【文档说明】美国最佳医院药剂科简介培训课件.ppt，共(27)页，658.892 KB，由小橙橙上传

转载请保留链接：https://www.ichengzhen.cn/view-238217.html

以下为本文档部分文字说明：

美国最佳医院药剂科简介The'BestHospitals'for20092009美国最佳医院排名1.JohnsHopkinsHospital约翰霍普金斯医院2.MayoClinic梅奥医学中心3.RonaldReaganUCLAMedicalCenter里根医疗中心4.C

levelandClinic克里夫兰医疗中心5.MassachusettsGeneral麻省总医院6.NewYork-PresbyterianUniversityHospitalofColumbiaandCornell哥伦比亚康奈尔大学纽约长老会医院7.Uni

versityofCalifornia-SanFranciscoMedicalCenter加州大学旧金山医学中心8.HospitaloftheUniversityofPennsylvania宾夕法尼亚大学医院9.Barnes-JewishHospital/WashingtonUnive

rsity巴恩斯-犹太人医院/华盛顿大学10.BrighamandWomen'sHospital布莱根妇女医院2美国最佳医院药剂科简介The'BestHospitals'for20092009美国最佳医院排名11.DukeUniversityMedicalCenter杜克

大学医疗中心12.UniversityofWashingtonMedicalCenter华盛顿大学医疗中心13.UPMC-UniversityofPittsburghMedicalCenter匹兹堡大学医疗中心14.Unive

rsityofMichiganHospitalsandHealthCenters密西根大学医院和健康中心15.StanfordHospitalandClinics斯坦福大学医院16.VanderbiltUniversityMedicalCenter范德比尔特大学医疗中心

17.NewYorkUniversityMedicalCenter纽约大学医疗中心18.Yale-NewHavenHospital耶鲁大学纽黑文医院19.MountSinaiMedicalCenter西奈山医疗中心20.MethodistHospital卫理公会医院3美国最佳医院

药剂科简介No.1约翰霍普金斯医院JohnsHopkinsHospitalhttp://www.hopkinsmedicine.org/the_johns_hopkins_hospital/•Urology泌尿科•Ear,nose,throat耳，鼻，喉•Rhe

umatology风湿4美国最佳医院药剂科简介药剂科DepartmentofPharmacy•使命:药学监护(教学、研究）•TheDepartmentofPharmacy'smissionistopro

videhighqualitypharmaceuticalcaretoourpatientsinanatmosphereofeducationalgrowth,sharedrespect,andcommunication.•TheDepartmentofPharmacy,consist

entwiththemissionofJohnsHopkinsMedicine,placesapriorityonteaching,researchandpatientcare.5美国最佳医院药剂科简介临床服务Clinicalservices•药物及其

相互作用监测、床边（全方位？）护理、用药指导、医嘱审核、药物信息提供、单剂量给药•renaldrugmonitoring•druginteractionmonitoring•patientcarerounding•medicationteach

ing•therapeuticdrugmonitoring•drugorderreview•druginformationsupport•afocusonanintegrated,unit-basedmodelforcaredelivery.6美国最佳医院药剂科简介临床分发支持系

统Clinicalanddistributivesupport•Dispensingmedicationsdailyforanaverageinpatientpopulationof700patientswithadditi

onalservicesprovidedintheoutpatientsetting.•Clinicalanddistributivesupportiscurrentlyprovidedby:BDMPharmacySystem,PyxisMedStations,Mi

cromedexandUltimedex,andMcKesson'sAHIRobot.•BDMHospitalPharmacySystem,BDMOutpatientPharmacySystem,BDMHMOPharmacySystemPri

maryApplication:Pharmacyforhospitals,out-patientclinicsandHMOsplusotherpatient-careHardware/OperatingSystem:Hardware-independentsoftware

usingDOS,NetworkandUNIXapplicationsplatforms7美国最佳医院药剂科简介Serviceisprovidedto•theWilmerEyeInstitute•GreenspringStationOncology

•theChildren'sMedicalandSurgicalCenter•AdultMedicineandSurgery•theJohnsHopkinsOutpatientClinics•theJohnsHopkinsOncology

Center•Researchissupportedthroughallthesedivisions,aswellastheAidsClinicalTrialGroup,andtheDepartment's

InvestigationalDrugServices.8美国最佳医院药剂科简介药物治疗轮讲PharmacotherapyRounds•PharmacotherapyRoundsisaforum（论坛、专题讲座）in

whichpharmacyresidentsintheBaltimoreareagathertoformallypresentclinicallyrelevanttopics.Participantswilllearntoevaluatethescientificliterat

ure（文献）anddiscussitsapplicabilitytoclinicalpractice（临床应用）.•ThegoalofPharmacotherapyRoundsistoenhancetheparticipant’skno

wledgeregardingtheuseofdrugtherapyandtotreatandpreventdisease.•PharmacotherapyRoundsareheldWednesdayfromNoonto1:00PM.Theaudien

cewillconsistofpharmacyresidents,pharmacypractitioners,pharmacystudentsandinvitedguests.9美国最佳医院药剂科简介PresentationDatePresenterTopicDueDateforTopicD

ueDateforPaperworkLocation7/15/2009StevenGilmoreKRASMutationandEGFRAntibodies:OpeningaNewEraof5/15/20096/1

