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开发和创新系统资源以优化患者护理。

Development and innovation of system resources to optimize patient care.

作者信息

Johnson Thomas J, Brownlee Michael J

机构信息

Avera Health, Sioux Falls, SD

University of Iowa Health Care, Iowa City, IA.

出版信息

Am J Health Syst Pharm. 2018 Apr 1;75(7):465-472. doi: 10.2146/ajhp170402.

Abstract

PURPOSE

Various incremental and disruptive healthcare innovations that are occurring or may occur are discussed, with insights on how multihospital health systems can prepare for the future and optimize the continuity of patient care provided.

SUMMARY

Innovation in patient care is occurring at an ever-increasing rate, and this is especially true relative to the transition of patients through the care continuum. Health systems must leverage their ability to standardize and develop electronic health record (EHR) systems and other infrastructure necessary to support patient care and optimize outcomes; examples include 3D printing of patient-specific medication dosage forms to enhance precision medicine, the use of drones for medication delivery, and the expansion of telehealth capabilities to improve patient access to the services of pharmacists and other healthcare team members. Disruptive innovations in pharmacy services and delivery will alter how medications are prescribed and delivered to patients now and in the future. Further, technology may also fundamentally alter how and where pharmacists and pharmacy technicians care for patients. This article explores the various innovations that are occurring and that will likely occur in the future, particularly as they apply to multihospital health systems and patient continuity of care.

CONCLUSION

Pharmacy departments that anticipate and are prepared to adapt to incremental and disruptive innovations can demonstrate value in the multihospital health system through strategies such as optimizing the EHR, identifying telehealth opportunities, supporting infrastructure, and integrating services.

摘要

目的

探讨正在发生或可能发生的各种渐进式和颠覆性医疗保健创新,并就多医院卫生系统如何为未来做好准备以及优化所提供的患者护理连续性提供见解。

总结

患者护理方面的创新正在以越来越快的速度发生,在患者通过护理连续体的转变方面尤其如此。卫生系统必须利用其标准化和开发电子健康记录(EHR)系统以及支持患者护理和优化结果所需的其他基础设施的能力;示例包括3D打印患者特定剂型以加强精准医学、使用无人机进行药物递送以及扩大远程医疗能力以改善患者获得药剂师和其他医疗团队成员服务的机会。药房服务和递送方面的颠覆性创新将改变现在和未来药物的处方和递送给患者的方式。此外,技术还可能从根本上改变药剂师和药房技术人员护理患者的方式和地点。本文探讨了正在发生以及未来可能发生的各种创新,特别是它们如何应用于多医院卫生系统和患者护理连续性。

结论

能够预见并准备好适应渐进式和颠覆性创新的药房部门,可以通过优化电子健康记录、识别远程医疗机会、支持基础设施和整合服务等策略,在多医院卫生系统中展现价值。

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