美国最佳医院药剂科网页简介.ppt

1、美国三家最佳医院药剂科网页内容简读,The Best Hospitals for 2009 2009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,The Best Hospitals for 2009 2009美国最佳医院排名,11. Duke University Me

3、dical 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 范德比尔特大学医疗中心 1

4、7. 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,No. 1 约翰霍普金斯医院 Johns Hopkins Hospital /the_johns_hopkins_hospital/,Urology 泌尿科 Ear, nose, throat 耳，鼻，喉 Rheumatology 风

5、湿,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 mission of Johns Hopkins Medicin

6、e, places a priority on teaching, research and patient care.,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 monitoring drug interaction monitoring patient care rounding medication teaching therapeutic drug monitoring drug order review drug information support a focus

7、on an integrated, unit-based model for care delivery.,临床分发支持系统Clinical and distributive support,Dispensing medications daily for an average inpatient population of 700 patients with additional services provided in the outpatient setting. Clinical and distributive support is currently provided by: BD

8、M 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-care Hardware/Operating System:

9、Hardware-independent software using DOS, Network and UNIX applications platforms,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 Clinics the Johns Hopkins Oncology Center Re

10、search is supported through all these divisions, as well as the Aids Clinical Trial Group, and the Departments Investigational Drug Services.,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 Baltimore area gather to formally present clinicall

11、y 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 and to treat and prevent disease. Pharmacothera

12、py Rounds are held Wednesday from Noon to 1:00 PM. The audience will consist of pharmacy residents, pharmacy practitioners, pharmacy students and invited guests.,NICE-SUGAR,Normoglycemia in Intensive Care EvaluationSurvival Using Glucose Algorithm Regulation的缩写 临床试验，以强化血糖控制，降低死亡率 .,诊疗所 Dispensary (或

13、clinic) 内科部主任 Director of the Medical Department 外科部主任 Director of the Surgical Department 护理部主任 Director of the Nursing Department 主治医师 Attending Doctor (Visiting Doctor) (内科) Attending Physician (外科) Attending Surgeon 住院医师 Resident 助理住院医师 Assistant Resident 实习医师 Intern 临床见习（Clinical rotation） 研究员

14、Reseacher; Investigator 技术士 Technician 药师 Pharmacist 护士 Nurse 医师 Physician (或Medical Doctor),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

15、 Registration 急诊室 Emergency Room 住院室 Admitting Department 病历室 Medical Record Department 药库 Stock Room; Store Room 药箱 First Aid Kit 服务台 Information Desk,医学大会(世界性) Medical Congress 医学研讨会 Medical Work Shop 医学大会 Medical Convention 会议(一般者) Conference; Meeting 专题讨论会 Symposium 联合大会(与他科或其他医院) Combined Confe

16、rence 旅行学习 Tour Study (去远方) 研讨会,观摩会(小型) Seminar 晨间查房 Morning Rounds 晚间查房 Evening Rounds 读书会 Journal Club 临床病理讨论会 Clinical Pathology Conference(C.P.C.),Meetings,Monthly Departmental Continuing Education Programs (ACPE approved) Resident Journal Club: Tuesdays, alternately 12:00-1:00 pm and 2:00-3:00

17、pm Resident Pharmacotherapy Rounds: Wednesdays 12:00-1:00 pm Point of Care Pharmacists (PCP) Group Meetings Drug Use Surveillance Team (D.U.S.T.) Medicine Grand Rounds/Pharmacy Grand Rounds,Pharmacy interns,Pharmacy interns, working with a preceptor 导师, will develop and complete independent projects

18、 during the summer experience. The topic 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

19、 completion.,Examples of projects of Interns,Establishment 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-form

20、ulary policy) Automation (“Robot” Cart fill, First Dose, 2-DOSE analysis) Scheduling and Staffing (Managerial skill, Staffing responsibilities, Protocol/Policy, Staff Utilization) Budget/Purchasing (Departmental Budget, Budget Requests, Stock supply),No.10 Brigham and Womens Hospital布莱根妇女医院 http:/ww

21、/,Obstetrics and Gynecology 妇产科 （No.1, by specialty) Kidney disorders 肾脏疾病,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 recogn

22、ized leader in delivering cutting edge pharmaceutical services including: pharmacy operations, staff development, patient education, clinical services, research, and technology innovation.,Pharmacy Code of Ethics,Our pharmacy staff promotes the well being of every patient in a caring, compassionate,

23、 and confidential manner - 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 evide

24、nce based, rational, cost-effective 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.,Inpa

25、tient Pharmacy 病区药房,Staff 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 dur

26、ing day and evening hours. Unit-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,

27、 cardiology, and high-risk antepartum).,Outpatient Pharmacy Services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

28、 who have their prescriptions 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 P

29、harmacy among its other quality indicators, since wait time is highly correlated with the patient satisfaction.,No. 2 梅奥医学中心 Mayo Clinic/,Diabetes and endocrine disorders 糖尿病和内分泌失调 Digestive disorders 消化系统疾病（胃肠） Neurology and neurosurgery 神经 Orthopaedics 骨科,Pharmacy,To provid

30、e 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 participates 参与in investigational drug studies established by Mayo Clinic physicians and is a convenient reference source for physicians.,M