2/2009HurdHall7/22/2009PatrickMcMahonBedsideBarcodeMedicationAdministration5/22/20096/18/2009Tilghman7/29/2009ValerieShafirAnticoag

ulationinAtrialFibrillation5/29/20096/15/2009Tilghman8/5/2009ElizabethFangCPOE:ComputerizedProviderOrderErrors?6/13/20096/29/2009Tilghma

n8/12/2009JeanmarieSaloniaStressUlcerProphlaxis:ALookintothePast,PresentandFuture6/13/20097/5/2009HurdHall8/19/2009JordanHinkleHighPerformancePharmac

y:AGapAnalysis6/27/20097/12/2009Tilghman8/26/2009JesicaMangunGlucoseManagementinCriticallyIllAdultPatients:Implications

oftheNICE‐SUGARStudy7/3/20097/16/2009Tilghman9/2/2009IshaShahMakingMedicationUseMoreIntelligent:"SMART"Pumps7/6/20097/19/200

9Tilghman10美国最佳医院药剂科简介NICE-SUGAR•NormoglycemiainIntensiveCareEvaluation–SurvivalUsingGlucoseAlgorithmRegulation的缩写•临床试验，以强化血糖

控制，降低死亡率.11美国最佳医院药剂科简介•门诊部OutPatientDepartment(OPD)约诊Appointment出诊HouseCall值急诊OnCall•产房DeliveryRoom•手术室Ope

ratingRoom或Surgery•加护病房IntensiveCareUnit(I.C.U.)•护士站(护士办公室)NursingStation•药房Pharmacy;Dispensary•挂号室Registration•急诊室EmergencyRoom•住院室Admitt

ingDepartment•病历室MedicalRecordDepartment•药库StockRoom;StoreRoom•药箱FirstAidKit•服务台InformationDesk13美国最佳医院药剂科简介⚫

医学大会(世界性)MedicalCongress⚫医学研讨会MedicalWorkShop⚫医学大会MedicalConvention⚫会议(一般者)Conference;Meeting⚫专题讨论会S

ymposium⚫联合大会(与他科或其他医院)CombinedConference⚫旅行学习TourStudy(去远方)⚫研讨会,观摩会(小型)Seminar⚫晨间查房MorningRounds晚间查房EveningRounds⚫读书会JournalClub⚫

临床病理讨论会ClinicalPathologyConference(C.P.C.)14美国最佳医院药剂科简介Meetings•MonthlyDepartmentalContinuingEducationPrograms(ACPEapproved)•ResidentJo

urnalClub:Tuesdays,alternately12:00-1:00pmand2:00-3:00pm•ResidentPharmacotherapyRounds:Wednesdays12:00-1:00pm•PointofCarePharmacists(PCP

)GroupMeetings•DrugUseSurveillanceTeam(D.U.S.T.)•MedicineGrandRounds/PharmacyGrandRounds15美国最佳医院药剂科简介Pharmacy

interns•Pharmacyinterns,workingwithapreceptor导师,willdevelopandcompleteindependentprojectsduringthesummerexperience.Thetopicwill

beidentifiedandagreeduponwithapreceptorandresultswillbepresentedtotheleadershipoftheDepartmentofPharmacyattheconclusionofthes

ummerinternshipexperience.•Traditionally,a2-3pagewrittensummaryoftheprojectissubmitteduponcompletion.16美国最佳医院药剂科简介ExamplesofprojectsofInterns•E

stablishmentofanindependent/integratedpracticemodelforpharmacists(Centralizedvs.Decentralized,PrimaryCareClinics,PCPConcept)

•PharmacyandTherapeuticsCommittee/Formularymanagement(FunctionandActivities,Terminology,D.U.S.T.,Non-formularypolicy)•Automation(

