美國最佳醫(yī)院藥劑科簡介專家講座

美國三家最佳醫(yī)院藥劑科網(wǎng)頁內(nèi)容簡讀第1頁The'BestHospitals'for2023

2023美國最佳醫(yī)院排名1.

JohnsHopkinsHospital約翰霍普金斯醫(yī)院2.MayoClinic梅奧醫(yī)學(xué)中心3.RonaldReaganUCLAMedicalCenter里根醫(yī)療中心4.ClevelandClinic克里夫蘭醫(yī)療中心5.MassachusettsGeneral麻省總醫(yī)院6.NewYork-PresbyterianUniversityHospitalofColumbiaandCornell哥倫比亞康奈爾大學(xué)紐約長老會醫(yī)院7.UniversityofCalifornia-SanFranciscoMedicalCenter加州大學(xué)舊金山醫(yī)學(xué)中心8.HospitaloftheUniversityofPennsylvania賓夕法尼亞大學(xué)醫(yī)院9.Barnes-JewishHospital/WashingtonUniversity巴恩斯-猶太人醫(yī)院/華盛頓大學(xué)10.BrighamandWomen'sHospital布萊根婦女醫(yī)院第2頁The'BestHospitals'for2023

2023美國最佳醫(yī)院排名11.DukeUniversityMedicalCenter杜克大學(xué)醫(yī)療中心12.UniversityofWashingtonMedicalCenter華盛頓大學(xué)醫(yī)療中心

13.UPMC-UniversityofPittsburghMedicalCenter匹茲堡大學(xué)醫(yī)療中心14.UniversityofMichiganHospitalsandHealthCenters密西根大學(xué)醫(yī)院和健康中心15.StanfordHospitalandClinics斯坦福大學(xué)醫(yī)院16.VanderbiltUniversityMedicalCenter范德比爾特大學(xué)醫(yī)療中心17.NewYorkUniversityMedicalCenter紐約大學(xué)醫(yī)療中心18.Yale-NewHavenHospital耶魯大學(xué)紐黑文醫(yī)院19.MountSinaiMedicalCenter西奈山醫(yī)療中心20.MethodistHospital衛(wèi)理公會醫(yī)院第3頁No.1約翰霍普金斯醫(yī)院

JohnsHopkinsHospital

/the_johns_hopkins_hospital/Urology泌尿科

Ear,nose,throat耳，鼻，喉Rheumatology風(fēng)濕

第4頁藥劑科DepartmentofPharmacy

使命:藥學(xué)監(jiān)護(教學(xué)、研究）TheDepartmentofPharmacy'smissionistoprovidehighqualitypharmaceuticalcaretoourpatientsinanatmosphereofeducationalgrowth,sharedrespect,andcommunication.

TheDepartmentofPharmacy,consistentwiththemissionofJohnsHopkinsMedicine,placesapriorityonteaching,researchandpatientcare.第5頁臨床服務(wù)Clinicalservices

藥物及其互相作用監(jiān)測、床邊（全方位？）護理、用藥指引、醫(yī)囑審核、藥物信息提供、單劑量給藥renaldrugmonitoringdruginteractionmonitoringpatientcareroundingmedication

teachingtherapeuticdrugmonitoringdrugorderreviewdruginformationsupportafocusonanintegrated,unit-basedmodelforcaredelivery.第6頁臨床分發(fā)支持系統(tǒng)

ClinicalanddistributivesupportDispensingmedicationsdailyforanaverageinpatientpopulationof700patientswithadditionalservicesprovidedintheoutpatientsetting.Clinicalanddistributivesupportiscurrentlyprovidedby:BDM

PharmacySystem,PyxisMedStations,MicromedexandUltimedex,andMcKesson'sAHIRobot.BDMHospitalPharmacySystem,BDMOutpatientPharmacySystem,BDMHMOPharmacySystemPrimaryApplication:Pharmacyforhospitals,out-patientclinicsandHMOsplusotherpatient-careHardware/OperatingSystem:Hardware-independentsoftwareusingDOS,NetworkandUNIXapplicationsplatforms

第7頁ServiceisprovidedtotheWilmerEyeInstituteGreenspringStationOncologytheChildren'sMedicalandSurgicalCenterAdultMedicineandSurgerytheJohnsHopkinsOutpatientClinicstheJohnsHopkinsOncologyCenter

Researchissupportedthroughallthesedivisions,aswellastheAidsClinicalTrialGroup,andtheDepartment'sInvestigationalDrugServices.第8頁藥物治療輪講

PharmacotherapyRounds

PharmacotherapyRoundsisaforum

（論壇、專項講座）inwhichpharmacyresidentsintheBaltimoreareagathertoformallypresentclinicallyrelevanttopics.

