1、美国最佳医院药剂科美国最佳医院药剂科简介简介The Best Hospitals for 2009 2009美国最佳医院排名美国最佳医院排名1.Johns Hopkins Hospital 约翰霍普金斯医院2.Mayo Clinic 梅奥医学中心3.Ronald Reagan UCLA Medical Center 里根医疗中心4.Cleveland Clinic 克里夫兰医疗中心5.Massachusetts General 麻省总医院6.New York-Presbyterian University Hospital of Columbia and Cornell 哥伦比亚康奈尔大学纽约
2、长老会医院7.University of California-San Francisco Medical Center 加州大学旧金山医学中心 8.Hospital of the University of Pennsylvania 宾夕法尼亚大学医院 9.Barnes-Jewish Hospital/Washington University 巴恩斯-犹太人医院/华盛顿大学 10.Brigham and Womens Hospital 布莱根妇女医院 2美国最佳医院药剂科简介The Best Hospitals for 2009 2009美国最佳医院排名美国最佳医院排名11.Duke Un
3、iversity Medical Center 杜克大学医疗中心 12.University of Washington Medical Center 华盛顿大学医疗中心 13.UPMC-University of Pittsburgh Medical Center 匹兹堡大学医疗中心14.University of Michigan Hospitals and Health Centers 密西根大学医院和健康中心 15.Stanford Hospital and Clinics 斯坦福大学医院 16.Vanderbilt University Medical Center 范德比尔特大学医
4、疗中心 17.New York University Medical Center 纽约大学医疗中心18.Yale-New Haven Hospital 耶鲁大学纽黑文医院 19.Mount Sinai Medical Center 西奈山医疗中心 20.Methodist Hospital 卫理公会医院 3美国最佳医院药剂科简介No.1 约翰霍普金斯医院约翰霍普金斯医院 Johns Hopkins Hospital http:/www.hopkinsmedicine.org/the_johns_hopkins_hospital/Urology 泌尿科泌尿科 Ear,nose,throat 耳
5、，鼻，喉耳，鼻，喉 Rheumatology 风湿风湿 4美国最佳医院药剂科简介药剂科 Department of Pharmacy 使命:药学监护(教学、研究）The Department of Pharmacys mission is to provide high quality pharmaceutical care to our patients in an atmosphere of educational growth,shared respect,and communication.The Department of Pharmacy,consistent with the m
6、ission of Johns Hopkins Medicine,places a priority on teaching,research and patient care.5美国最佳医院药剂科简介临床服务 Clinical services 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renal drug monitoringdrug interaction monitoringpatient care roundingmedication teachingtherapeutic drug monitoringdrug order review
7、drug information support a focus on an integrated,unit-based model for care delivery.6美国最佳医院药剂科简介临床分发支持系统Clinical and distributive supportDispensing medications daily for an average inpatient population of 700 patients with additional services provided in the outpatient setting.Clinical and distribu
8、tive support is currently provided by:BDM Pharmacy System,Pyxis MedStations,Micromedex and Ultimedex,and McKessons AHI Robot.BDM Hospital Pharmacy System,BDM Outpatient Pharmacy System,BDM HMO Pharmacy System Primary Application:Pharmacy for hospitals,out-patient clinics and HMOs plus other patient-
9、care Hardware/Operating System:Hardware-independent software using DOS,Network and UNIX applications platforms 7美国最佳医院药剂科简介Service is provided to the Wilmer Eye Institute Greenspring Station Oncology the Childrens Medical and Surgical Center Adult Medicine and Surgery the Johns Hopkins Outpatient Cl
10、inics the Johns Hopkins Oncology Center Research is supported through all these divisions,as well as the Aids Clinical Trial Group,and the Departments Investigational Drug Services.8美国最佳医院药剂科简介药物治疗轮讲Pharmacotherapy Rounds Pharmacotherapy Rounds is a forum（论坛、专题讲座）in which pharmacy residents in the B
11、altimore area gather to formally present clinically relevant topics.Participants will learn to evaluate the scientific literature（文献）and discuss its applicability to clinical practice（临床应用）.The goal of Pharmacotherapy Rounds is to enhance the participants knowledge regarding the use of drug therapy
12、and to treat and prevent disease.Pharmacotherapy Rounds are held Wednesday from Noon to 1:00 PM.The audience will consist of pharmacy residents,pharmacy practitioners,pharmacy students and invited guests.9美国最佳医院药剂科简介Presentation Date Presenter TopicDue Date for TopicDue Date for PaperworkLocation7/1
