美国最佳医院药剂科简介专家讲座

美国三家最佳医院药剂科网页内容简读第1页The'BestHospitals'for2023

2023美国最佳医院排名1.

JohnsHopkinsHospital约翰霍普金斯医院2.MayoClinic梅奥医学中心3.RonaldReaganUCLAMedicalCenter里根医疗中心4.ClevelandClinic克里夫兰医疗中心5.MassachusettsGeneral麻省总医院6.NewYork-PresbyterianUniversityHospitalofColumbiaandCornell哥伦比亚康奈尔大学纽约长老会医院7.UniversityofCalifornia-SanFranciscoMedicalCenter加州大学旧金山医学中心8.HospitaloftheUniversityofPennsylvania宾夕法尼亚大学医院9.Barnes-JewishHospital/WashingtonUniversity巴恩斯-犹太人医院/华盛顿大学10.BrighamandWomen'sHospital布莱根妇女医院第2页The'BestHospitals'for2023

2023美国最佳医院排名11.DukeUniversityMedicalCenter杜克大学医疗中心12.UniversityofWashingtonMedicalCenter华盛顿大学医疗中心

13.UPMC-UniversityofPittsburghMedicalCenter匹兹堡大学医疗中心14.UniversityofMichiganHospitalsandHealthCenters密西根大学医院和健康中心15.StanfordHospitalandClinics斯坦福大学医院16.VanderbiltUniversityMedicalCenter范德比尔特大学医疗中心17.NewYorkUniversityMedicalCenter纽约大学医疗中心18.Yale-NewHavenHospital耶鲁大学纽黑文医院19.MountSinaiMedicalCenter西奈山医疗中心20.MethodistHospital卫理公会医院第3页No.1约翰霍普金斯医院

JohnsHopkinsHospital

/the_johns_hopkins_hospital/Urology泌尿科

Ear,nose,throat耳，鼻，喉Rheumatology风湿

第4页药剂科DepartmentofPharmacy

使命:药学监护(教学、研究）TheDepartmentofPharmacy'smissionistoprovidehighqualitypharmaceuticalcaretoourpatientsinanatmosphereofeducationalgrowth,sharedrespect,andcommunication.

TheDepartmentofPharmacy,consistentwiththemissionofJohnsHopkinsMedicine,placesapriorityonteaching,researchandpatientcare.第5页临床服务Clinicalservices

药物及其互相作用监测、床边（全方位？）护理、用药指引、医嘱审核、药物信息提供、单剂量给药renaldrugmonitoringdruginteractionmonitoringpatientcareroundingmedication

teachingtherapeuticdrugmonitoringdrugorderreviewdruginformationsupportafocusonanintegrated,unit-basedmodelforcaredelivery.第6页临床分发支持系统

ClinicalanddistributivesupportDispensingmedicationsdailyforanaverageinpatientpopulationof700patientswithadditionalservicesprovidedintheoutpatientsetting.Clinicalanddistributivesupportiscurrentlyprovidedby:BDM

PharmacySystem,PyxisMedStations,MicromedexandUltimedex,andMcKesson'sAHIRobot.BDMHospitalPharmacySystem,BDMOutpatientPharmacySystem,BDMHMOPharmacySystemPrimaryApplication:Pharmacyforhospitals,out-patientclinicsandHMOsplusotherpatient-careHardware/OperatingSystem:Hardware-independentsoftwareusingDOS,NetworkandUNIXapplicationsplatforms

第7页ServiceisprovidedtotheWilmerEyeInstituteGreenspringStationOncologytheChildren'sMedicalandSurgicalCenterAdultMedicineandSurgerytheJohnsHopkinsOutpatientClinicstheJohnsHopkinsOncologyCenter

Researchissupportedthroughallthesedivisions,aswellastheAidsClinicalTrialGroup,andtheDepartment'sInvestigationalDrugServices.第8页药物治疗轮讲

PharmacotherapyRounds

PharmacotherapyRoundsisaforum

（论坛、专项讲座）inwhichpharmacyresidentsintheBaltimoreareagathertoformallypresentclinicallyrelevanttopics.

