Gazda Nicholas P, Vest Tyler A, Peek Grayson K, Eckel Stephen F
Cone Health, Greensboro, NC, and University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA.
Duke University Health System, Durham, NC, and University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA.
Am J Health Syst Pharm. 2025 Apr 17;82(8):461-473. doi: 10.1093/ajhp/zxae358.
This article identifies, prioritizes, and summarizes published literature on the ambulatory care medication-use process (ACMUP) from calendar year 2021 that can impact ambulatory pharmacy practice. The MUP is the foundational system that provides the framework for safe medication utilization within the healthcare environment and was reimagined to focus on new innovations and advancements in ambulatory pharmacy practice. The ACMUP is defined in this article as having the following components: transitions of care, prescribing and collaborative practice, accessing care, adherence, and monitoring and quality. Articles evaluating at least one step of the ACMUP were assessed for their usefulness toward practice improvement.
A PubMed search was conducted in January 2022 for the year 2021 using targeted Medical Subject Headings keywords and the tables of contents of selected pharmacy journals were also searched, providing a total of 6,026 articles. A thorough review identified 86 potentially practice-enhancing articles: 10 for transitions of care, 9 for prescribing and collaborative practice, 20 for adherence, 17 for accessing care, 18 for monitoring and quality, and 12 for monitoring and medication therapy management. 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. 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 continues a series of articles defining and evaluating the currently published literature around the ACMUP. As healthcare continues to advance and care shifts to ambulatory settings, the ACMUP will continue to be a crucial process to evaluate.
本文识别、排序并总结了2021日历年发表的关于门诊护理用药过程（ACMUP）的文献，这些文献可能会影响门诊药房实践。用药过程（MUP）是为医疗环境中的安全用药提供框架的基础系统，并被重新构想以关注门诊药房实践中的新创新和进展。本文将ACMUP定义为具有以下组成部分：护理转接、处方开具与协作实践、获得护理、依从性以及监测与质量。评估了至少一个ACMUP步骤的文章被评估其对实践改进的有用性。
2022年1月使用目标医学主题词对2021年进行了PubMed搜索，还搜索了选定药学杂志的目录，共获得6026篇文章。全面审查确定了86篇可能有助于实践改进的文章：10篇关于护理转接，9篇关于处方开具与协作实践，20篇关于依从性，17篇关于获得护理，18篇关于监测与质量，12篇关于监测与药物治疗管理。同行对文章的重要性进行排序后，从每个类别中选出了关键文章。对排名最高的文章进行了简要总结，并提及了每篇文章重要的原因。其他文章列出以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很重要。本文延续了一系列定义和评估围绕ACMUP的当前已发表文献的文章。随着医疗保健的不断进步以及护理转向门诊环境，ACMUP将继续是一个关键的评估过程。
