Duke University Hospital, Durham, NC, and University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA.
Cone Health, Greensboro, NC, USA.
Am J Health Syst Pharm. 2022 Feb 8;79(4):244-267. doi: 10.1093/ajhp/zxab428.
This article identifies, prioritizes, and summarizes published literature on the medication-use process (MUP) from calendar year 2020 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 evaluating at least one step of the MUP were assessed for their usefulness in practice improvement. A PubMed search for articles published in calendar year 2020 was conducted in January 2021 using targeted Medical Subject Headings (MeSH) keywords, and the table of contents of selected pharmacy journals was searched, providing a total of 9,433 articles. A thorough review identified 49 potentially practice-enhancing articles: 15 for prescribing/transcribing, 10 for dispensing, 6 for administration, and 18 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 they are 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. Health-system pharmacists have an active role in improving the MUP in their institution, and awareness of the moist significant published studies can assist in changing practice at the institutional level.
本文确定、优先排序并总结了 2020 年发表的与医疗系统药剂科日常实践相关的药物使用流程(MUP)文献,这些文献可能会影响医疗系统药学实践。
MUP 是提供医疗环境中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。评估至少 MUP 一个步骤的文章,都评估了其在实践改进中的应用价值。2021 年 1 月,我们使用特定的医学主题词(MeSH)关键词对 2020 年发表的文章进行了 PubMed 搜索,并对选定的药学杂志的目录进行了搜索,共获得了 9433 篇文章。经过彻底审查,确定了 49 篇可能具有实践意义的文章:15 篇用于处方/转录,10 篇用于配药,6 篇用于给药,18 篇用于监测。同行对文章的重要性进行排名,从而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,并提到了它们在医疗系统药学中的重要性。其他文章也列出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最近发表的最具影响力的文献。医疗系统药剂师在改善其机构的 MUP 方面发挥着积极作用,了解最具影响力的已发表研究可以帮助在机构层面改变实践。