmacy Practice, Faculty of Pharmacy, The University of Sydney, 1996.
  3. Roughead E, Gilbert A, Primrose J, et al. Drug-related hospital admissions: a review of Australian studies published 1988-1996. Med J Aust. 1998;168:405–408
  4. Roughead E, Gilbert A, Primrose J. Improving drug use: a case study of events which led to changes in use of flucloxacillin in Australia. Soc Sci Med. 1999;48:845–853
  5. International Network for Rational Use of Drugs (INRUD). Management Sciences for Health (MSH). <http://www.inrud.org>. Accessed 22.07.03.
  6. Phelan P. Improving the quality of health-care: personal reflections on some opportunities and impediments. J Qual Clin Pract. 2001;21:34–36
  7. In:  Gilbert D,  Fiske S,  Lindzey G editor. 4th ed.. The Handbook of Social Psychology. vol. 2:New York: Vaicunas J; 1998;
  8. Dartnell J. Understanding, Influencing and Evaluating Drug Use. Melbourne: Therapeutic Guidelines Ltd; 2001;98
  9. Dunford R. Organisational Behaviour: An Organisational Analysis Perspective. Sydney, Australia: National Library of Australia; 1992;336
  10. Schein E. Organizational Culture and Leadership. 2nd ed.. San Francisco: Jossey-Bass; 1997;418
  11. Gray J, Starke F. Organizational Behaviour—Concepts and Applications. Columbus, Ohio: Charles E Merrill Publishing; 1977;
  12. Rogers R. Organizational Theory. Boston: Allyn and Bacon Inc; 1975;425
  13. Redfern S, Christian S. Achieving change in health care practice. J Eval Clin Pract. 2002;9:225–238
  14. Davis K. Organizational Behaviour: A Book of Readings. 4th ed.. New York: McGraw-Hill; 1974;408
  15. Lorange P, Chakravarthy B, Roos J, et al. Implementing Strategic Processes: Change, Learning and Co-operation. 1st ed.. Cambridge: Blackwell Publishers; 1993;420
  16. Jones M, Greenfield S, Bradley C. Prescribing new drugs: qualitative study on influences on consultants and general practitioners. BMJ. 2001;323:1–7
  17. Jones M, Greenfield SM, Jowett S, et al. Proton pump inhibitors: a study of general practitioners' prescribing. Fam Pract. 2001;18:333–338
  18. Prosser H, Almond S, Walley T. Influences on GPs' decision to prescribe new drugs—the importance of who says what. Fam Pract. 2003;20:61–68
  19. Feely J, Chan R, McManus R, et al. The influence of hospital-based prescribers on prescribing in general practice. Pharmacoeconomics. 1999;16:175–181
  20. Day R, Brown S, Weekes L. Drug committees—the key to quality use of medicines?. Aust J Hosp Pharm. 1996;26:622–623
  21. Jenkings K, Barber N. What constitutes evidence in hospital new drug decision making?. Soc Sci Med. 2004;28:1757–1766
  22. Weekes L. Organisational structures to promote quality use of medicines [Ph.D. thesis]. School of Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, 2000.
  23. Tan EL, Day RO, Campbell TJ, et al. Drug and Therapeutics Committee (DTC) decision implementation: experiences at a teaching hospital. In: 63rd World Congress of the International Pharmaceutical Federation (FIP). Sydney: Darling Harbour; 2003.
  24. Weekes L, Brooks C. Drug and Therapeutics Committees in Australia: expected and actual performance. Br J Clin Pharmacol. 1996;42:551–557
  25. Miller B, Plumridge R. Drug and Therapeutics Committees in Australian hospitals: an assessment of effectiveness. Aust J Hosp Pharm. 1983;13:61–64
  26. Fijn R, Brouwers J, Knapp R, et al. Drug and Therapeutics (D&T) committees in Dutch hospitals: a nation-wide survey of structure, activities, and drug selection procedures. Br J Clin Pharmacol. 1999;48:239–246
