抗肿瘤药物配制后稳定性探讨

检索中英文数据库,查阅有关文献,综述临床常用静脉用抗肿瘤药物配制后稳定的条件及时间,为临床安全用药提供参考。     

临床药学专业办学规范的思考与建议

我国的临床药学专业尚处于初创和发展阶段,尚未建立成型的办学模式和完整的教学体系,突出表现在必修专业课程的设置和内容比较混乱,教材建设严重滞后,临床实习的内容和制度不够健全,严重制约了该专业学生的培养质量,亟须制定全国性的《临床药学专业课程体系规范》,真正满足现代化医院对临床药师人才的需求。该文就该专业培养目标和规格、教学内容和知识体系、临床实践安排与内容、专业教材与教学大纲、师资队伍以及实习基地的建设等问题,结合本校临床药学专业建设的经验和体会,提出思考和看法。     

网络资源在药学教育中的作用

药学教育的重要任务是培养学生的兴趣,拓宽其知识面,构建高等教育模式,实现国内高等药学教育立足于世界的目标。该文探讨如何利用网络资源、信息资源、国内外公开课、完善评价体系等方式,改善药学教育方法,从而提升高教学趣味,扩展知识面。     

构建药学教育创新体系 多层面培养创新人才

围绕创新人才培养目标,结合多年对创新教育的探索,在课程体系设置、教学方法改革、人才创新培养平台建设等方面推进药学教育创新体系实施,多层面培养学生的创新能力。     

Reflections on the role of the pharmacy regulatory authority in enhancing quality related event reporting in community pharmacies

BackgroundGiven the demanding nature of providing pharmacy services, coupled with the expanded scope of practice of the professions in jurisdictions around the world, greater commitment to continuous quality improvement through adoption of quality-related event (QRE) reporting is necessary to ensure patient safety. Pharmacy regulatory authorities (PRAs) are in a unique position to enhance QRE reporting and learning through the standardization of expected practice.ObjectiveThis study was aimed to gain a better understanding of the perceived roles of PRAs in enhancing QRE reporting and learning in community pharmacies, and identifying regulatory best practices to execute such roles.MethodsA purposive case sampling approach was used to identify PRA staff members from two groups (Deputy registrars and pharmacy inspectors) in 10 Canadian jurisdictions to participate in focus groups in the fall of 2011. Focus groups were used to explore perceptions of the role of PRAs in enhancing and promoting QRE reporting and learning, and perceived barriers to effective implementation in practice. Thematic analysis was used to analyze the qualitative data.ResultsTwo focus groups were conducted, one with seven Deputy registrars/Practice managers, and one with nine pharmacy inspectors. Five themes were identified, including (1) defining QRE reporting and compliance, (2) navigating role conflict, (3) educating for enhanced QRE reporting and learning, (4) promoting the positive/removing the fear of QREs, and (5) tailoring QRE reporting and learning consistency.ConclusionsOverall, participants perceived a strong role for PRAs in enhancing QRE reporting and learning and providing education for pharmacies to support their compliance with reporting standards. However, PRAs must navigate the conflict inherent in both educating and promoting a process for achieving a standard while simultaneously inspecting compliance to that standard. Ensuring pharmacies have autonomy in operationalizing standards may help to mitigate this conflict. Finally, greater education for PRAs themselves to better inspect compliance and in order to better communicate the benefits of QRE reporting and learning to pharmacies would be beneficial.     

Pharmacist consultations in general practice clinics: The Pharmacists in Practice Study (PIPS)

BackgroundMedication-related problems (MRPs) are a concern in primary care settings. Pharmacists based in the community or community pharmacies are able to identify, resolve and prevent MRPs; however, the lack of a formal partnership with physicians and poor access to patients' medical records are limitations. In Australia, delivery of pharmacist services within general practice clinics is rare.ObjectivesTo evaluate the effectiveness of consultations by pharmacists based within primary care medical practices.MethodsA prospective, before-after intervention study was conducted at two primary health care (general practice) clinics in Melbourne, Australia. Participants were clinic patients who had risk-factors for MRPs (e.g. polypharmacy). Patients received a consultation with the pharmacist in a private consulting room at the clinic or in their home. The pharmacist reviewed the patient's medication regimen and adherence, with full access to their medical record, provided patient education, and produced a report for the general practitioner. The primary outcome was the number of MRPs identified by the pharmacist, and the number that remained unresolved 6 months after the pharmacist consultation. Secondary outcomes included medication adherence, health service use, and patient satisfaction.ResultsEighty-two patients were recruited and 62 (75.6%) completed the study. The median number of MRPs per patient identified by the practice pharmacist was 2 (interquartile range [IQR] 1, 4). Six months after review, this fell to 0 (IQR 0, 1), P < 0.001. The proportion of patients who were adherent to their medications improved significantly, according to both the Morisky (44.1% versus 62.7%, P = 0.023) and the Tool for Adherence Behaviour Screening (TABS) (35.6% versus 57.6%, P = 0.019) scales. There was no significant effect on health service use. Patients were highly satisfied with the pharmacist consultations.ConclusionsConsultations undertaken by pharmacists located within primary health care clinics were effective in identifying and resolving MRPs. The consultations were well received by patients and were associated with improvements in medication adherence.     

《临床用药须知》在临床药学中的作用

通过对《临床用药须知》内涵的解读,联系临床药学的职责,探索如何在临床药学服务中更好地发挥《临床用药须知》的专业指导作用.     

加强医院药事管理迎接时代挑战

目的：探讨医院药事管理方法,总结药事管理工作经验,提高医院药事管理的工作水平。方法：回顾我院开展药事管理工作的具体措施,并结合相关文献总结工作经验。结果：我院药事管理组织体系及规章制度逐步完善,提高了医院药事管理工作的水平。结论：医院药事管理面对新的形势,加强其管理水平才能迎接时代挑战。