Health Technology Assessment

Question 1

what are 4 challenges to optimal use of medications?

Answer 1

1. differences between general population and clinical trial population
2. expectations
3. established prescribing trends
4. challenges in revisting old decisions, rationalizing benefits and moderninsing programs & services

Question 2

what are 4 ways to promote optimal use of medications?

Answer 2

1. Monitoring (are there red flags, trends etc.)
2. safety & effectiveness studies
3. formulary management
4. influence prescribing

Question 3

what national resource provides health technology reviews, evidence bundles, and horizon scans?

Answer 3

CADTH

Question 4

what does CADTH stand for?

Answer 4

Canadian agency for drugs and tech in health

Question 5

what are the health technology assessment projects put on by CADTH?

Answer 5

often large projects involving systematic review of clinical evidence and cost-effectiveness and development of recommendations and guidance, including implementation and practice tools

Question 6

t/f CADTH does collaborations with the DRug Safety and Effectiveness Network (DSEN)

Answer 6

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Question 7

what is the Drug Safety Effectiveness Network?

Answer 7

a national resource that can help fill evidence gaps

Question 8

what type of research does the DSEN (Drug safety & Effectiveness Network) conduct?

Answer 8

real-world drug safety and effectiveness research: knowledge synthesis, observational studies (CNODES) and prospective observational studies

Question 9

what is the CNODES common data model (CDM)?

Answer 9

a standardized data structure in collaboration with FDA sentinel initiative

Question 10

how does the CNODES common data model work?

Answer 10

data centres can execute computer program with local data that can be pooled to give aggregate multi-centre results

Question 11

what data model provides rapid analysis of Rx medication use, patient characteristics, apparent indications, clinical outcomes and health service use following a drug treatment?

Answer 11

CNODES common data model

Question 12

what is deprescribing.org?

Answer 12

website made by a Phc and MD that provides info on deprescribing approaches and research

Question 13

what tools does deprescribing.org provide?

Answer 13

deprescribing guidelines & algorithms, deprescribing LTC network, links to people around the world interested in deprescribing

Question 14

the Drug Evaluation Unit provides interpretation, advice and support during the ___ phase of DEANS initiatives

Answer 14

implementation

Question 15

the Drug Evaluation Unit supports ____plans regarding formulary management decisions

Answer 15

Atlantic pharmacare

Question 16

the Drug Evaluation Unit interprets advice and support for recommendations from _____ committee

Answer 16

Canadian Expert Drug Advisory committee

Question 17

what is academic detailing?

Answer 17

one-on one with health care professionals to get info on best practice

Question 18

what is DEANS?

Answer 18

Drug Evaluation Alliance of Nova Scotia; a multidisciplinary, multi-sectoral alliance to optimize drug use in NS

Question 19

how does DEANS encourage appropriate drug use?

Answer 19

1. identifying areas where optimization of drug use is needed
2. developing interventions to provide targeted, evidence-informed knowledge to health care patients & providers
3. evaluating the impact of the intervention s

Question 20

t/f DEANS works closely with Dal continuing professional development programs and academic detailing

Answer 20

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Question 21

what is Sleepwell NS?

Answer 21

initiative to reduce the inappropriate use of sedative hyponotics

Question 22

what is choosing wisely NS?

Answer 22

a division of choosing wisely Canada, goal: improve quality of patient care by ensuring appropriate use of medical tests & treatments

Question 23

choosing wisely NS is led by who?

Answer 23

Dal faculty of medicine and Doctors NS