Duke University Hospital, Durham, NC.
University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC.
Am J Health Syst Pharm. 2021 Jan 5;78(2):141-153. doi: 10.1093/ajhp/zxaa355.
This article identifies, prioritizes, and summarizes published literature on the medication-use process (MUP) from calendar year 2019 that can impact health-system pharmacy daily practice. The MUP is the foundational system that provides the framework for safe medication utilization within the healthcare 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 in promoting daily practice change.
A PubMed search was conducted in January 2020 for calendar year 2019 using targeted Medical Subject Headings keywords; in addition, searches of the table of contents of selected pharmacy journals were conducted. A total of 4,317 articles were identified. A thorough review identified 66 potentially practice-enhancing articles: 17 for prescribing/transcribing, 17 for dispensing, 7 for administration, and 25 for monitoring. Ranking of the articles for importance by peers led to the selection of key articles from each category. The highest-ranked articles are briefly summarized, with a mention of why each 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 the most impactful recently published literature in this area. 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 2019 年的日历年度中确定、优先排序并总结了可影响卫生系统药学日常实践的已发表的药物使用过程（MUP）文献。MUP 是提供医疗环境中安全用药基础的系统。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将根据其对促进日常实践改变的有用性进行评估。
2020 年 1 月，使用针对性的医学主题词在 PubMed 上搜索了 2019 年的文献；此外，还对选定的药学期刊的目录进行了搜索。共确定了 4317 篇文章。经过彻底审查，确定了 66 篇可能增强实践的文章：17 篇用于处方/转录，17 篇用于配药，7 篇用于给药，25 篇用于监测。同行对文章重要性的排名导致从每个类别中选择了关键文章。简要总结了排名最高的文章，并提到了每篇文章在卫生系统药学领域的重要性。列出了其他文章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该领域最近发表的最具影响力的文献。卫生系统药剂师在改善其机构中的 MUP 方面发挥着积极作用，对重要的已发表研究的认识可以帮助在机构层面改变实践。