Participantswilllearntoevaluatethescientificliterature

（文獻）anddiscussitsapplicabilitytoclinicalpractice（臨床應(yīng)用）.

ThegoalofPharmacotherapyRoundsistoenhancetheparticipant’sknowledgeregardingtheuseofdrugtherapyandtotreatandpreventdisease.PharmacotherapyRoundsareheldWednesdayfromNoonto1:00PM.Theaudiencewillconsistofpharmacyresidents,pharmacypractitioners,pharmacystudentsandinvitedguests.

第9頁PresentationDate

Presenter

TopicDueDateforTopicDueDateforPaperworkLocation7/15/2023StevenGilmoreKRASMutationandEGFRAntibodies:OpeningaNewEraof5/15/20236/12/2023HurdHall7/22/2023PatrickMcMahonBedsideBarcodeMedicationAdministration5/22/20236/18/2023Tilghman7/29/2023ValerieShafirAnticoagulationinAtrialFibrillation5/29/20236/15/2023Tilghman8/5/2023ElizabethFangCPOE:ComputerizedProviderOrderErrors?6/13/20236/29/2023Tilghman8/12/2023JeanmarieSaloniaStressUlcerProphlaxis:ALookintothePast,PresentandFuture6/13/20237/5/2023HurdHall8/19/2023JordanHinkleHighPerformancePharmacy:AGapAnalysis6/27/20237/12/2023Tilghman8/26/2023JesicaMangunGlucoseManagementinCriticallyIllAdultPatients:ImplicationsoftheNICE‐SUGARStudy7/3/20237/16/2023Tilghman9/2/2023IshaShahMakingMedicationUseMoreIntelligent:"SMART"Pumps7/6/20237/19/2023Tilghman第10頁NICE-SUGARNormoglycemiainIntensiveCareEvaluation–SurvivalUsingGlucoseAlgorithmRegulation旳縮寫臨床實驗，以強化血糖控制，減少死亡率.第11頁診斷所Dispensary(或clinic)內(nèi)科部主任DirectoroftheMedicalDepartment外科部主任DirectoroftheSurgicalDepartment護理部主任DirectoroftheNursingDepartment主治醫(yī)師AttendingDoctor(VisitingDoctor)

(內(nèi)科)AttendingPhysician

(外科)AttendingSurgeon住院醫(yī)師Resident助理住院醫(yī)師AssistantResident實習(xí)醫(yī)師Intern臨床見習(xí)（Clinicalrotation）

研究員Reseacher;Investigator技術(shù)士Technician藥師Pharmacist護士Nurse醫(yī)師Physician(或MedicalDoctor)第12頁門診部OutPatientDepartment(OPD)

約診Appointment

出診HouseCall

值急診OnCall產(chǎn)房DeliveryRoom手術(shù)室OperatingRoom或Surgery加護病房IntensiveCareUnit(I.C.U.)護士站(護士辦公室)NursingStation藥房Pharmacy;Dispensary掛號室Registration急診室EmergencyRoom住院室AdmittingDepartment病歷室MedicalRecordDepartment藥庫StockRoom;StoreRoom藥箱FirstAidKit服務(wù)臺InformationDesk第13頁醫(yī)學(xué)大會(世界性)MedicalCongress醫(yī)學(xué)研討會MedicalWorkShop醫(yī)學(xué)大會MedicalConvention會議(一般者)Conference;Meeting專項討論會Symposium聯(lián)合大會(與他科或其他醫(yī)院)CombinedConference旅行學(xué)習(xí)TourStudy(去遠方)研討會,觀摩會(小型)Seminar晨間查房MorningRounds

晚間查房EveningRounds讀書會JournalClub臨床病理討論會ClinicalPathologyConference(C.P.C.)