13、5/2009Steven GilmoreKRAS Mutation and EGFR Antibodies:Opening a New Era of5/15/20096/12/2009Hurd Hall7/22/2009Patrick McMahonBedside Barcode Medication Administration5/22/20096/18/2009Tilghman7/29/2009Valerie ShafirAnticoagulation in Atrial Fibrillation5/29/20096/15/2009Tilghman8/5/2009Elizabeth Fan
14、gCPOE:Computerized Provider Order Errors?6/13/20096/29/2009Tilghman8/12/2009Jeanmarie SaloniaStress Ulcer Prophlaxis:A Look into the Past,Present and Future6/13/20097/5/2009Hurd Hall8/19/2009Jordan HinkleHigh Performance Pharmacy:A Gap Analysis6/27/20097/12/2009Tilghman8/26/2009Jesica MangunGlucose
15、Management in Critically Ill Adult Patients:Implications of the NICE SUGAR Study7/3/20097/16/2009Tilghman9/2/2009Isha ShahMaking Medication Use More Intelligent:SMART Pumps7/6/20097/19/2009Tilghman10美国最佳医院药剂科简介NICE-SUGAR Normoglycemia in Intensive Care EvaluationSurvival Using Glucose Algorithm Regu
16、lation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 Out Patient Department(OPD)约诊 Appointment 出诊 House Call 值急诊 On Call 产房 Delivery Room手术室Operating Room 或 Surgery 加护病房 Intensive Care Unit(I.C.U.)护士站(护士办公室)Nursing Station 药房 Pharmacy;Dispensary 挂号室 Registration 急诊室 Emergency Room住院室 Admitting Department病历
17、室 Medical Record Department 药库 Stock Room;Store Room 药箱 First Aid Kit 服务台 Information Desk 13美国最佳医院药剂科简介l医学大会(世界性)Medical Congress l医学研讨会 Medical Work Shopl医学大会 Medical Convention l会议(一般者)Conference;Meeting l专题讨论会 Symposium l联合大会(与他科或其他医院)Combined Conferencel旅行学习 Tour Study(去远方)l研讨会,观摩会(小型)Seminar l
18、晨间查房 Morning Rounds 晚间查房 Evening Rounds l读书会 Journal Clubl临床病理讨论会 Clinical Pathology Conference(C.P.C.)14美国最佳医院药剂科简介MeetingsMonthly Departmental Continuing Education Programs(ACPE approved)Resident Journal Club:Tuesdays,alternately 12:00-1:00 pm and 2:00-3:00 pmResident Pharmacotherapy Rounds:Wednes
19、days 12:00-1:00 pmPoint of Care Pharmacists(PCP)Group MeetingsDrug Use Surveillance Team(D.U.S.T.)Medicine Grand Rounds/Pharmacy Grand Rounds15美国最佳医院药剂科简介Pharmacy interns Pharmacy interns,working with a preceptor 导师,will develop and complete independent projects during the summer experience.The topi
20、c will be identified and agreed upon with a preceptor and results will be presented to the leadership of the Department of Pharmacy at the conclusion of the summer internship experience.Traditionally,a 2-3 page written summary of the project is submitted upon completion.16美国最佳医院药剂科简介Examples of proj
21、ects of InternsEstablishment of an independent/integrated practice model for pharmacists(Centralized vs.Decentralized,Primary Care Clinics,PCP Concept)Pharmacy and Therapeutics Committee/Formulary management(Function and Activities,Terminology,D.U.S.T.,Non-formulary policy)Automation(“Robot”Cart fil
22、l,First Dose,2-DOSE analysis)Scheduling and Staffing(Managerial skill,Staffing responsibilities,Protocol/Policy,Staff Utilization)Budget/Purchasing(Departmental Budget,Budget Requests,Stock supply)17美国最佳医院药剂科简介No.10 Brigham and Womens Hospital布莱根妇女医院布莱根妇女医院 http:/www.brighamandwomens.org/Obstetrics
23、and Gynecology 妇产科妇产科 （No.1,by specialty)Kidney disorders 肾脏疾病肾脏疾病 18美国最佳医院药剂科简介Mission Provide outstanding pharmaceutical care through excellence in clinical pharmacy services,education,research,community service,and to do the right things right.To be an internationally recognized leader in deliver
24、ing cutting edge pharmaceutical services including:pharmacy operations,staff development,patient education,clinical services,research,and technology innovation.19美国最佳医院药剂科简介Pharmacy Code of EthicsOur pharmacy staff promotes the well being of every patient in a caring,compassionate,and confidential m
