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drug lit approval process & misadventures
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1906 pure food and drug act
food processing, mislabeling
1912 sherley amendment
strength and purity
1914 harison narcotic act
recreational drug use
1931 FDA
established
1938 food drug and cosmetics act
efficacy
1952 durham-humpphrey amendment
divided prescription and nonprescription. refills, legend drugs
1962 kefauven-harris amendment
efficacy, needs NDA approval (safe & effective)
5 functions of the FDA
1. approval of drugs
2. bioequivalence standards
3. prescription drug labeling and advertising
4. CGMP
5. drug health fraud
body of rights, obligations, and remedies to provide relief from suffered harm
tort law
inflicter
defendant
sufferer in a case
plaintiff
3 aspects of tort law
defendant had legal duty
defendant breached the duty
damages were caused by breach
liability based on relative negligence
comparative
liability base on wrongful acts by more than one person acting independently that caused the same injury
concurrent
liability of imputation upon one person for the acts of another
deep pockets
vacarious
liability where the employer is responsible for the negligent acts of its employees
respondeat superior
sharing of liability among a group of people
joint and severally liable
4 D's of negligence
duty breached
damages/injury
direct causation
defenses absent
liability based on the character of the product
prove injury from a defective and unreasonalby dangerous product
strict liability
what type of law is breach of warranty
contractual
risk unique to the drug
inherent
risk created by the drug in comvination with some extrinsic factor (interactions)
noninherent
judgement that occurs before prescribing
risk assesment
judgement that occurs after prescribing
risk management
who is becoming the "learned intermediary" and what does it mean
pharmacist
duty to communicate manufacturers' warnings
2 medication guides
FDA approved patient labeling
primarily for outpatient Rx products with serious and significant public health concerns
"duty to warn"
warn of all relevant side effects
5 things for OBRA counseling
name and decription of medication
dosage from and route of administration
dosage
duration of drug therapy
special directions for use
injury that occurs with normal doses
misadventure
a big problem in misadventures
lack of reporting
3 types of misadventure identifications
chart review
indicator drugs
technology
what are most medication errors caused by
the system not the individual
5 "rights"
drug
dose
patient
route
time
Author
tab
ID
188486
Card Set
drug lit approval process & misadventures
Description
drug lit approval process
Updated
2012-12-10T20:11:01Z
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