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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Process to upgrade a pharmaceutical care area: The case of pediatric hematology-oncology [Démarche pour la mise à niveau d'un secteur de soins pharmaceutiques: Le cas de l'hémato-oncologie pédiatrique]
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Process to upgrade a pharmaceutical care area: The case of pediatric hematology-oncology [Démarche pour la mise à niveau d'un secteur de soins pharmaceutiques: Le cas de l'hémato-oncologie pédiatrique]

机译：升级药品护理区域的过程：小儿血液肿瘤学案例[升级药品护理区域的方法：小儿血液肿瘤学案例]

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Background: Although the concept of clinical pharmacy was originally developed some time ago, in the 1960s, there is a wide variety of programs in existence, as well as great disparity between programs where the presence of a pharmacist is provided in outpatient and inpatient settings. Objective: To test a method for upgrading pharmaceutical care areas in a hospital setting. Method: This descriptive study was conducted at the Sainte-Justine university health centre, a 500-bed mother-and-child hospital. The pharmaceutical care area that was used to exemplify the upgrading method was pediatric hematology-oncology. A 3-step method was used: review of the scientific literature, creation of a profile of the targeted area, and upgrading of the practice level according to the pre- and post-upgrading profile of the pharmaceutical activities in the area. Results: A total of 108 articles were identified in a search of the PubMed database, of which 22 were retained. After a complementary manual search, a total of 36 articles were evaluated. The articles retained included 3 guidelines, 11 development studies, 1 review of scientific literature, 6 pre- and post-intervention studies, and 15 quasi-experimental studies. Although patients in the pediatric hematology-oncology area account for only 5% of admissions to this hospital, the cases are highly complex, in terms of both the codification of the care phase and the potential for pharmaceutical intervention per admission. Conclusion: There are few data to illustrate a method for upgrading practice in a pharmaceutical care area. This study tested a method for upgrading pharmaceutical care in a pediatric hematology-oncology service, with a review of the scientific literature, a profile of the area, and the pharmacists' pre- and post-upgrading job description in this area.
机译：背景：尽管临床药学的概念最初是在一段时间之前提出的，但在1960年代，存在着各种各样的程序，并且在门诊和住院环境中提供药剂师在场的程序之间存在巨大差异。目的：测试一种在医院环境中升级药物护理区域的方法。方法：该描述性研究是在Saint-Justine大学保健中心（一家拥有500张床位的母子医院）进行的。举例说明升级方法的药物护理领域是小儿血液肿瘤。使用了三步法：回顾科学文献，创建目标区域的概况，并根据该地区制药活动的升级前和升级后的实践水平进行升级。结果：在PubMed数据库的搜索中总共找到了108条文章，其中22条被保留。经过补充的手动搜索，共评估了36条文章。保留的文章包括3条指南，11项发展研究，1篇科学文献评论，6项干预前后的研究以及15项准实验研究。尽管儿科血液肿瘤学领域的患者仅占该医院入院人数的5％，但就护理阶段的编纂和每次入院的药物干预潜力而言，病例非常复杂。结论：很少有数据可以说明在医药护理领域进行实践升级的方法。这项研究测试了一种在儿科血液肿瘤科服务中升级药物治疗的方法，并回顾了科学文献，该领域的概况以及药剂师在该领域进行升级前后的工作描述。

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