Abstract：
OBJECTIVE: Results of the 2023 ASHP National Survey of Pharmacy Practice in Hospital Settings are presented.
METHODS: Pharmacy directors at 1,497 general and children\'s medical-surgical hospitals in the United States were surveyed using a mixed-mode method of contact by email and mail. Survey completion was online using Qualtrics. IQVIA supplied data on hospital characteristics; the survey sample was drawn from IQVIA\'s hospital database.
RESULTS: The response rate was 21.6%. Inpatient pharmacists independently prescribe medications in 26.7% of hospitals. Advanced analytics are used in 5.7% of hospitals. Basic analytics are used in 87.3% of hospitals. Pharmacists work in ambulatory or primary care clinics in 54.2% of hospitals operating outpatient clinics. Most hospitals (86.1%) use automated dispensing cabinets as the primary method of maintenance dose distribution. Machine-readable coding is used in 73.6% of hospitals to verify doses during dispensing in the pharmacy. Autoverification functionality in the electronic health record system is used in 73.4% of hospitals. Most hospitals report some integration of pharmacy services to optimize patient care transitions (60.0%), while 24.9% report no integration. Traditional technician activities still predominate, but more advanced roles are emerging. Technologies to assist sterile product preparation are used in 62.8% of hospitals.
CONCLUSIONS: Drug distribution continues to trend toward decentralized models with medications available closer to patients. Technologies are enabling this transition to occur without a significant negative impact on patient safety. The pharmacy workforce is stable, and more advanced responsibilities are being assigned to pharmacy technicians, enabling pharmacists to increase their clinical role.
METHODS: Pharmacy directors at 1,497 general and children\'s medical-surgical hospitals in the United States were surveyed using a mixed-mode method of contact by email and mail. Survey completion was online using Qualtrics. IQVIA supplied data on hospital characteristics; the survey sample was drawn from IQVIA\'s hospital database.
RESULTS: The response rate was 21.6%. Inpatient pharmacists independently prescribe medications in 26.7% of hospitals. Advanced analytics are used in 5.7% of hospitals. Basic analytics are used in 87.3% of hospitals. Pharmacists work in ambulatory or primary care clinics in 54.2% of hospitals operating outpatient clinics. Most hospitals (86.1%) use automated dispensing cabinets as the primary method of maintenance dose distribution. Machine-readable coding is used in 73.6% of hospitals to verify doses during dispensing in the pharmacy. Autoverification functionality in the electronic health record system is used in 73.4% of hospitals. Most hospitals report some integration of pharmacy services to optimize patient care transitions (60.0%), while 24.9% report no integration. Traditional technician activities still predominate, but more advanced roles are emerging. Technologies to assist sterile product preparation are used in 62.8% of hospitals.
CONCLUSIONS: Drug distribution continues to trend toward decentralized models with medications available closer to patients. Technologies are enabling this transition to occur without a significant negative impact on patient safety. The pharmacy workforce is stable, and more advanced responsibilities are being assigned to pharmacy technicians, enabling pharmacists to increase their clinical role.
摘要：
目的：介绍了2023年ASHP全国医院药房实践调查的结果。
方法：对美国1,497家普通医院和儿童外科医院的药房主任进行了调查，采用电子邮件和邮件联系的混合模式。使用Qualtrics在线完成调查。IQVIA提供了有关医院特征的数据；调查样本来自IQVIA的医院数据库。
结果：有效率为21.6%。住院药剂师在26.7％的医院中独立开药。5.7%的医院使用高级分析。87.3%的医院使用基本分析。药剂师在54.2%的门诊诊所或初级保健诊所工作。大多数医院（86.1％）使用自动分配柜作为维持剂量分配的主要方法。73.6%的医院使用机器可读编码来验证药房配药期间的剂量。73.4%的医院使用了电子健康记录系统中的自动验证功能。大多数医院报告说，药房服务的一些整合，以优化患者护理过渡(60.0%)，而24.9%的人报告没有整合。传统的技术人员活动仍然占主导地位，但是更高级的角色正在出现。62.8%的医院使用辅助无菌产品制备的技术。
结论：药物分布继续朝着分散模式发展，药物更接近患者。技术使这种转变能够发生，而不会对患者安全产生重大负面影响。药房劳动力稳定，更高级的职责被分配给药学技术人员，使药剂师能够增加他们的临床作用。
方法：对美国1,497家普通医院和儿童外科医院的药房主任进行了调查，采用电子邮件和邮件联系的混合模式。使用Qualtrics在线完成调查。IQVIA提供了有关医院特征的数据；调查样本来自IQVIA的医院数据库。
结果：有效率为21.6%。住院药剂师在26.7％的医院中独立开药。5.7%的医院使用高级分析。87.3%的医院使用基本分析。药剂师在54.2%的门诊诊所或初级保健诊所工作。大多数医院（86.1％）使用自动分配柜作为维持剂量分配的主要方法。73.6%的医院使用机器可读编码来验证药房配药期间的剂量。73.4%的医院使用了电子健康记录系统中的自动验证功能。大多数医院报告说，药房服务的一些整合，以优化患者护理过渡(60.0%)，而24.9%的人报告没有整合。传统的技术人员活动仍然占主导地位，但是更高级的角色正在出现。62.8%的医院使用辅助无菌产品制备的技术。
结论：药物分布继续朝着分散模式发展，药物更接近患者。技术使这种转变能够发生，而不会对患者安全产生重大负面影响。药房劳动力稳定，更高级的职责被分配给药学技术人员，使药剂师能够增加他们的临床作用。