Participantswilllearntoevaluatethescientificliterature

（文献）anddiscussitsapplicabilitytoclinicalpractice（临床应用）.

ThegoalofPharmacotherapyRoundsistoenhancetheparticipant’sknowledgeregardingtheuseofdrugtherapyandtotreatandpreventdisease.PharmacotherapyRoundsareheldWednesdayfromNoonto1:00PM.Theaudiencewillconsistofpharmacyresidents,pharmacypractitioners,pharmacystudentsandinvitedguests.

第9页PresentationDate

Presenter

TopicDueDateforTopicDueDateforPaperworkLocation7/15/2023StevenGilmoreKRASMutationandEGFRAntibodies:OpeningaNewEraof5/15/20236/12/2023HurdHall7/22/2023PatrickMcMahonBedsideBarcodeMedicationAdministration5/22/20236/18/2023Tilghman7/29/2023ValerieShafirAnticoagulationinAtrialFibrillation5/29/20236/15/2023Tilghman8/5/2023ElizabethFangCPOE:ComputerizedProviderOrderErrors?6/13/20236/29/2023Tilghman8/12/2023JeanmarieSaloniaStressUlcerProphlaxis:ALookintothePast,PresentandFuture6/13/20237/5/2023HurdHall8/19/2023JordanHinkleHighPerformancePharmacy:AGapAnalysis6/27/20237/12/2023Tilghman8/26/2023JesicaMangunGlucoseManagementinCriticallyIllAdultPatients:ImplicationsoftheNICE‐SUGARStudy7/3/20237/16/2023Tilghman9/2/2023IshaShahMakingMedicationUseMoreIntelligent:"SMART"Pumps7/6/20237/19/2023Tilghman第10页NICE-SUGARNormoglycemiainIntensiveCareEvaluation–SurvivalUsingGlucoseAlgorithmRegulation旳缩写临床实验，以强化血糖控制，减少死亡率.第11页诊断所Dispensary(或clinic)内科部主任DirectoroftheMedicalDepartment外科部主任DirectoroftheSurgicalDepartment护理部主任DirectoroftheNursingDepartment主治医师AttendingDoctor(VisitingDoctor)

(内科)AttendingPhysician

(外科)AttendingSurgeon住院医师Resident助理住院医师AssistantResident实习医师Intern临床见习（Clinicalrotation）

研究员Reseacher;Investigator技术士Technician药师Pharmacist护士Nurse医师Physician(或MedicalDoctor)第12页门诊部OutPatientDepartment(OPD)

约诊Appointment

出诊HouseCall

值急诊OnCall产房DeliveryRoom手术室OperatingRoom或Surgery加护病房IntensiveCareUnit(I.C.U.)护士站(护士办公室)NursingStation药房Pharmacy;Dispensary挂号室Registration急诊室EmergencyRoom住院室AdmittingDepartment病历室MedicalRecordDepartment药库StockRoom;StoreRoom药箱FirstAidKit服务台InformationDesk第13页医学大会(世界性)MedicalCongress医学研讨会MedicalWorkShop医学大会MedicalConvention会议(一般者)Conference;Meeting专项讨论会Symposium联合大会(与他科或其他医院)CombinedConference旅行学习TourStudy(去远方)研讨会,观摩会(小型)Seminar晨间查房MorningRounds

晚间查房EveningRounds读书会JournalClub临床病理讨论会ClinicalPathologyConference(C.P.C.)

第14页MeetingsMonthlyDepartmentalContinuingEducationPrograms(ACPEapproved)ResidentJournalClub:Tuesdays,alternately12:00-1:00pmand2:00-3:00pmResidentPharmacotherapyRounds:Wednesdays12:00-1:00pmPointofCarePharmacists(PCP)GroupMeetingsDrugUseSurveillanceTeam(D.U.S.T.)MedicineGrandRounds/PharmacyGrandRounds第15页PharmacyinternsPharmacyinterns,workingwithapreceptor导师,willdevelopandcompleteindependentprojectsduringthesummerexperience.

