Gazda Nicholas P, Vest Tyler A, Peek Grayson K, Francart Suzanne J, Eckel Stephen F
Cone Health, Greensboro, NC, and University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA.
University of Vermont Health Network, Burlington, VT, and University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA.
Am J Health Syst Pharm. 2025 Jul 22;82(15):e681-e695. doi: 10.1093/ajhp/zxaf012.
This article identifies, summarizes, and prioritizes published literature on the ambulatory care medication-use process (ACMUP) from 2023 that can describe ambulatory pharmacy practice. The medication-use process is the foundational system that provides the framework for safe medication utilization within the healthcare environment. The ACMUP is defined in this article as having the following components: transitions of care, prescribing, access, dispensing, adherence, and evaluating. Articles evaluating at least one step of the ACMUP were assessed for their usefulness toward practice improvement.
A PubMed search was conducted in January 2024 for the publication year 2023 using targeted Medical Subject Headings (MeSH) keywords and the table of contents of selected pharmacy journals, providing a total of 2,903 articles. A thorough review identified 52 potentially practice-enhancing articles: 6 for transitions of care, 11 for prescribing, 5 for access, 6 for dispensing, 8 for adherence, and 16 articles for evaluating. Trends gleaned from the highest-impact articles are described.
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.
本文对2023年已发表的关于门诊护理用药过程（ACMUP）的文献进行识别、总结并确定其优先级，这些文献能够描述门诊药房实践。用药过程是在医疗环境中为安全用药提供框架的基础系统。本文将ACMUP定义为具有以下组成部分：护理转接、处方开具、可及性、配药、依从性和评估。对评估ACMUP至少一个步骤的文章进行了实用性评估，以确定其对实践改进的作用。
2024年1月，利用目标医学主题词（MeSH）关键词和选定药学期刊的目录对2023年发表的文献进行了PubMed检索，共检索到2903篇文章。经过全面审查，确定了52篇可能有助于实践改进的文章：6篇关于护理转接，11篇关于处方开具，5篇关于可及性，6篇关于配药，8篇关于依从性，16篇关于评估。描述了从最具影响力的文章中收集到的趋势。
定期回顾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当前已发表文献的文章。随着医疗保健的不断发展以及护理转向门诊环境，ACMUP将继续是一个至关重要的评估过程。
