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Objective To summarize the project and fund of Pharmacy Administration from the NSFC during 2010 to 2021 and to provide references for the funding application. Methods The data and relevant documents which related to the projects status of Pharmacy Administration on the website of NSFC were collected and analyzed by Excel. Results There were more paths which were suitable to the Pharmacy Administration in NSFC. The direction and measure were expanded. There were more interdisciplinary researchers involved in Pharmacy Administration projects, while the funded organizations and regional distribution were concentrated. Conclusion The funding situation, research hotspots and basic information of applicants in recent years were summarized through statistical data of NSFC from 2010 to 2021, which suggest that the advantage, regional characteristics, cross-discipline and the policies should be concerned by the applicants .
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High-risk drugs have strong efficacy and can cause remarkable patient harm or drug dependence, leading to serious consequences, when they are used in error. Management and use of high-risk drugs is an important part of clinical drug safety management. Western medicine pharmacy is the core department and an important link of drug management and use. We reviewed the literature on the management and use of clinical high-risk drugs at home and abroad, investigated the current main problems and influential factors, analyzed the main intervention measures on the management and use of high-risk drugs, so as to increase physician's and pharmacy's attention to high-risk drugs, standardize scientific use, and avoid medical accidents due to improper management and use of high-risk drugs. All of these will help us to put forward corresponding management strategies and further standardize the management and use of high-risk drugs.
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Objective To explore the main causes of the overuse of proton pump inhibitor (PPIs) in domestic hospitalized patients. Methods The electronic medical records of patients in 20 general hospitals from January 1, 2015 to March 31, 2018 were analyzed. The distribution of indications of PPIs, the distribution of different uses of PPIs, the most often diseases of patients using the off-label medications, surgeries and combined medication, etc. were analyzed. Results The number one indication of PPIs was the prevention of NSAIDs-related ulcer, which accounted for 40.9% of the patients and 34.2% of them was off-label users. Among the off-label patients, lansoprazole was the most highly used, which accounted for 48.1%. The most often diseases, surgeries and combined medications of the patients using PPIs were the diseases of esophagus, stomach and duodenum, gallbladder and biliary surgery and mineral supplement. Conclusion The prevention of drug-induced ulcers and the off-label use is the main reasons for the huge amount of PPIs usage. The application of lansoprazole is not standardized; The main causes of the off-label PPIs usage are gastrointestinal discomfort, fasting, surgery and glucocorticoids.
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The hospital introduced a multi-department synergy in management of the rational use of carbapenems. Specifically,the medical affairs department conducts training and appraisal of doctors along with a monthly checkup of medical records. The pharmaceutical affairs division conducts prior prescriptions checkup and follow-up comment. The clinical microbiology laboratory and the hospital-acquired infection management department monitors and releases such infection and bacterial resistance information of the whole hospital in real time. The results showed increased prescriptions of imipenem and cilastatin sodium, and decreased prescriptions of biapenem for injection. Drug resistance analysis showed that carbapenem resistant strains increased by 28%,but the total number of patients reduced by 10% and total number of patients with multidrug resistance remained unchanged. It is proposed to further antimicrobial stewardship in the hospital to achieve rational drug use and curb bacterial resistance.
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Pain management is the monitoring of chronic pain patients under long-term treatment with controlled analgesic drugs via random or regular lab tests. Plenty of clinical data showed that pain management could not only improve the patient′s compliance to prescribed drugs and result in better outcome,but also greatly reduce the possibility of controlled analgesic drugs into the underground market illegally. Drugs that are usually internationally recommended in pain management include opiates, opioids, sedative drugs, stimulant, hallucinogens etc. Considering drug metabolism rates difference among individuals and ease of sampling,random urine is usually the first choice of specimen for drug testing in pain management. In terms of methodology,LC-MS/MS has become a"gold standard"approach due to its high sensitivity,high specificity and wide usability.
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Objective To provide the supporting evidence for the separation policy between medicine and pharmacy by investigating the effect of the policy on pharmacy administration in four three grade hospitals.Methods The drug supply chain management was researched in 4 pilot hospitals.Specifically, the difference between Shanghai Sixth People′s Hospital and the Sixth People′s Hospital East Campus was compared.Changes of rational drug use index before and after the separation policy were documented for the Sixth People′s Hospital East Campus.Results ① 4 pilot hospitals with professional management of hospital drug supply chain achieved savings in staff, equipment and drug inventory.② The Sixth People′s Hospital East Campus has higher out of stock rate than Shanghai Sixth People′s Hospital.③ The rational drug use indicators were ameliorated after implementation of the separation policy in the Sixth People′s hospital East Campus.Conclusions The separation policy between medicine and pharmacy not only reduces hospital cost, but also improves hospital pharmacy management.
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Objective To introduce the teaching practice and experience of Pharmacy Administration in new era using a variety of teaching methods .Methods To review the characteristics and difficulties in teaching Pharmacy Administration ,as well as some practices and experiences with multiple teaching methods .Results The multiple teaching methods ignite student′s desire for learning and improve the quality of teaching .Conclusion Utilization of multiple teaching methods in Pharmacy Ad-ministration has achieved good results .These methods can be used as an effective way to optimize the teaching model .
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Objective To know the usage of Chinese patent medicine of western medicine doctors in general hospitals. Methods By means of informal discussion with experts, present situation was known; By means of screening questions in questionnaire, nationwide investigation was conducted by this questionnaire about Chinese patent medicine and the results were examined by statistical analysis. Results That the abuse of Chinese patent medicine by western medical doctors was quite common. The overall quality of their prescriptions was not good. Most of the doctors have never received specialized continuing education of traditional Chinese medicine, only having preliminary knowledge or nothing on syndrome differentiation and treatment of traditional Chinese medicine. Conclusion The management department should take following measures: further enhance continuing education of TCM;formulate related policies;improve present situation.
