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州药房监管负担的增加会带来更好的公共安全结果吗?

Does Increased State Pharmacy Regulatory Burden Lead to Better Public Safety Outcomes?

作者信息

Adams Alex J, Adams Jennifer

机构信息

Administrator, Idaho Division of Financial Management.

Associate Dean for Academic Affairs, Idaho State University.

出版信息

Innov Pharm. 2021 Mar 2;12(1). doi: 10.24926/iip.v12i1.3598. eCollection 2021.

DOI:10.24926/iip.v12i1.3598
PMID:34007672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102964/
Abstract

Pharmacy has traditionally been a highly regulated profession. In a recent study, the state with the largest pharmacy regulatory word count had 6.7 times as many words as the state with the lowest word count. Given the wide variation in state pharmacy regulations, this paper seeks to spark discussion on how we can assess public safety outcomes in states based on the overall volume of pharmacy regulation with a focus on: 1) fitness to practice; 2) controlled substance outcomes; and 3) compounding safety. In examining these categories, existing data sources are limited and suboptimal, though formal disciplinary actions against pharmacy licensees are very infrequent. Thus, it seems preferable for states to have a regulatory framework that allows boards of pharmacy to deal with the rare public safety issues that occur, while not holding back the vast majority of pharmacists from practicing to the top of their education and training.

摘要

传统上,药学一直是一个受到高度监管的行业。在最近的一项研究中,药学监管字数最多的州的字数是字数最少的州的6.7倍。鉴于各州药学法规差异很大,本文旨在引发关于如何根据药学法规的总体数量来评估各州公共安全结果的讨论,重点关注:1)执业资格;2)管制药品结果;3)配制安全。在研究这些类别时,现有的数据来源有限且不理想,尽管针对持牌药剂师的正式纪律处分非常罕见。因此,各州最好有一个监管框架,允许药学委员会处理罕见的公共安全问题,同时不妨碍绝大多数药剂师充分发挥其教育和培训水平进行执业。

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本文引用的文献

1
Regulating Pharmacy Practice: Analysis of Pharmacy Laws in Ten States.规范药学实践:对十个州药学法律的分析
Innov Pharm. 2020 Dec 8;11(4). doi: 10.24926/iip.v11i4.3344. eCollection 2020.
2
Toward Multistate Pharmacy Practice: Enhancing Mobility and Portability of Pharmacist Licensure.迈向多州药学实践:增强药师执照的流动性和可移植性。
Ann Pharmacother. 2021 Mar;55(3):409-412. doi: 10.1177/1060028020945254. Epub 2020 Jul 30.
3
Pharmacist Prescriptive Authority: Lessons from Idaho.药剂师处方权:来自爱达荷州的经验教训。
Pharmacy (Basel). 2020 Jul 8;8(3):112. doi: 10.3390/pharmacy8030112.
4
Outcomes of Urinary Tract Infection Management by Pharmacists (ROUTMAP): A study of pharmacist prescribing and care in patients with uncomplicated urinary tract infections in the community.药剂师管理尿路感染的结果(ROUTMAP):一项关于社区非复杂性尿路感染患者药剂师开处方及护理的研究。
Can Pharm J (Ott). 2018 Jun 3;151(5):305-314. doi: 10.1177/1715163518781175. eCollection 2018 Sep-Oct.
5
Transitioning pharmacy to "standard of care" regulation: Analyzing how pharmacy regulates relative to medicine and nursing.将药学过渡到“标准护理”监管:分析药学相对于医学和护理的监管方式。
Res Social Adm Pharm. 2019 Oct;15(10):1230-1235. doi: 10.1016/j.sapharm.2018.10.008. Epub 2018 Oct 16.
6
Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety.与用药错误及其对患者安全的潜在影响相关的药学实践委员会。
J Pharm Pract. 2018 Jun;31(3):312-321. doi: 10.1177/0897190017715562. Epub 2017 Jun 20.
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Utilization of influenza and streptococcal pharyngitis point-of-care testing in the community pharmacy practice setting.社区药店实践中利用流感和链球菌性咽炎即时检测
Res Social Adm Pharm. 2018 Apr;14(4):356-359. doi: 10.1016/j.sapharm.2017.04.012. Epub 2017 May 2.
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Clinical service implementation in the face of initial regulatory uncertainty.面对初始监管不确定性时的临床服务实施
J Am Pharm Assoc (2003). 2016 Sep-Oct;56(5):492. doi: 10.1016/j.japh.2016.04.563.
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Antimicrobial stewardship in outpatient settings: leveraging innovative physician-pharmacist collaborations to reduce antibiotic resistance.门诊环境中的抗菌药物管理:利用创新性的医师-药师合作关系来减少抗生素耐药性。
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Just culture: a foundation for balanced accountability and patient safety.公正文化:平衡问责与患者安全的基础。
Ochsner J. 2013 Fall;13(3):400-6.