Wake Forest Baptist Medical Center, Winston Salem, NC.
University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC.
Am J Health Syst Pharm. 2019 May 2;76(10):667-676. doi: 10.1093/ajhp/zxz028.
This article identifies, prioritizes, and summarizes published literature on the medication use process (MUP) from calendar year 2017 that can impact health-system pharmacists' daily practice. The MUP is the foundational system that provides the framework for safe medication use within the health care environment. The MUP is defined in this article as having the following components: prescribing/transcribing, dispensing, administration, and monitoring. Articles that evaluated one of the steps were gauged for their usefulness toward daily practice change.
A PubMed search was conducted in March 2018 for calendar year 2017 using targeted Medical Subject Headings (MeSH) keywords, providing a total of 2,288 articles.
A thorough review identified 45 potentially significant articles: 19 for prescribing/transcribing, 5 for dispensing, 4 for administration, and 17 for monitoring. Peer review ranking for importance led to the selection of key articles from each category. The highest ranked articles are briefly summarized, with a mention of why this article is important within health-system pharmacy. The other articles are listed for further review and evaluation.
It is important to routinely review the published literature and to incorporate significant findings into daily practice. This article assists in identifying and summarizing those that are most impactful. Health-system pharmacists have an active role in improving the MUP in their institution and awareness of the significant published studies can assist in changing practice at the institutional level.
本文从 2017 年的已发表文献中识别、优先排序并总结了与医疗体系药师日常实践相关的用药流程(MUP),这些文献可能会对医疗体系药师的日常实践产生影响。MUP 是提供医疗环境下安全用药框架的基础系统。本文将 MUP 定义为具有以下组成部分:处方/转录、配药、给药和监测。评估其中一个步骤的文章,其对日常实践改变的有用性将被评估。
2018 年 3 月,通过使用特定的医学主题词(MeSH)关键词,在 PubMed 上对 2017 年的文献进行了搜索,共获得 2288 篇文章。
通过深入审查,确定了 45 篇潜在的重要文章:19 篇关于处方/转录,5 篇关于配药,4 篇关于给药,17 篇关于监测。根据重要性的同行评审排名,从每个类别中选择了关键文章。最高排名的文章进行了简要总结,并提及了其在医疗体系药学中的重要性。其他文章则供进一步审查和评估。
定期审查已发表的文献并将重要发现纳入日常实践非常重要。本文有助于识别和总结那些最具影响力的文献。医疗体系药师在改善其机构的 MUP 方面发挥着积极的作用,了解重要的已发表研究可以帮助在机构层面改变实践。