Core references for the hospital pharmacy library.
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Four adverse drug effect abstracting services, Adverse Drug Reaction Index, Clin-Alert, Current Drug Experience Literature, and Reactions were evaluated. Each service was evaluated in terms of the total number of articles cited, cost per citation, lag time, and time requirements for searches. The Adverse Drug Reaction Index was found to retrieve the most total and unique citations. Its potential disadvantages included the longest lag time and a high overall cost for the system. Reactions provided an alternative to this service, although it provided fewer total and unique citations. However, its overall costs is less, and the lag time is shorter. Clin-Alert ad Current Drug Experience Literature provided significantly fewer citations than the other services. Both services did retrieve unique citations.
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The experiences of a drug information telephone service aimed at older adults, their care providers, and health care professionals are presented. The Medication Information Line for the Elderly received 1,561 telephone calls over the 12 months since its opening. The majority of callers (73%) were female and 723 (46%) of the 1,561 calls came from people in the 65 to 79 age group. Nearly one-third of all enquiries were about suspected drug-related adverse drug reactions. The drugs most commonly causing concern (as classified by the American Hospital Formulary Service) were nonsteroidal anti-inflammatory drugs, cardiac drugs, and benzodiazepines; a list comparable to the most frequently prescribed drugs in older adults. The pharmacist was able to respond to 853 (27%) of the 3,172 enquiries without reference material. The most frequently used sources of information were the USP Drug information, Volumes I & II, and the Compendium of Pharmaceuticals and Specialties. Follow-up calls on certain consumer enquiries indicated that 89% of the recommendations were adhered to, suggesting a beneficial influence of this type of drug information service on medication use.
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A CD-ROM publication is like having "an infinite number of fingers and place markers to be able to look for things and do it all within seconds," says Richard A. Bowers, executive director of the Optical Publishing Association. In an interview with Computers in Healthcare, Bowers reviews the Physician's Desk Reference on CD-ROM and discusses the deliverable capabilities of this enormously flexible medium.