Department of Pharmaceutical and Nutrition Care, 984120 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE, 68198-4120, USA.
University of Pittsburgh School of Pharmacy, Pittsburgh, PA, 15261, USA.
Curr Diab Rep. 2022 Sep;22(9):441-449. doi: 10.1007/s11892-022-01487-8. Epub 2022 Jul 13.
Glycemic management of hospitalized patients remains a growing burden in organizations across the country. Attainment of well-established glycemic targets has shown improved clinical outcomes. Empowered glucose management interdisciplinary teams are critical in organizations attaining improved outcomes. Pharmacists possess diverse knowledge and skills that uniquely position them to take a leadership role in healthcare organizations' efforts to achieve safe and effective glycemic outcomes in hospitalized patients.
Various models of pharmacy care have demonstrated success in improving patient outcomes related to acute care glycemic management. The authors of this manuscript will summarize published data related to improved outcomes when pharmacists are utilized in a patient-directed intervention model. In addition, we will describe the implementation of pharmacy stewardship, delineating the role of the pharmacist in providing oversight and shaping institutions to promote optimal glycemic management on a macrolevel. Pharmacists have demonstrated the ability to aid institutions looking to improve acute glycemic management while serving effectively in various models of care across their respective organization.
住院患者的血糖管理仍然是全国各医疗机构日益加重的负担。实现既定的血糖目标已显示出改善的临床结局。有能力的血糖管理跨学科团队对于医疗机构实现改善的结局至关重要。药剂师拥有多样化的知识和技能，使他们能够在医疗机构为实现住院患者安全有效的血糖结果而做出努力中发挥领导作用。
各种药学服务模式已证明在改善与急性护理血糖管理相关的患者结局方面取得了成功。本文作者将总结与在患者导向干预模式中使用药剂师相关的改善结局的已发表数据。此外，我们将描述药学监护的实施，阐述药师在提供监督和塑造机构以促进宏观层面上最佳血糖管理方面的作用。药剂师已经证明有能力帮助医疗机构改善急性血糖管理，同时在各自机构的各种护理模式中有效地服务。