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Objective:To explore the feasibility of pharmacy trusteeship in Shanghai medical institutions to provide useful informa-tion for the reform of medicine without added profit and pharmacy transition to clinical pharmacy. Methods: On-site investigation of seven hospitals and one famous drug retail company in Shanghai was performed combined with the communication with relative person-nel and non-random sampling questionnaire survey on the staff of pharmacy. Statwing software was used in the statistical analysis of the data. Results: A total of 93 valid questionnaires in the study were taken back. Although one hospital has achieved great progress in pharmacy trusteeship, most of respondents had negative attitudes and the common thought was that pharmacy trusteeship did more harm than good to the development of clinical pharmacy at present. Conclusion: As a consequence of drug zero interest policy and clinical pharmacy development, pharmacy trusteeship should be explored and attempted. The duties and responsibilities of all parts in pharma-cy trusteeship should be definite in law in order to standardize drug retail market and protect the interests of patient.
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This article discussed characteristics of current off-label drug use in China and other countries,and analyzed the current administration and future development,making valuable reference for off-label drug use.
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Objective To reform practice in the pharmacy administration courses for cultivating student′s comprehensive qual-ity.Method Reform practice was tried in the aspects of teaching methods , teaching contents , teaching means and evaluations based on theoretical teaching in the pharmacy administration courses .Results A teaching system was formed to enhance pharmacy under-graduate′s comprehensive abilities , including self-learning ability , language skills , communication and social skills , information pro-cessing skills , solving problem skills and ability to cooperate with others .Conclusion It is a workable and valuable teaching system which should be improved and innovated and kept up with the times in future .
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Case study approach is an important teaching method, which can improve the study interest of students if properly usd. It can train students' creative and comprehensive ability and increase the interaction between teachers and students. It can also enhance the leave of teaching and effects of class. The practicing of the application of case study approach on teaching of pharmacy administration is summarized to explorethe teaching reformation.
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OBJECTIVE:To provide reference and suggestion for the implementation of patient safety goal and safety improvement of drug use in primary health care institutions.METHODS:With the concrete practice of pharmacy and work experience,problems about safety of drug use in outpatient and inpatient department of primary hospital were investigated to put forward countermeasures.RESULTS & CONCLUSION:At present irrational use of drug appeared in medical institutions in China generally.The drug use of patients suffered from threatens.It is expected that safety of drug use is confirmed by formulating policies and performing their function of Pharmacy Administration Committee and perfecting training system of licensed pharmacist.
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OBJECTIVE: To provide suggestion for the construction of teaching staff and the improvement of the discipline of Pharmacy Administration(Ph.A).METHODS: The basic information was collected by searching official website and the websites of universities and colleges etc,and a questionnaire survey was conducted among pharmacy univeristies or colleges by means of telephone interview or on-the-spot interview etc.RESULTS: A total of 108 pharmacy univeristies or colleges sent back the effective questionnaires.There were a total of 276 Ph.A teachers,including 142 male and 134 female;145 were full-time Ph.A and 131 were part-time teachers.There were only part-time teachers in 63 universities / colleges,of whom,91 were from other teaching or research department of the discipline of pharmacy,24 from party or government administration of school,9 from hospitals,4 from pharmaceutical manufacturing enterprises,and 3 from drug administration department.CONCLUSION: The resources of Ph.A teachers are various,and the access qualification is quite low.It isadvisable to strengthen the building of Ph.A faculty and improve the whole level of Ph.A teachers.
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This thesis introduced the situation of the pharmacy administration undergraduate course construction of Shenyang Pharmaceutical University. From the background of setting up of the pharmacy administration program,and in combination with the characteristics of the program,this thesis suggested that five principles should be followed to the course system construction,and expounded the concrete conditions of the curriculum setup and the next step assumption.
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OBJECTIVE:To provide suggestions for the improvement of curriculum system of Pharmacy Administration(Ph.A).METHODS:The basic information was collected by searching official website and the websites of universities and colleges,and the detailed data were collected through questionnaire survey.RESULTS:In the 111 universities and colleges investigated,a total of 51 curriculums(or 399 courses) related to Ph.A were set up.The main curriculums are pharmacy administration(210 courses),pharmaceutical marketing(61 courses),pharmacy laws and regulations(26 courses).In different universities and colleges,the credit hours,semester and property of Ph.A curriculums are different.CONCLUSIONS:The system of Ph.A curriculums has become more and more comprehensive,and the setup of each course suits the need of social needs.But the setup of curriculums of Ph.A in each university or college was far from systematical,and its structure remained to be optimized,and the structure of the teaching materials of Ph.A should be strengthened.
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OBJECTIVE:To seek an effective starting point for the improvement of pharmacy administration efficiency(PAE)in China.METHODS:Level of PAE in China,the existing problems and their root causes were analyzed using a systematic methodology.RESULTS&CONCLUSIONS:Level of PAE in China is far from perfect,which may be attributed to the narrowly defined boundary of pharmacy administrating system,the lack of systematic understanding and command of relevant factors and the unscientific,non-integrated objective of pharmacy administration.It is advisable to enlarge system boundary,adjust the objective of pharmacy administration,and adopt a systematic point of view and methodology in the practice of pharmacy administration.