25、anner-acts with honesty and integrity in professional relationships-maintains professional competence through life long learning-respects the values and abilities of colleagues and other health professionals-serves individual,community,and societal needs-promotes evidence based,rational,cost-effecti
26、ve care-endorses and promotes the principals of continual process improvement.-recognizes the importance of innovation and uses it in creative ways to solve problems.-assures full compliances with established practice standards set by JCAHO,ASHP,and BWH.20美国最佳医院药剂科简介Inpatient Pharmacy 病区药房病区药房 Staff
27、 pharmacists are deployed directly to the patient care areas based on patient demands(via medication order complexity and volume).The department maintains continuous pharmacist presence,and staffing patterns reflect the intensity of patient care,which is much brisker during day and evening hours.Uni
28、t-dose medications are utilized whenever possible to minimize the risk of medication errors.Clinical pharmacy specialists are employed as much as possible to assist in caring for patients in targeted high-risk groups(i.e.,medical intensive care,hematology/oncology,cardiology,and high-risk antepartum
29、).21美国最佳医院药剂科简介Outpatient Pharmacy Services门诊药房门诊药房 The Outpatient Pharmacy is open and staffed by licensed pharmacists during clinic hours to meet the demands of patients who wish to have their prescriptions filled or refilled around the time of their clinic visit.All patients who have their prescr
30、iptions filled at the Outpatient Pharmacy are offered counseling about their medications by a pharmacist,which is consistent with Federal regulations enacted under the Omnibus Budget Reduction Act of 1990(OBRA 90).The department monitors patient wait time in the Outpatient Pharmacy among its other q
31、uality indicators,since wait time is highly correlated with the patient satisfaction.22美国最佳医院药剂科简介No.2 梅奥医学中心梅奥医学中心 Mayo Clinichttp:/www.mayoclinic.org/Diabetes and endocrine disorders 糖尿病和糖尿病和内分泌失调内分泌失调 Digestive disorders 消化系统疾病（胃肠）消化系统疾病（胃肠）Neurology and neurosurgery 神经神经 Orthopaedics 骨科骨科 23美国最佳
32、医院药剂科简介Pharmacy To provide the greatest comfort level and knowledge to patients staff pharmacists thoroughly review the use of all prescriptions and medications审核处方.In addition,a computer database system monitors 监测all patient prescriptions for potential drug interactions.The pharmacy also participa
33、tes 参与in investigational drug studies established by Mayo Clinic physicians and is a convenient reference source for physicians.24美国最佳医院药剂科简介Mayo Clinic Specialty Pharmacy Services 药学专业（专科）服务 Mayo Clinic Specialty Pharmacy offers pharmacy services to patients with certain chronic health conditions t
34、hat require long-term therapies and provides quality,competitively priced medications and supplies,some of which may not be available at your local pharmacy.The Mayo Clinic Specialty Pharmacy program gives you access to a full range of pharmacy and support services,saving you time and effort.Mayo Cl
35、inic Specialty Pharmacy offers you personal consultation 咨询and express courier快速 service to ensure that you have safe,effective prescription drugs when and where you need them.25美国最佳医院药剂科简介Chronic Conditions ServedBleeding Disorders(Hemophilia)血友病Blood or Marrow Stem Cell Transplantation 干细胞移植Crohns Disease 局限性肠炎Growth Hormone Deficiency 生长激素缺乏Hepatitis 肝炎Immunodeficiency Disorder 免疫缺陷病Multiple Sclerosis 多发性硬化Oncology(Cancer)肿瘤Organ Transplantation 器官移植Osteoporosis 骨质疏松症Parkinsons Disease 帕金森氏症Psoriasis 牛皮癣 Rheumatoid Arthritis 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
