Beach Trent A, Griffith Karen, Dam Hung Q, Manzone Timothy A
Department of Pharmacy Services, Christiana Care Health System, Christiana Hospital, Newark, Delaware, USA.
J Nucl Med Technol. 2012 Mar;40(1):1-10. doi: 10.2967/jnmt.111.094268. Epub 2012 Jan 25.
As hospital nuclear medicine departments were established in the 1960s and 1970s, each department developed detailed policies and procedures to meet the specialized and specific handling requirements of radiopharmaceuticals. In many health systems, radiopharmaceuticals are still unique as the only drugs not under the control of the health system pharmacy; however, the clear trend--and now an accreditation requirement--is to merge radiopharmaceutical management with the overall health system medication management system. Accomplishing this can be a challenge for both nuclear medicine and pharmacy because each lacks knowledge of the specifics and needs of the other field. In this paper we will first describe medication management standards, what they cover, and how they are enforced. We will describe how we created a nuclear medicine and pharmacy team to achieve compliance, and we will present the results of their work. We will examine several specific issues raised by incorporating radiopharmaceuticals in the medication management process and describe how our team addressed those issues. Finally, we will look at how the medication management process helps ensure ongoing quality and safety to patients through multiple periodic reviews. The reader will gain an understanding of medication management standards and how they apply to nuclear medicine, learn how a nuclear medicine and pharmacy team can effectively merge nuclear medicine and pharmacy processes, and gain the ability to achieve compliance at the reader's own institution.
随着医院核医学科在20世纪60年代和70年代的建立，每个科室都制定了详细的政策和程序，以满足放射性药物专门的、特定的处理要求。在许多卫生系统中，放射性药物仍然很独特，是唯一不受卫生系统药房管控的药物；然而，明显的趋势——现在也是一项认证要求——是将放射性药物管理与整个卫生系统的药物管理系统合并。对核医学和药房来说，实现这一点可能是一项挑战，因为双方都缺乏对对方领域具体情况和需求的了解。在本文中，我们将首先描述药物管理标准、其涵盖的内容以及执行方式。我们将描述我们如何创建一个核医学与药房团队以实现合规，并且我们将展示他们工作的成果。我们将审视在药物管理过程中纳入放射性药物所引发的几个具体问题，并描述我们的团队是如何解决这些问题的。最后，我们将探讨药物管理过程如何通过多次定期审查帮助确保对患者持续的质量和安全。读者将了解药物管理标准及其如何应用于核医学，学习核医学与药房团队如何有效地合并核医学和药房流程，并获得在读者自己的机构实现合规的能力。
