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Pharmaceutical care: new management and leadership imperatives. 药学服务:新的管理和领导的必要性。
Topics in hospital pharmacy management Pub Date : 1992-10-01
P G Pierpaoli, J M Hethcox
{"title":"Pharmaceutical care: new management and leadership imperatives.","authors":"P G Pierpaoli,&nbsp;J M Hethcox","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The management imperatives for pharmaceutical care concern themselves with complexity, while leadership imperatives are concerned with effecting change. Both \"species\" of action are needed to support the paradigm shift associated with pharmaceutical care. Pharmacy managers must be the architects and engineers of the new dimensions of complexity associated with pharmaceutical care while also serving as zealots of change for pharmaceutical care within their departments and hospitals. In the final analysis, departments of pharmacy do not practice pharmaceutical care. They are, however, the borne fruit of pharmacy managers and leaders who provide for an appropriate environment inclusive of resources and systems necessary for individual pharmacists to make the commitment to making pharmaceutical care a reality.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 3","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"1992-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality improvement in the use of medications through a drug use evaluation service. 通过药物使用评估服务提高药物使用质量。
Topics in hospital pharmacy management Pub Date : 1992-10-01
J G Stevenson, C M Bakst, F K Zaran, M J Rybak, R T Smolarek, M R Alexander
{"title":"Quality improvement in the use of medications through a drug use evaluation service.","authors":"J G Stevenson,&nbsp;C M Bakst,&nbsp;F K Zaran,&nbsp;M J Rybak,&nbsp;R T Smolarek,&nbsp;M R Alexander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Continuous quality improvement methods have the potential to improve processes that cross several disciplines. The medication system is one in which coordination of activities between physicians, pharmacists, and nurses is essential for optimal therapy to occur. DUE services can play an important role in helping to ensure that patients receive high-quality pharmaceutical care. It is necessary for pharmacy managers to review the structure, goals, and outcomes of their DUE programs to ensure that they are consistent with a philosophy of continuous improvement in the quality of drug therapy.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 3","pages":"47-56"},"PeriodicalIF":0.0,"publicationDate":"1992-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reorganizing to provide pharmaceutical care. 重组以提供药学服务。
Topics in hospital pharmacy management Pub Date : 1992-10-01
A C Poremba, H D Jones, P M Demers, S F Ives
{"title":"Reorganizing to provide pharmaceutical care.","authors":"A C Poremba,&nbsp;H D Jones,&nbsp;P M Demers,&nbsp;S F Ives","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We feel the reorganization has enabled us to position the department and, more importantly, the individual practitioner to achieve a practice model that approaches the pharmaceutical care paradigm. As a result of the reorganization, our department is now structured around patient care and has in place teams of pharmacists, technicians, and managers who have the potential to be proactive and collaborative with other health care professionals to improve the drug therapy outcomes of our patients.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 3","pages":"57-72"},"PeriodicalIF":0.0,"publicationDate":"1992-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolving to provide pharmaceutical care without additional resources in a university hospital. 发展到在大学医院不需要额外资源的情况下提供药学服务。
Topics in hospital pharmacy management Pub Date : 1992-10-01
P W Abramowitz, C E Daniels, S M Somani, T W Woller, P K Borchardt-Phelps, J L Stuart, G F Herrmann, R M Giese, A W Roberts
{"title":"Evolving to provide pharmaceutical care without additional resources in a university hospital.","authors":"P W Abramowitz,&nbsp;C E Daniels,&nbsp;S M Somani,&nbsp;T W Woller,&nbsp;P K Borchardt-Phelps,&nbsp;J L Stuart,&nbsp;G F Herrmann,&nbsp;R M Giese,&nbsp;A W Roberts","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Our department is committed to a process of continuous quality improvement focusing on delivering the best possible pharmaceutical care services. Three committees, each with representation from pharmacists and pharmacy technicians from all areas of the department, were convened in 1991 to 1992 to further identify areas for service enhancement and to plan for the future. Based on the recommendations of these committees, further expansion in ambulatory services is a priority. Other changes will include further automation of the drug-distribution system, examination of the role of the pharmacy technician, development of an automated patient-care system with direct physician order entry, computerized documentation of clinical interventions, and reaffirmation of the role of the pharmacist as the professional responsible for proper use of medications at UMHC.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 3","pages":"28-46"},"PeriodicalIF":0.0,"publicationDate":"1992-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacy-coordinated, multidisciplinary adverse drug reaction program. 药物协调，多学科药物不良反应计划。
Topics in hospital pharmacy management Pub Date : 1992-07-01
K M Swanson, J P Landry, R P Anderson
