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iRubric: RX Grading Rubric

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RX Grading Rubric 
This describes the elements used to grade prescriptions submitted for this course
Rubric Code: SXWXCX2
Draft
Public Rubric
Subject: Pharmacy  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric RX Assessment Rubric
The stakes are high when prescribing medications.
  Needs Improvement

60 pts

Acceptable

80 pts

Superior

100 pts

RX Global Score
50 %

Needs Improvement

Two minor elements or one major element missing or incorrect in prescription

Example:
Minor--not enough medication to last for indicated condition and inadequate instructions which would not cause patient harm if taken individually but could if evaluated together

Major--Prescribing drug that is contraindicated by allergy, condition, or interaction potential
Acceptable

One minor element is missing or partially correct but would not cause direct patient harm

Example: Not enough medication to last for indicated condition--could be refilled or corrected by pharmacist. Too much medication leading to waste.
Superior

All elements required are correct:
Right drug
Right dose
Right indication
Right instructions
Right elements
Formulary
10 %

Needs Improvement

Drug is not on formulary, above Tier 3, or requires pre-authorization
Acceptable

Drug is on formulary, acceptable for indication, and may have minor limits or restrictions such as quantity
Superior

Drug is on formulary, optimal for indication and requires no pre-authorization
Rationale
10 %

Why did you choose this treatment?

Needs Improvement

Drug use is not supported by standards or evidence based guidelines, is contraindicated by patient history, and/or support is unclear or omitted
Acceptable

Drug choice is acceptable by consensus based guidelines and/or standards of practice
Superior

Drug choice is strongly supported by at least one evidence based guideline
Patient Specific Factors
20 %

Pregnancy
Safety
Drug interactions

Needs Improvement

Patient information and counseling is inadequate and/or missing key components
Acceptable

Patient information and counseling is adequate and supports conditions for use as defined.
Superior

Patient information and counseling is comprehensive and supports conditions for use as defined.
Cost Effectiveness
10 %

Needs Improvement

Drug selected is not cost effective and alternative is not provided
Acceptable

Drug is cost effective, but better options may exist
Superior

Cost for drug is clearly indicated on RX form and is optimal




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