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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.RonaldReag

anUCLAMedicalCenter里根医疗中心4.ClevelandClinic克里夫兰医疗中心5.MassachusettsGeneral麻省总医院6.NewYork-PresbyterianUniversityHospita

lofColumbiaandCornell哥伦比亚康奈尔大学纽约长老会医院7.UniversityofCalifornia-SanFranciscoMedicalCenter加州大学旧金山医学中心8.HospitaloftheUniversityofP

ennsylvania宾夕法尼亚大学医院9.Barnes-JewishHospital/WashingtonUniversity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.UniversityofWashingtonMedicalCente

r华盛顿大学医疗中心13.UPMC-UniversityofPittsburghMedicalCenter匹兹堡大学医疗中心14.UniversityofMichiganHospitalsandHealthCenters密西根大学医院和健康中心15.Stanf

ordHospitalandClinics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JohnsHopkin

sHospitalhttp://www.hopkinsmedicine.org/the_johns_hopkins_hospital/•Urology泌尿科•Ear,nose,throat耳，鼻，喉•Rheumatology风湿4美国最佳医院药剂科简介药剂科De

partmentofPharmacy•使命:药学监护(教学、研究）•TheDepartmentofPharmacy'smissionistoprovidehighqualitypharmaceuticalcaretoourpatientsinanatmosphereofe

ducationalgrowth,sharedrespect,andcommunication.•TheDepartmentofPharmacy,consistentwiththemissionofJohnsHopkinsMedicine,places

apriorityonteaching,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•renaldrug

monitoring•druginteractionmonitoring•patientcarerounding•medicationteaching•therapeuticdrugmonitoring•drugorderreview•druginformationsupport•afo

cusonanintegrated,unit-basedmodelforcaredelivery.6美国最佳医院药剂科简介临床分发支持系统Clinicalanddistributivesupport•Dispensingmedicationsdailyfo

ranaverageinpatientpopulationof700patientswithadditionalservicesprovidedintheoutpatientsetting.•Clinicalanddistributivesupportiscurrentlypro

videdby:BDMPharmacySystem,PyxisMedStations,MicromedexandUltimedex,andMcKesson'sAHIRobot.•BDMHospitalPharmacySystem,BDMOut

patientPharmacySystem,BDMHMOPharmacySystemPrimaryApplication:Pharmacyforhospitals,out-patientclinicsandHMOsplusotherpatient-car

eHardware/OperatingSystem:Hardware-independentsoftwareusingDOS,NetworkandUNIXapplicationsplatforms7美国最佳医院药剂科简介Serviceisprovidedto•theWilmerEyeInsti

tute•GreenspringStationOncology•theChildren'sMedicalandSurgicalCenter•AdultMedicineandSurgery•theJohnsHop

kinsOutpatientClinics•theJohnsHopkinsOncologyCenter•Researchissupportedthroughallthesedivisions,aswellastheAidsClinicalTrialGroup,

andtheDepartment'sInvestigationalDrugServices.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）inwhichp

harmacyresidentsintheBaltimoreareagathertoformallypresentclinicallyrelevanttopics.Participantswilllearntoevaluatethesci

entificliterature（文献）anddiscussitsapplicabilitytoclinicalpractice（临床应用）.•ThegoalofPharmacotherapyRoundsistoenhancetheparticipant’sknowledgeregar

dingtheuseofdrugtherapyandtotreatandpreventdisease.•PharmacotherapyRoundsareheldWednesdayfromNoonto1:00PM.Theaudiencewillconsistofpharmacyr

esidents,pharmacypractitioners,pharmacystudentsandinvitedguests.9美国最佳医院药剂科简介PresentationDatePresenterTopicDueDateforTopicDue

DateforPaperworkLocation7/15/2009StevenGilmoreKRASMutationandEGFRAntibodies:OpeningaNewEraof5/15/20096/12/2009HurdHall7/22/2009PatrickMcM

ahonBedsideBarcodeMedicationAdministration5/22/20096/18/2009Tilghman7/29/2009ValerieShafirAnticoagul

ationinAtrialFibrillation5/29/20096/15/2009Tilghman8/5/2009ElizabethFangCPOE:ComputerizedProviderOrderErrors?6/13/20

096/29/2009Tilghman8/12/2009JeanmarieSaloniaStressUlcerProphlaxis:ALookintothePast,PresentandFuture6/

13/20097/5/2009HurdHall8/19/2009JordanHinkleHighPerformancePharmacy:AGapAnalysis6/27/20097/12/2009Tilghman8/26/2009Jesic

aMangunGlucoseManagementinCriticallyIllAdultPatients:ImplicationsoftheNICE‐SUGARStudy7/3/20097/16/2009Tilghman9/2/2009IshaShahMakingMe

dicationUseMoreIntelligent:"SMART"Pumps7/6/20097/19/2009Tilghman10美国最佳医院药剂科简介NICE-SUGAR•NormoglycemiainIntensiveCareEvaluation–SurvivalUsingGluco

seAlgorithmRegulation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Operat

ingRoom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EmergencyR

oom•住院室AdmittingDepartment•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)Medi

calCongress⚫医学研讨会MedicalWorkShop⚫医学大会MedicalConvention⚫会议(一般者)Conference;Meeting⚫专题讨论会Symposium⚫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)•ResidentJournalClub:Tuesdays,alterna

tely12:00-1:00pmand2:00-3:00pm•ResidentPharmacotherapyRounds:Wednesdays12:00-1:00pm•PointofCarePharmacists(PCP)GroupMeetings•Drug

