Grabowski B S
North Kansas City Hospital, MO.
Top Hosp Pharm Manage. 1991 Jul;11(2):1-5.
Currently, there is a great deal of interest in the development of practice guidelines for medical care that will be more rigorous and clinically sound than what is available today. With the impetus of federal legislation mandating such an approach, it may continue to develop into a significant movement in the medical arena. Pharmacy managers should be aware of developments in this area, particularly as they relate to appropriateness of drug therapy and drug-utilization review. The result may eventually be an evolution from drug-utilization review programs to diagnosis-based, outcome-focused interdisciplinary systems for QA. Even with the development of practice guidelines as described, there will continue to be a need for competent pharmacy practitioners to ensure appropriate pharmaceutical care. With the increasing acuity of patients in the health care system and the rapid development of new drugs and technologies, the role of the institutional pharmacist in ensuring optimal patient care will be more important than ever.
目前，人们对制定医疗护理实践指南有着浓厚的兴趣，这些指南将比目前现有的指南更加严格且临床合理。在联邦立法强制要求采取这种方法的推动下，它可能会继续发展成为医疗领域的一项重大举措。药房管理人员应该了解该领域的发展情况，特别是与药物治疗的适宜性和药物使用评估相关的情况。最终结果可能是从药物使用评估项目演变为基于诊断、以结果为导向的跨学科质量保证系统。即使有了上述实践指南的发展，仍然需要有能力的药房从业者来确保适当的药学服务。随着医疗保健系统中患者病情的日益严重以及新药和新技术的迅速发展，机构药师在确保患者获得最佳护理方面的作用将比以往任何时候都更加重要。
