Literature DB >> 4027806

Medical education reduces inappropriate use of cimetidine in a teaching hospital.

D C Gardiner, M C Champion, D Sweet, K Kozakowski, A Wielgosz.   

Abstract

Before and after an education program to improve appropriate prescribing of cimetidine in an 810-bed teaching hospital, all new prescriptions written during a 4-week period were investigated, and information was obtained as to the indications for use, the dosage and concurrent drug therapy. The prescriptions were judged appropriate or inappropriate according to indications for cimetidine approved by the Department of National Health and Welfare's Health Protection Branch. After the program 63% of the prescriptions were deemed appropriate, compared with 40% before the program. The proportion of patients at risk of drug interactions, however, remained virtually unchanged. The results suggest that medical education can reduce the inappropriate use of cimetidine in teaching hospitals.

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Year:  1985        PMID: 4027806      PMCID: PMC1346534     

Source DB:  PubMed          Journal:  CMAJ        ISSN: 0820-3946            Impact factor:   8.262


  21 in total

Review 1.  Nonassociation of adrenocorticosteroid therapy and peptic ulcer.

Authors:  H O Conn; B L Blitzer
Journal:  N Engl J Med       Date:  1976-02-26       Impact factor: 91.245

2.  H2-receptor antagonist in the prevention of acute upper gastrointestinal hemorrhage in fulminant hepatic failure: a controlled trial.

Authors:  B R MacDougall; R Williams
Journal:  Gastroenterology       Date:  1978-02       Impact factor: 22.682

3.  Single-dose antacid therapy for the prevention of Mendelson's syndrome.

Authors:  S K Lahiri; T A Thomas; R M Hodgson
Journal:  Br J Anaesth       Date:  1973-11       Impact factor: 9.166

4.  Is cimetidine being prescribed indiscriminately? An analytic survey of patients who present with symptoms of peptic ulcer disease.

Authors:  T J Elmslie; W W Rosser; S J Sollars; M C Champion; R S Roberts
Journal:  Can Med Assoc J       Date:  1984-09-01       Impact factor: 8.262

5.  Abuse of cimetidine in outpatient practice.

Authors:  H J Brownlee; R A Delaney; J B Hancock
Journal:  N Engl J Med       Date:  1983-05-19       Impact factor: 91.245

6.  Effect of physician tutorials on prescribing patterns of graduate physicians.

Authors:  L E Klein; P Charache; R S Johannes
Journal:  J Med Educ       Date:  1981-06

7.  Appropriateness of long-term cimetidine prescribing.

Authors:  K M Ulaszek; K D Seabloom; R D Sampliner; W N Jones
Journal:  Drug Intell Clin Pharm       Date:  1984 Jul-Aug

8.  The aspiration syndrome.

Authors:  S E Cohen
Journal:  Clin Obstet Gynaecol       Date:  1982-08

Review 9.  Cimetidine. I. Developments, pharmacology, and efficacy.

Authors:  J W Freston
Journal:  Ann Intern Med       Date:  1982-10       Impact factor: 25.391

Review 10.  Cimetidine: II. Adverse reactions and patterns of use.

Authors:  J W Freston
Journal:  Ann Intern Med       Date:  1982-11       Impact factor: 25.391

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  1 in total

1.  General practice formularies: the way ahead?

Authors:  J Lexchin
Journal:  Can Fam Physician       Date:  1989-08       Impact factor: 3.275

  1 in total

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