“Robot”Cartfill,FirstDose,2-DOSEanalysis)•SchedulingandStaffing(Managerialskill,Staffingresponsibilities,Protocol/Policy,StaffUtilization)•Budg

et/Purchasing(DepartmentalBudget,BudgetRequests,Stocksupply)17美国最佳医院药剂科简介No.10BrighamandWomen‘sHospital布莱根妇女医院http://www.brighamandwome

ns.org/•ObstetricsandGynecology妇产科（No.1,byspecialty)•Kidneydisorders肾脏疾病18美国最佳医院药剂科简介Mission•Provideo

utstandingpharmaceuticalcarethroughexcellenceinclinicalpharmacyservices,education,research,communityservice,andtodotherightthingsright.•Tobea

ninternationallyrecognizedleaderindeliveringcuttingedgepharmaceuticalservicesincluding:pharmacyoperati

ons,staffdevelopment,patienteducation,clinicalservices,research,andtechnologyinnovation.19美国最佳医院药剂科简介PharmacyCodeofEthic

s•Ourpharmacystaffpromotesthewellbeingofeverypatientinacaring,compassionate,andconfidentialmanner•-actswithhonestyandintegrityinprofess

ionalrelationships•-maintainsprofessionalcompetencethroughlifelonglearning•-respectsthevaluesandabilitiesofcolleaguesandotherhealthp

rofessionals•-servesindividual,community,andsocietalneeds•-promotesevidencebased,rational,cost-effectivecare•-endorsesandp

romotestheprincipalsofcontinualprocessimprovement.•-recognizestheimportanceofinnovationandusesitincreativewaystosolveproblems.

•-assuresfullcomplianceswithestablishedpracticestandardssetbyJCAHO,ASHP,andBWH.20美国最佳医院药剂科简介Inpatien

tPharmacy病区药房•Staffpharmacistsaredeployeddirectlytothepatientcareareasbasedonpatientdemands(viamedicationor

dercomplexityandvolume).Thedepartmentmaintainscontinuouspharmacistpresence,andstaffingpatternsreflecttheintensityofpatientcare,whichis

muchbriskerduringdayandeveninghours.•Unit-dosemedicationsareutilizedwheneverpossibletominimizetheriskofmedicationerrors.•Clinicalpha

rmacyspecialistsareemployedasmuchaspossibletoassistincaringforpatientsintargetedhigh-riskgroups(i.e.,medicalintensivecare,he

matology/oncology,cardiology,andhigh-riskantepartum).21美国最佳医院药剂科简介OutpatientPharmacyServices门诊药房•TheOutpatientPharmacyisopenandstaffedbylicensed

pharmacistsduringclinichourstomeetthedemandsofpatientswhowishtohavetheirprescriptionsfilledorrefilledarou

ndthetimeoftheirclinicvisit.•AllpatientswhohavetheirprescriptionsfilledattheOutpatientPharmacyareofferedcounselingabouttheirmedicationsbyapharmaci

st,whichisconsistentwithFederalregulationsenactedundertheOmnibusBudgetReductionActof1990(OBRA90).•Thedepartmentmonitorspatientwaittime

intheOutpatientPharmacyamongitsotherqualityindicators,sincewaittimeishighlycorrelatedwiththepatientsatisf

action.22美国最佳医院药剂科简介No.2梅奥医学中心MayoClinichttp://www.mayoclinic.org/•Diabetesandendocrinedisorders糖尿病和

内分泌失调•Digestivedisorders消化系统疾病（胃肠）•Neurologyandneurosurgery神经•Orthopaedics骨科23美国最佳医院药剂科简介Pharmacy•Toprovidethegreatestcomfortl

evelandknowledgetopatients•staffpharmaciststhoroughlyreviewtheuseofallprescriptionsandmedications审核处方.Inadditi

on,acomputerdatabasesystemmonitors监测allpatientprescriptionsforpotentialdruginteractions.•Thepharmacya

lsoparticipates参与ininvestigationaldrugstudiesestablishedbyMayoClinicphysiciansandisaconvenientreferencesourceforphysicians.24美国最佳医院药剂科简介MayoClinicSpe

cialtyPharmacyServices药学专业（专科）服务•MayoClinicSpecialtyPharmacyofferspharmacyservicestopatientswithcertainchronichealthconditionsthatreq

uirelong-termtherapiesandprovidesquality,competitivelypricedmedicationsandsupplies,someofwhichmaynotbeavailableatyourlocalpharmacy.•

TheMayoClinicSpecialtyPharmacyprogramgivesyouaccesstoafullrangeofpharmacyandsupportservices,savingyoutimeandeffort.MayoClinic

SpecialtyPharmacyoffersyoupersonalconsultation咨询andexpresscourier快速servicetoensurethatyouhavesafe,effectivepres

criptiondrugswhenandwhereyouneedthem.25美国最佳医院药剂科简介ChronicConditionsServed•BleedingDisorders(Hemophilia)血友病•BloodorMarrowStemCellTransplantation干

细胞移植•Crohn‘sDisease局限性肠炎•GrowthHormoneDeficiency生长激素缺乏•Hepatitis肝炎•ImmunodeficiencyDisorder免疫缺陷病•MultipleScler

osis多发性硬化•Oncology(Cancer)肿瘤•OrganTransplantation器官移植•Osteoporosis骨质疏松症•Parkinson‘sDisease帕金森氏症•Psoria

sis牛皮癣•RheumatoidArthritis风湿性关节炎26美国最佳医院药剂科简介27美国最佳医院药剂科简介