{"title":"Pharmacy-coordinated, multidisciplinary adverse drug reaction program.","authors":"K M Swanson,&nbsp;J P Landry,&nbsp;R P Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To date, the stated program objectives have been met. There is a heightened awareness of ADRs, and the program has had a positive impact on patient care. More work is needed in the prevention of ADRs as opposed to their tabulation. Future educational efforts will focus on how reporting suspected ADRs can positively impact patient care.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"49-59"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An evaluation of interventions designed to stimulate physician reporting of adverse drug events. 旨在刺激医生报告药物不良事件的干预措施的评估。
Topics in hospital pharmacy management Pub Date : 1992-07-01
J P Juergens, S L Szeinbach, M J Janssen, T R Brown, D D Garner
{"title":"An evaluation of interventions designed to stimulate physician reporting of adverse drug events.","authors":"J P Juergens,&nbsp;S L Szeinbach,&nbsp;M J Janssen,&nbsp;T R Brown,&nbsp;D D Garner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A frequent complaint among health care professionals about ADE reporting programs is that they never know what happens to the information they took the time and effort to report. In the Mississippi ADE program, physicians appreciated the feedback they were provided--in letter form--indicating the ultimate disposition of the reported information. Also, a regular newsletter summarizing the number and types of reports and the drugs involved was well received. This vehicle was also used to educate physicians about new drugs on the market that warranted closer scrutiny. Reminder posters placed at strategic points around the hospital and periodic inservices on the program are effective in maintaining a level of awareness about the importance of ADE monitoring and its impact on the quality of care.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"12-8"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A successful community hospital program for monitoring adverse drug reactions. 一个成功的监测药物不良反应的社区医院项目。
Topics in hospital pharmacy management Pub Date : 1992-07-01
D R Saine
{"title":"A successful community hospital program for monitoring adverse drug reactions.","authors":"D R Saine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>All health care professionals are responsible for reporting ADRs. The physician records these events in the patient's medical record. In the monitoring program at Meriter Hospital, pharmacy responsibilities include review and assessment of all reported ADRs. When appropriate, the ADR is reported to the FDA. The pharmacy department maintains ADR statistics, reports quarterly to the P&T committee, and disseminates information to appropriate hospital committees and departments. The P&T committee supports the ADR monitoring program and policy. This committee reviews all ADRs and recommends action plans. The ADR monitoring program has successfully increased the number of ADRs reported, and actions resulting from ADR reports have had a positive impact on patient care.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"19-30"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21000830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A continuous quality improvement team approach to adverse drug reaction reporting. 持续的质量改进团队方法来报告药物不良反应。
Topics in hospital pharmacy management Pub Date : 1992-07-01
P Flowers, S Dzierba, O Baker
{"title":"A continuous quality improvement team approach to adverse drug reaction reporting.","authors":"P Flowers,&nbsp;S Dzierba,&nbsp;O Baker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Crossfunctional teams can generate more new ideas, concepts, and possible solutions than does a department-based process alone. Working collaboratively can increase knowledge of teams using CQI approaches and appropriate tools. CQI produces growth and development at multiple levels resulting from involvement in the process of incremental improvement.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"60-7"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A pharmacy-coordinated, multidisciplinary approach for successful implementation of an adverse drug reaction reporting program. 一种成功实施药物不良反应报告程序的药房协调、多学科方法。
Topics in hospital pharmacy management Pub Date : 1992-07-01
S R Guharoy
{"title":"A pharmacy-coordinated, multidisciplinary approach for successful implementation of an adverse drug reaction reporting program.","authors":"S R Guharoy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leadership orientations of hospital pharmacy directors. 医院药房主任的领导取向。
Topics in hospital pharmacy management Pub Date : 1992-07-01
T Reutzel, M Wright, M Ryan
{"title":"Leadership orientations of hospital pharmacy directors.","authors":"T Reutzel,&nbsp;M Wright,&nbsp;M Ryan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This research is intended to improve understanding of the leadership orientations of hospital pharmacy directors. The results of the study suggest that these pharmacy directors have not assumed leadership roles within the network of social relationships in the organization. One explanation is that descriptive theories are of little relevance to current practice. Another explanation is that these pharmacy directors are not prepared to value and to be competent at leadership roles. In the absence of measures of effectiveness, these results are difficult to evaluate in terms of the need to cultivate leadership skills in pharmacy directors. Nevertheless, cultivating such skills may be desirable because the pharmacy directors participating in this study perceive that they are less prepared to engage in relationships with people external to the pharmacy department than with members of the department. Enhanced competence would create the potential for higher perceived value and may yield shifts in actual behavior.</p>","PeriodicalId":79758,"journal":{"name":"Topics in hospital pharmacy management","volume":"12 2","pages":"82-90"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20999056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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