  27. Plumridge R, Stoelwinder J, Rucker D. Drug and Therapeutics Committees: the relationships among structure, function and effectiveness. Hosp Pharm. 1993;28:492–493496–498, 508
  28. Summers K, Szeinbach S. Formularies: the role of Pharmacy and Therapeutics (P&T) Committees. Clin Ther. 1993;15:433–441
  29. Tan EL, Day RO, Brien JE. Drug and therapeutics committees—are they fulfilling their potential to improve the quality use of medicines?. Int J Pharm Pract. 2003;11:175–181
  30. Cohen M, Klapp D, Miller JK, et al. Improving pharmacy and therapeutics committee operations. Am J Hosp Pharm. 1984;41:1767–1777
  31. Hochla P, Tuason V. Pharmacy and Therapeutics Committee. Arch Intern Med. 1992;152:1773–1775
  32. Yapp P, Steere N. The role and impact of the Drug and Therapeutics Committee on drug utilisation in hospitals. Aust J Hosp Pharm. 1980;10:152–153
  33. Finch H, Lewis J. Focus groups. In:  Ritchie J,  Lewis J editor. Qualitative Research Practice: A Guide for Social Science Students and Researchers. London: Sage; 2003;p. 170–198
  34. Krueger R. Focus Groups: A Practical Guide for Applied Research. Thousand Oaks, CA: Sage; 1994;255
  35. Stewart D, Shamdasani P. Focus groups: theory and practice. In:  Bickman L,  Rog D editor. Applied Social Research Methods Series. vol. 20:Newbury Park, CA: Sage; 1990;p. 153
  36. Patton M. Qualitative Evaluation and Research Methods. Newbury Park, Calif: Sage Publications; 1990;
  37. Grbich C. Qualitative Research in Health: An Introduction. 1st ed.. Sydney: Allen & Unwin; 1999;312
  38. Lewis J, Ritchie J. Generalising from qualitative research. In:  Ritchie J,  Lewis J editor. Qualitative Research Practice: A Guide for Social Science Students and Researchers. London: Sage; 2003;p. 263–286
  39. Hughes M, Garrett D. Intercoder reliability estimation approaches in marketing: a generalizability theory framework for quantitative data. J Market Res. 1990;17:185–195
  40. Kurasaki K. Intercoder reliability for validating conclusions drawn from open-ended interview data. Field Methods. 2000;12:179–194
  41. Armstrong D, Gosling A, Weinman J, et al. The place of inter-rater reliability in qualitative research: an empirical study. Sociology. 1997;31:597–606
  42. Guion L. Triangulation: Establishing the Validity of Qualitative Studies. Institute of Food and Agricultural Sciences (IFAS), Miami, FL, University of Florida; 2002;1–3
  43. Pope C, Mays N. Analysing qualitative data. BMJ. 2000;320:114–116
  44. Barbour R, Barbour M. Evaluating and synthesizing qualitative research: the need to develop a distinctive approach. J Eval Clin Pract. 2002;9:179–186
  45. Bridges W, Mitchell S. Leading transition: a new model for change. The Peter F. Drucker Foundation for Nonprofit Management—Leader to Leader. <http://www.pfdf.org>. Accessed 25.11.02.
  46. Dunphy D, Dick R. Organizational Change by Choice. 3rd ed.. Sydney: McGraw-Hill; 1985;316
  47. Grol R, Baker R, Moss F. Quality improvement research: understanding the science of change in health care. Qual Saf Health Care. 2002;11:110–111
  48. Sanson-Fisher R. The use of behavioural change principles to promote rational prescribing: a review of commonly used interventions. Aust Prescr. 1993;16(suppl 1):82–86
  49. Bate P. Changing the culture of a hospital: from hierarchy to networked community. Public Admin. 2000;28:485–512

PII: S1551-7411(05)00095-1

doi: 10.1016/j.sapharm.2005.09.001

Research in Social and Administrative Pharmacy
Volume 1, Issue 4 , Pages 526-545 , December 2005

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