第14頁MeetingsMonthlyDepartmentalContinuingEducationPrograms(ACPEapproved)ResidentJournalClub:Tuesdays,alternately12:00-1:00pmand2:00-3:00pmResidentPharmacotherapyRounds:Wednesdays12:00-1:00pmPointofCarePharmacists(PCP)GroupMeetingsDrugUseSurveillanceTeam(D.U.S.T.)MedicineGrandRounds/PharmacyGrandRounds第15頁PharmacyinternsPharmacyinterns,workingwithapreceptor導(dǎo)師,willdevelopandcompleteindependentprojectsduringthesummerexperience.

ThetopicwillbeidentifiedandagreeduponwithapreceptorandresultswillbepresentedtotheleadershipoftheDepartmentofPharmacyattheconclusionofthesummerinternshipexperience.Traditionally,a2-3pagewrittensummaryoftheprojectissubmitteduponcompletion.第16頁ExamplesofprojectsofInternsEstablishmentofanindependent/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)Budget/Purchasing(DepartmentalBudget,BudgetRequests,Stocksupply)第17頁No.10BrighamandWomen‘sHospital

布萊根婦女醫(yī)院

/ObstetricsandGynecology婦產(chǎn)科（No.1,byspecialty)Kidneydisorders腎臟疾病

第18頁MissionProvideoutstandingpharmaceuticalcarethroughexcellenceinclinicalpharmacyservices,education,research,communityservice,andtodotherightthingsright.Tobeaninternationallyrecognizedleaderindeliveringcuttingedgepharmaceuticalservicesincluding:pharmacyoperations,staffdevelopment,patienteducation,clinicalservices,research,andtechnologyinnovation.

第19頁PharmacyCodeofEthicsOurpharmacystaffpromotesthewellbeingofeverypatientinacaring,compassionate,andconfidentialmanner-actswithhonestyandintegrityinprofessionalrelationships-maintainsprofessionalcompetencethroughlifelonglearning-respectsthevaluesandabilitiesofcolleaguesandotherhealthprofessionals-servesindividual,community,andsocietalneeds-promotesevidencebased,rational,cost-effectivecare-endorsesandpromotestheprincipalsofcontinualprocessimprovement.-recognizestheimportanceofinnovationandusesitincreativewaystosolveproblems.-assuresfullcomplianceswithestablishedpracticestandardssetbyJCAHO,ASHP,andBWH.第20頁InpatientPharmacy病區(qū)藥房Staffpharmacistsaredeployeddirectlytothepatientcareareasbasedonpatientdemands(viamedicationordercomplexityandvolume).Thedepartmentmaintainscontinuouspharmacistpresence,andstaffingpatternsreflecttheintensityofpatientcare,whichismuchbriskerduringdayandeveninghours.Unit-dosemedicationsareutilizedwheneverpossibletominimizetheriskofmedicationerrors.Clinicalpharmacyspecialistsareemployedasmuchaspossibletoassistincaringforpatientsintargetedhigh-riskgroups(i.e.,medicalintensivecare,hematology/oncology,cardiology,andhigh-riskantepartum).第21頁OutpatientPharmacyServices

門診藥房TheOutpatientPharmacyisopenandstaffedbylicensedpharmacistsduringclinichourstomeetthedemandsofpatientswhowishtohavetheirprescriptionsfilledorrefilledaroundthetimeoftheirclinicvisit.AllpatientswhohavetheirprescriptionsfilledattheOutpatientPharmacyareofferedcounselingabouttheirmedicationsbyapharmacist,whichisconsistentwithFederalregulationsenactedundertheOmnibusBudgetReductionActof1990(OBRA90).ThedepartmentmonitorspatientwaittimeintheOutpatientPharmacyamongitsotherqualityindicators,sincewaittimeishighlycorrelatedwiththepatientsatisfaction.第22頁No.2梅奧醫(yī)學(xué)中心MayoClinic

/Diabetesandendocrinedisorders糖尿病和內(nèi)分泌失調(diào)Digestivedisorders消化系統(tǒng)疾?。ㄎ改c）Neurologyandneurosurgery

神經(jīng)

Orthopaedics骨科

第23頁PharmacyToprovidethegreatestcomfortlevelandknowledgetopatientsstaffpharmaciststhoroughlyreviewtheuseofallprescriptionsandmedications審核處方.Inaddition,acomputerdatabasesystemmonitors

監(jiān)測allpatientprescriptionsforpotentialdruginteractions.Thepharmacyalsoparticipates

參與ininvestigationaldrugstudiesestablishedb