Mehl B
Department of Pharmacy, Mount Sinai Medical Center, New York, NY 10029.
Am J Hosp Pharm. 1993 May;50(5):921-8.
Excellence in the pharmacy profession, particularly pharmacy management, is defined. Several factors have a significant effect on the ability to reach a given level of excellence. The first is the economic and political climate in which pharmacists practice. Stricter controls, reduced resources, and the velocity of change all necessitate nurturing of values and a work ethic to maintain excellence. Excellence must be measured by the services provided with regard to the resources available; thus, the ability to achieve excellence is a true test of leadership and innovation. Excellence is also time dependent, and today's innovation becomes tomorrow's standard. Programs that raise the level of patient care, not those that aggrandize the profession, are the most important. In addition, basic services must be practiced at a level of excellence. Quality assessment is a way to improve care and bring medical treatment to a higher plane of excellence. For such assessment to be effective and not punitive, the philosophy of the program must be known, and the goal must be clear. Excellence in practice is dependent on factors such as political and social norms, standards of practice, available resources; perceptions, time, the motivation to progress to a higher level, and the continuous innovation required to reshape the profession to meet the needs of society.
对药学专业的卓越表现，尤其是药学管理的卓越表现进行了定义。有几个因素对达到特定卓越水平的能力有重大影响。首先是药剂师执业所处的经济和政治环境。更严格的管控、资源减少以及变化的速度都需要培养价值观和职业道德以保持卓越。卓越必须根据利用现有资源所提供的服务来衡量；因此，实现卓越的能力是对领导力和创新能力的真正考验。卓越也是随时间变化的，今天的创新会成为明天的标准。提升患者护理水平的项目，而非那些抬高该专业地位的项目，才是最重要的。此外，基础服务必须以卓越的水平来开展。质量评估是改善护理并将医疗提升到更高卓越水平的一种方式。为使这种评估有效而非惩罚性的，项目的理念必须为人所知，目标必须明确。实践中的卓越取决于政治和社会规范、执业标准、可用资源、认知、时间、追求更高水平的动力以及重塑该专业以满足社会需求所需的持续创新等因素。
