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An iconoclastic perspective on progress in pharmacy practice

P G Pierpaoli

    American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
    |August 15, 1995
    PubMed
    Summary
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    Pharmacy practice progress has stalled, particularly in hospitals, highlighting a need for improved medication management. Embracing pharmaceutical care can enhance patient outcomes and elevate the pharmacy profession.

    Area of Science:

    • Pharmacy Practice and Health Systems
    • Medication Management and Patient Safety

    Background:

    • Pharmacy practice progress from 1974-1985 has not been sustained, with hospital practices falling below recommended standards.
    • A significant number of medication misadventures indicate a critical need for enhanced medication management systems.

    Discussion:

    • The transition to universal pharmaceutical care is challenged by current practice limitations, especially in acute care settings.
    • A perceived ancillary role for pharmacists and insufficient development of innovative practitioners hinder professional advancement.
    • Effective medication management is essential for improving patient outcomes and addressing medication misadventures.

    Key Insights:

    • Elevating pharmacy practice requires practitioner will and a focus on innovation, not just technical skills.

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  • Collaboration between pharmacy practice, education, and professional organizations is vital for adapting to healthcare system changes.
  • Restructuring and economic pressures in healthcare may create opportunities for pharmacists to demonstrate value through improved drug use and cost reduction.

    • Outlook:

    • Pharmaceutical care offers a pathway to better patient outcomes and professional recognition for pharmacists.
    • Future progress depends on cooperative efforts to prepare pharmacists for evolving healthcare demands and to advocate for the profession's role.
    • Addressing fragmented interests among professional organizations is crucial for collective advancement and pharmacist survival in a changing landscape.