2024年更新的关于医院药房未来的巴塞尔声明。

Michael Stepanovic, Racha Dabliz, Robert J Moss, Rebekah Moles, Regis Vaillancourt, Jonathan Penm, Stephen F Eckel
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摘要

目的:国际制药联合会(FIP)医院药剂科修订了《关于医院药学未来的巴塞尔声明》,以确保它们反映医院药学实践中的当代挑战、进步和趋势。该过程涉及全球药房领导者,确保更新的声明在不同的医疗保健系统中具有相关性。方法:采用多阶段、证据驱动的修订过程,从之前描述的差距分析、文档映射和成员调查开始。本文包含声明更新进程的最后阶段,其中包括第81届国际药联世界大会的一个讲习班,来自世界卫生组织(世卫组织)所有区域的92名药学负责人参加了该讲习班。参与者参与独立审查、小组讨论和修改后的德尔菲过程,以评估对修订的共识。德尔菲研究的先验共识阈值为80%。结果:研讨会参与者平均17.7(标准差11.4)年的药剂师经验,对全面修订做出了贡献,包括2个新的巴塞尔声明和2个现有声明的合并。德尔菲投票对所有修订后的《巴塞尔声明》达成了共识,100%的修订达到了80%的门槛。主要更新集中在药物安全领导、劳动力保护和技术整合方面。这些修订涉及药房实践中不断变化的挑战,包括安全教训、管理团队的兴起、信息学的进步以及2019年冠状病毒病的影响。结论:修订后的巴塞尔声明为医院药学实践提供了一个更新的框架。今后的更新应遵循类似的方法,重点放在整合反馈意见和制定实用指南,以改进《巴塞尔声明》的实施和利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The 2024 updated Basel Statements on the future of hospital pharmacy.

Purpose: The Hospital Pharmacy Section of the International Pharmaceutical Federation (FIP) revised the Basel Statements on the Future of Hospital Pharmacy to ensure they reflect contemporary challenges, advancements, and trends in hospital pharmacy practice. The process involved global pharmacy leaders, ensuring the updated statements are relevant across diverse healthcare systems.

Methods: A multiphase, evidence-driven revision process was employed, beginning with a gap analysis, document mapping, and membership survey that has been previously described. This article contains the final phase the statement update process, which included a workshop at the 81st FIP World Congress in which 92 pharmacy leaders from all World Health Organization (WHO) regions participated. Participants engaged in independent review, group discussions, and a modified Delphi process to assess consensus on the revisions. An a priori consensus threshold of 80% was set for the Delphi study.

Results: Workshop participants, with a mean of 17.7 (SD, 11.4) years of pharmacist experience, contributed to comprehensive revisions, including 2 new Basel Statements and the consolidation of 2 existing statements. The Delphi voting achieved consensus on all revised Basel Statements, with 100% of revisions meeting the 80% threshold. Major updates focused on medication safety leadership, workforce protection, and the integration of technology. The revisions address evolving challenges in pharmacy practice, including safety lessons, the rise of stewardship teams, advancements in informatics, and the impacts of coronavirus disease 2019.

Conclusion: The revised Basel Statements provide an updated framework for hospital pharmacy practice. Future updates should follow similar methodology, focusing on integrating feedback and developing practical guides to improve implementation and utilization of the Basel Statements.

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