DRUG UTILIZATION REVIEW (DUR)

ASSIGNMENT: Pharmacy practice-III(Dispensing)

SUBMITTED TO: Maam Amna
SUBMITTED BY: Marfa
WOMEN INSTITUTE OF LEARNING AND
REHABILITATION OF SCIENCE
DRUG UTILIZATION REVIEW (DUR)
• Drug utilization review (DUR) also referred to as Drug Utilization
Evaluation (DUE) or medication utilization evaluation (MUE) ,are
defined as an authorized, structured, ongoing review of health care
provider prescribing, pharmacist dispensing, and patient use of
medication.
• DURs involve comprehensive review of patients prescription and
medication data before, during and after dispensing to ensure appropriate
medication decision making and positive patients outcomes.
• Along with MUE, DUE and DUR, it came in year 1969.
 PROSPECTIVES
• Promoting optimal medication therapy.
• Preventing medication related problems.
• Evaluating the effectiveness of medication therapy.
• Improving patient safety.
• Establishing interdisciplinary consensus on medication use processes.
• Stimulating improvements in medication use processes.
• Stimulating standardization in medication use processes.
 DUR ffacilities in hospitals of pakistan
• Doctors hospital and medical center lahore Pakistan.
• Ghurki trust and teaching hospital.
• Aga khan university hospital Karachi.
• Shifa international hospital Islamabad.
• Maroof international hospital.
• Rehman medical institute Peshawar.
• Lady reading hospital Peshawar.
• Maqsood medical complex (MMC) and general hospital. Peshawar.
• Maryam Memorial Hospital Rawalpindi.
• Liaquat National Hospital and Medical College.
 DUR facility in doctors hospital and
medical centre Lahore pakistan
• Doctors Hospital partners with Pak National Pharmacy to supply
patients with their medication needs. The pharmacy within Doctors
Hospital is open 24 hours a day 7 days a week.  It is located on the
first floor near the Emergency ward. The pharmacy keeps in stock
close to 8000 brand name and generic medications that can be
administered intravenously or orally.
• In addition to the main pharmacy there are numerous satellite
pharmacies within Doctors Hospital that serve the Intensive Care
Units and the Cancer Center. Chemotherapy drugs for the cancer
centre.
 Chemotherapy drugs for the cancer center are stored in pharmaceutical
grade refrigerators. The pharmacists at Doctors Hospital conduct checks
and balances on the recommended dosages on medications prescribed by
the doctors to ensure safety and quality.
• An e-prescription system similar to systems used at an
international level will be launching soon in 2016. For out of
town patients home delivery services are available through a
partnership with TCS for next day delivery.
Ghurki Trust and Teaching Hospital
 DUR facility in Ghurki trust and teaching
hospital
• The Department of Pharmacy Services, GTTH primarily comprises of four core sections:
Outpatient pharmacy (OPD), In-patient pharmacy (IPD), Clinical pharmacy, Store and
Procurement.  The Department of Pharmacy Services aims to optimize patient care and
improve patient quality of life with the provision of quality and cost effective medicines /
Health aids and advance Pharmaceutical Patient care / Medication Management Use services. 
GTTH Pharmacy initiated its services in January 2015, after joint efforts of Ghurki Trust
Teaching Hospital and Lahore Pharmacy College, Lahore Medical and Dental College Lahore.
The Department of Pharmacy Services acknowledge with gratitude the technical consultation
services of Dr. Muhammad Tahir Aziz, Ex Associate Director Pharmacy and Ambulatory
Services, Shaukat Khanum Memorial Cancer Hospital & Research Center (SKMCH & RC)
Lahore, Chief Operating Officer, SKMCH & RC Peshawar, provided throughout this project.
Aga khan university hospital karachi
 DUR facility in Aga khan university
hospital karachi
• ​The Aga Khan University Hospital has a network of innovative and comprehensive
pharmacies in Pakistan which are trusted for delivering high quality and genuine
medicines which are stored in tempreture-controlled settings. We have a team of highly
qualified pharmacists and technicians who are skilled and knowledgeable about the
medicines we dispense. Our pharmacists take great pride in guiding our patients about
right usage of medicines, which involves proper counseling to ensure that our patients
receive maximum benefits from their medication and avoid any reaction by clearly
understanding the side effects. Our pharmacies are accessible to patients visiting the
hospital clinics and Medical Centres​, as well as patients admitted at the hospital
(inpatients). Our inpatient pharmacy service is operational 24 hours a day, 7 days a
week. 
 DUR facility in shifa international hospital
Islamabad
• 24/7 working under supervision of qualified pharmacists
• Maintaining optimum storage & safety requirements for drugs & supplies
• Pharmacist intervention to avoid prescription/administration errors
• Inventory and expiry management
• Medication Reconciliation upon admission
• Nursing education
• Floor stocks, transfer kits and crash cart management etc.
• Stat order and modified unit dose drug dispensing
• Provision of drug information
• Training of residents and interns.
 DUR facility in Maroof international
hospital
 Introduction:
 The Department of Pharmacy Services at MAROOF International Hospital is providing state-
of-the-art pharmacy services with a mission to provide compassionate, ethical, accessible, and
high quality pharmacy services to our customers. The Department takes pride in providing
high-tech state-of-the-art professional services to our patients round-the-clock, which includes
in-patients as well as ambulatory care.
 Medical staff:
 The Pharmacy Department is staffed with a full-time Manager Pharmacy, two Senior
Pharmacists, three full-time staff Pharmacists, Pharmacy Technicians and Pharmacy Support
Officers.
 Facilities and service:
 The Pharmacy Department is a full service centralized inpatient hospital pharmacy. Services are
provided for all inpatients as well as those patients served by our outpatient service departments
and clinics. Hospital & Clinical pharmacists function as integral members of health care teams at
MAROOF International Hospital, working with physicians to achieve desired therapeutic
outcomes, prevent or minimize drug-related problems, and improve medication use.
The Pharmacy Department maintains a complete and comprehensive computerized patient drug
profile on all patients. Clinical consultations are provided for patients and physicians as requested.
Specifically, the department of pharmacy is responsible for:
 The specifications of quality for procurement of all drugs
 The preparation and distribution of all drugs.
 The control and management of drug costs.
 The monitoring and assurance of quality of drug use.
 The evaluation of drug literature and the communication of drug and disease related information.
 The application of professional and scientific principles in the selection, use, administration and
monitoring of drug effectiveness for all patient
 DUR facility in Rehman medical institute
Peshawar
• RMI Pharmacy services meet international standards of quality and care.
In accordance with the ISO guidelines & offering services 24 hours and
seven days a week, it plays a pivotal role in direct patient care and
provides a standardized system-based approach by concentrating on safe,
accurate and efficient utilization of medications.
• Scope:
• The pharmacy is available to all patients 24 hours a day & 7 day a week. 
 (CON’d)
• Team Members:
• The staff at RMI Pharmacy understand that patient care is more than just
quick prescription fills. The RMI Pharmacy will provide you with
customized care to help you manage your overall wellness from head to toe.
• Whether you have questions about your medications or your medical
conditions, you can sit down with a pharmacist who will give you the
attention you deserve and take the time to get to the bottom of your concerns
— just like a good pharmacist should do.
 (CON’d)
• Services:
• Our pharmacies are trusted for delivering high quality and authentic medicines. We have a robust team of highly
qualified pharmacists and technicians who are skilled and knowledgeable about the medicines we dispense.
• Our pharmacists are trained to offer counselling to our patients to ensure that they receive the maximum therapeutic
effect from their medicines, avoid any reactions or harmful effects and clearly understand the side effects.
• Drug Poison & Information Center
• Ambulatory Services
• In-patient Services
• Education and Training Services
• Extemporaneous Compounding Section & I/V Admixture Services.
 DUR facility in Lady reading hospital
Peshawar
• The main focus is to provide quality ambulatory and in-patient care services, as
well as effective pharmacy practice through optimal individualized
pharmaceutical care to patients. The department is also responsible for
forecasting the needs of drugs and consumables and plays a vital role in
promoting rational, cost-effective drug usage through an efficient delivery
system. With dispensing around 900,000 items in one month makes this
department one of the busiest department in the hospital.