ThetopicwillbeidentifiedandagreeduponwithapreceptorandresultswillbepresentedtotheleadershipoftheDepartmentofPharmacyattheconclusionofthesummerinternshipexperience.Traditionally,a2-3pagewrittensummaryoftheprojectissubmitteduponcompletion.第16页ExamplesofprojectsofInternsEstablishmentofanindependent/integratedpracticemodelforpharmacists(Centralizedvs.Decentralized,PrimaryCareClinics,PCPConcept)PharmacyandTherapeuticsCommittee/Formularymanagement(FunctionandActivities,Terminology,D.U.S.T.,Non-formularypolicy)Automation(“Robot”Cartfill,FirstDose,2-DOSEanalysis)SchedulingandStaffing(Managerialskill,Staffingresponsibilities,Protocol/Policy,StaffUtilization)Budget/Purchasing(DepartmentalBudget,BudgetRequests,Stocksupply)第17页No.10BrighamandWomen‘sHospital

布莱根妇女医院

/ObstetricsandGynecology妇产科（No.1,byspecialty)Kidneydisorders肾脏疾病

第18页MissionProvideoutstandingpharmaceuticalcarethroughexcellenceinclinicalpharmacyservices,education,research,communityservice,andtodotherightthingsright.Tobeaninternationallyrecognizedleaderindeliveringcuttingedgepharmaceuticalservicesincluding:pharmacyoperations,staffdevelopment,patienteducation,clinicalservices,research,andtechnologyinnovation.

第19页PharmacyCodeofEthicsOurpharmacystaffpromotesthewellbeingofeverypatientinacaring,compassionate,andconfidentialmanner-actswithhonestyandintegrityinprofessionalrelationships-maintainsprofessionalcompetencethroughlifelonglearning-respectsthevaluesandabilitiesofcolleaguesandotherhealthprofessionals-servesindividual,community,andsocietalneeds-promotesevidencebased,rational,cost-effectivecare-endorsesandpromotestheprincipalsofcontinualprocessimprovement.-recognizestheimportanceofinnovationandusesitincreativewaystosolveproblems.-assuresfullcomplianceswithestablishedpracticestandardssetbyJCAHO,ASHP,andBWH.第20页InpatientPharmacy病区药房Staffpharmacistsaredeployeddirectlytothepatientcareareasbasedonpatientdemands(viamedicationordercomplexityandvolume).Thedepartmentmaintainscontinuouspharmacistpresence,andstaffingpatternsreflecttheintensityofpatientcare,whichismuchbriskerduringdayandeveninghours.Unit-dosemedicationsareutilizedwheneverpossibletominimizetheriskofmedicationerrors.Clinicalpharmacyspecialistsareemployedasmuchaspossibletoassistincaringforpatientsintargetedhigh-riskgroups(i.e.,medicalintensivecare,hematology/oncology,cardiology,andhigh-riskantepartum).第21页OutpatientPharmacyServices

门诊药房TheOutpatientPharmacyisopenandstaffedbylicensedpharmacistsduringclinichourstomeetthedemandsofpatientswhowishtohavetheirprescriptionsfilledorrefilledaroundthetimeoftheirclinicvisit.AllpatientswhohavetheirprescriptionsfilledattheOutpatientPharmacyareofferedcounselingabouttheirmedicationsbyapharmacist,whichisconsistentwithFederalregulationsenactedundertheOmnibusBudgetReductionActof1990(OBRA90).ThedepartmentmonitorspatientwaittimeintheOutpatientPharmacyamongitsotherqualityindicators,sincewaittimeishighlycorrelatedwiththepatientsatisfaction.第22页No.2梅奥医学中心MayoClinic

/Diabetesandendocrinedisorders糖尿病和内分泌失调Digestivedisorders消化系统疾病（胃肠）Neurologyandneurosurgery

神经

Orthopaedics骨科

第23页PharmacyToprovidethegreatestcomfortlevelandknowledgetopatientsstaffpharmaciststhoroughlyreviewtheuseofallprescriptionsandmedications审核处方.Inaddition,acomputerdatabasesystemmonitors

监测allpatientprescriptionsforpotentialdruginteractions.Thepharmacyalsoparticipates

参与ininvestigationaldrugstudiesestablishedb