SOLUTIONS RATED A+
✔✔What is a cost minimization analysis - ✔✔outcomes compared and determined to be
equal
expressed in monetary form
simplest form, comparing 2 or more tx alternatives, treatments, services and they are
equal in efficacy
compare costs to determine least expensive alternative
ex: comparing therapeutic agents in same class (statins)
✔✔What is a cost benefit analysis - ✔✔compares outcome of intervention in monetary
terms with cost of the resources consumed for two or more programs or interventions
results expressed as bost benefit ratio, net cost, net benefit
provides the yield of an investment, looked at outcome and benefit or program
ex: jsutifyin and documenting value of existing pharmacy service or potential worth of
existing service
✔✔What is a cost effectiveness analysis - ✔✔compares two or more treatment
alternatives or programs in which resources used are measured in monetary terms and
consequences are measured in units of effectiveness
coals: determine which alt can produce desired effect or maximizatino of effect
results expressed as incremental cost effectiveness ratio (ICER)
ex: entresto, smoking cessation for quit attempts
✔✔What is a cost utility analysis - ✔✔compares two or more treatment alternatives or
porgrams in which costs are measured in monetary terms and outcome is expressed in
terms of patient preferences, quality of life, or quality adjusted life years
form of cost effectiveness analysis in which values (utilities) are assigned to outcome
life and death are reference states for utilities
patient specific
ex: sedation according to patient perception
, ✔✔What is cost analysis? - ✔✔compares cost of two or more treatment alternatives,
treatments, or services
does not evaluate efficacy
✔✔What is cost of illness analysis - ✔✔estimates overall cost of particular disease
considers direct and indirect costs of disease or illness
✔✔What is budget impact analysis or budget impact model? - ✔✔estimates financial
impact of new health care intervention
✔✔What is the joint commissions standard on ADEs? - ✔✔hospital must respond to
actual or potential ADEs, ADRs, med errors
✔✔What is a medication error - ✔✔mishaps that occur during reconciling, prescribing,
transcribing, dispensing, administering, monitoring or drug
✔✔What is harm? - ✔✔physical or physiological injury or damage to patients health
(temporary and permanent)
✔✔Where do you report med errors? - ✔✔ISMP: confidential and voluntary system
Medwatch
✔✔Who does ISMP report med errors to? - ✔✔FDA medwatch
✔✔What are adverse drug events? - ✔✔injuries resulting from use of drug (harm from
drug including use, dose change, discontinuation)
✔✔Differentiate between ADE and ADR - ✔✔ADE: broader term to describe any
harmful event associated with a medication including OD
ADR: adverse response, including harm, occurs with normal use of medication
✔✔What is an adverse drug reaction - ✔✔any response to a drug which is noxious and
unintended
occurs at normal doses for prophylaxis, diagnosis, or therapy
includes therapuetic failure as unintended effect
✔✔What is a side effect? - ✔✔expected well known reaction resulting in little or no
change in patient treatment