Mission: To provide safe, high-quality patient care in an atmosphere of

professionalism, respect, and effective communication.
 (CON’d)
• Vision: Uphold legislations and improve policies to ensure the quality of
pharmaceutical products and services and to Intensify collaboration towards best
practices and standards.
• Core Values:
• Excellence and patient-centered Care
• Honesty and Integrity
• Diversity and Inclusion
• Respect and Teamwork
DUR facility in Maqsood Medical Complex
(MMC) and General hospital Peshawar
• Pharmacy:
• The hospital Pharmacy is providing state-of-the-art pharmacy
services round-the-clock, both for indoor patients and outdoor
patients.
• It is staffed with a Chief Pharmacist, one staff Pharmacist and
Pharmacy Technicians.
 DUR facility in Maryam Memorial
Hospital Rawalpindi
• Maryam Memorial Hospital is committed to excellence in health care
through sustainable resources. It aims at providing the best health
care service at most economical cost possible thus broadening the
base of health facility to the people of Pakistan.
• MMH provides in house pharmacy for the convenience of its patients.
• Care is taken for quality and authenticity of medical provisions for
the patients.
• Qualified Staff dispenses the medicines to patients.
 DUR facility in Liaquat National Hospital
and Medical College
• LNH Pharmacy services meet international standards of quality
and authenticity. Policies, procedure manual and documentation
follow ISO guidelines. Offering services 24 hours and seven days
a week, it plays a pivotal role in direct patient care and provides a
standardized system-based approach by concentrating on safe,
accurate and efficient delivery of medications.
 (CON’d)
• Services:
• 24 hours online advisory service.
• Dispence medication monitoring service.
• Ward's round by pharmacist.
• Antibiotic stewardship program to promote the rational use of antibiotic at LNH.
• Inpatient Pharmacy Services and Medication Management System to ensure accurate and
efficient delivery of medicines.
• Ambulatory Care Pharmacy Services and Patient Counseling.
• Oncology Pharmacy and Sterile IV-Admixture program for admited and day care patients.
 (CON’d)
• Compounding services for different required combination and dosage for forms and medication.
• In-house “Pharmacy Training & Development Program” concentrates on best services for better
patient therapy outcome.
• Generic-based Drug Formulary
• Drug & Poison Information Centre (DPIC) where pharmacists provide round the clock service to
the clinicians, nurses, fellow pharmacists, allied health care providers and patients, which
ultimately results in proper drug dosage and usage.
• Pharmacy Services are present at LNH Medical centers in different areas of Karachi.
• Sterile Preparation Pharmacy Services, where pharmacists prepare “Total Parenteral Nutrition”
(TPN).