UseSurveillanceTeam(D.U.S.T.)•MedicineGrandRounds/PharmacyGrandRounds15美国最佳医院药剂科简介Pharmacyinterns•Pharmacyinterns,workingwithap

receptor导师,willdevelopandcompleteindependentprojectsduringthesummerexperience.Thetopicwillbeidentifiedandagreeduponwithapreceptorandresultswillbe

presentedtotheleadershipoftheDepartmentofPharmacyattheconclusionofthesummerinternshipexperience.•Traditionally,a2-3pagewrit

tensummaryoftheprojectissubmitteduponcompletion.16美国最佳医院药剂科简介ExamplesofprojectsofInterns•Establishmentofanindependent/integratedpracticemodelfor

pharmacists(Centralizedvs.Decentralized,PrimaryCareClinics,PCPConcept)•PharmacyandTherapeuticsCommittee/Formularymanagement(Functionan

dActivities,Terminology,D.U.S.T.,Non-formularypolicy)•Automation(“Robot”Cartfill,FirstDose,2-DOSEanalysis)•SchedulingandStaffing(Managerialsk

ill,Staffingresponsibilities,Protocol/Policy,StaffUtilization)•Budget/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.brighamandwomens.org/•ObstetricsandGynecology妇产科（No.1,byspe

cialty)•Kidneydisorders肾脏疾病18美国最佳医院药剂科简介Mission•Provideoutstandingpharmaceuticalcarethroughexcellenceinclinicalpharmacyse

rvices,education,research,communityservice,andtodotherightthingsright.•Tobeaninternationallyrecognizedleaderindeliverin

gcuttingedgepharmaceuticalservicesincluding:pharmacyoperations,staffdevelopment,patienteducation,clinicalservices,research,andt

echnologyinnovation.19美国最佳医院药剂科简介PharmacyCodeofEthics•Ourpharmacystaffpromotesthewellbeingofeverypatientinacaring,compa

ssionate,andconfidentialmanner•-actswithhonestyandintegrityinprofessionalrelationships•-maintainsprofessionalcomp

etencethroughlifelonglearning•-respectsthevaluesandabilitiesofcolleaguesandotherhealthprofessionals•-serve

sindividual,community,andsocietalneeds•-promotesevidencebased,rational,cost-effectivecare•-endorsesandpromotestheprincipalsof

continualprocessimprovement.•-recognizestheimportanceofinnovationandusesitincreativewaystosolveproblems.•-assuresful

lcomplianceswithestablishedpracticestandardssetbyJCAHO,ASHP,andBWH.20美国最佳医院药剂科简介InpatientPharmacy病区药房•Staffpharmacistsaredepl

oyeddirectlytothepatientcareareasbasedonpatientdemands(viamedicationordercomplexityandvolume).Thedepartment

maintainscontinuouspharmacistpresence,andstaffingpatternsreflecttheintensityofpatientcare,whichismuchbriskerduringdaya

ndeveninghours.•Unit-dosemedicationsareutilizedwheneverpossibletominimizetheriskofmedicationerrors.•Clinicalpharmacyspecia

listsareemployedasmuchaspossibletoassistincaringforpatientsintargetedhigh-riskgroups(i.e.,medicalintensivecare,hematology/oncology,

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

enandstaffedbylicensedpharmacistsduringclinichourstomeetthedemandsofpatientswhowishtohavetheirprescriptionsfilledorrefilledaroundthet

imeoftheirclinicvisit.•AllpatientswhohavetheirprescriptionsfilledattheOutpatientPharmacyareofferedcounselingabouttheirmedicationsbyapharmacist,

whichisconsistentwithFederalregulationsenactedundertheOmnibusBudgetReductionActof1990(OBRA90).•Thedepartmentmonitorspatientwaittime

intheOutpatientPharmacyamongitsotherqualityindicators,sincewaittimeishighlycorrelatedwiththepatientsatisfaction.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•Digestivedi

sorders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•Toprovidethegreatestcom

fortlevelandknowledgetopatients•staffpharmaciststhoroughlyreviewtheuseofallprescriptionsandmedications审核处方.Inaddition,a

computerdatabasesystemmonitors监测allpatientprescriptionsforpotentialdruginteractions.•Thepharmacyalsoparticipates参与ininvest

igationaldrugstudiesestablishedbyMayoClinicphysiciansandisaconvenientreferencesourceforphysicians.24美国最佳医院药剂科简介MayoClinicSpecialtyPharm

acyServices药学专业（专科）服务•MayoClinicSpecialtyPharmacyofferspharmacyservicestopatientswithcertainchronichealthconditionsthatrequi

relong-termtherapiesandprovidesquality,competitivelypricedmedicationsandsupplies,someofwhichmaynotbeavailableatyourlocalp

harmacy.•TheMayoClinicSpecialtyPharmacyprogramgivesyouaccesstoafullrangeofpharmacyandsupportservices,savin

gyoutimeandeffort.MayoClinicSpecialtyPharmacyoffersyoupersonalconsultation咨询andexpresscourier快速servic

etoensurethatyouhavesafe,effectiveprescriptiondrugswhenandwhereyouneedthem.25美国最佳医院药剂科简介ChronicConditionsServed•BleedingDisorder

s(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•Imm

unodeficiencyDisorder免疫缺陷病•MultipleSclerosis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•Psoriasis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