7 STEP TO..

HANDLING QUERY
Chynthia Pradiftha Sari S.Farm, Apt.

Introduction
Five

steps
Systematic
approach
for
responding
to drug information
requests presented by Watanabe et al. in 1975 :

1.
2.
3.
4.
5.

Classification of the request

Obtaining background information
Systematic search
Response
Reclasification

.Modified in 1987 by Host and Kirkwood 7

steps Systematic approach

Definition
Systematic Approach for Answering
a Drug Information Request

7 step to handling query

1.

SECURE DEMOGRAPHICS OF
REQUESTOR

Information regarding the requestors background

Name, address/Location, profesion, telp. , etc
Enquery (general/spesific, methods and

urgency to answer enquery, purpose )

Example : how repaglinide works? dr...? Px ...?

Bila yang bertanya :

Dokter????

repaglinide adl obat oral hipoglisemik nonsulfonilurea yg melepaskan insulin untuk DM

tipe 2
Pasien???

repaglinide bekerja dengan memperbaiki cara

tubuh anda memproses gula

Tentukan metoda penyampaian jawaban.

Kapan informasi diperlukan
Informasi dari penanya seperti : alamat,

nomor telepon, fax, dsb.

2. OBTAIN BACKGROUND
INFORMATION

Dapatkan informasi latar belakang:

Langkah paling penting

Membantu memperjelas pertanyaan
pertanyaan tidak diungkapkan dg tepat atau

penanya tidak tahu bgmn menanyakannya

Background question inquery and reply should be

a dialogue not an interrogation

The background information must be sufficiently

comprehensive,
appropriate
for
the
circumstances, spesific for the nature of the
request

CONT ...
General

questions
for
background information :

obtaining

Requestors

Others

Name

Patient spesific or academic

Location/ Telp. Number

Patient diagnosis and

medication

Affilition (health care prof.)

Medical information/records

Profession/ Occupation

Urgency of the request

Resources that alredy

consulted

3.

DETERMINE & CATEGORIZE

THE ULTIMATE
QUESTION

This step is important for resource selection

effectively
Categorization

the
question
briefly
(Pharmacokinetics, ADR, drugs interaction, etc)

Becareful.. The first question sometimes not

the

real question

Determine type of question (open/close ended,

probing direct/indirect)

4.

DEVELOP STRATEGY & CONDUCT

SEARCH

The categorization of the ultimate question

prompts the resource selection process

Selection process drugs Information source

generally start from tertiary source primary

source or based on questioners request

CONTOH
Bila penggolongan pertanyaan adalah

interaksi obat
Gunakan textbook spesifik utk interaksi obat
spt. Hansten and Horns Drug Interaction
Analysis and Management atau Drug
Interaction Facts and Analysis.
Bila tidak ada gunakan referensi lain yg berisi
informasi yg diinginkan spt. Drug Facts and
Comparison, AHFS

5. PERFORM EVALUATION, ANALYSIS,

SYNTHESIS
This is the most important step consist of

techniques and skills for critical appraisal, and

clinical application of statistical analysis
Review step 1 4 to know apropriateness every

step
The analysis and synthesis must be performed

with consideration of the background information

obtained previsiously for the respone to be
pertinent and useful to the requestor

6.

FORMULATE AND PROVIDE RESPONSE

Reference the background information

received when formulating the search

question
A responder should think about how

the soon-to-be provided

information may be used
The provision of a response in a timely

manner or
is delivered at an
appropriate level of sophistication

7.

CONDUCT FOLLOW-UP AND

DOCUMENTATION

Follow-up

is the process of verifying the

appropriateness, correctness and completeness
of a respone following communication

Follow-through is the process of readdressing

a request based on the avaibility of new

data or
a change in the situation or
circumstances that were decisive factors in the
synthesis of
a response
Documentation is essential for reducing ones

liability
&
potentially
promoting
development of a continual service

the

ADVANTAGES OF SYSTEMATIC APPROACH

Responder is prompted to practice in a

consultative capacity
technical manner

rather

than

in

Responder will perform efficiently

Improve patient outcomes

Disadvantages :
documentation

energy

expenditure

in

KOMENTAR???

7 STEP TO..
HANDLING QUERY
Kasus
Kasus
Kasus
Kasus
Kasus

swamedikasi
swamedikasi
swamedikasi
swamedikasi
swamedikasi

diare
batuk pilek
magh
nyeri (sakit gigi )
konstipasi

PRACTICE
Case 1 : the use of NSAID in elderly with

osteoarthritis
Case 2 : the use of corticosteroid in

children with nephrotic syndrome

Case 3 : the use of digoxin in elderly with

Heart Failure
Case 4 : the use of amoxcicilin in children

with respiratory infection