Abstract：
CONCLUSIONS: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.
OBJECTIVE: The American Society of Health-System Pharmacists (ASHP) developed the Practice Advancement Initiative 2030 (PAI 2030) to support the continuous improvement of hospital pharmacy services in the United States. Puerto Rico (PR) hospitals\' level of compliance with PAI 2030 recommendations is not currently known. The primary objective of this study was to describe the hospital pharmacy scenario in PR in the 5 areas addressed in PAI 2030 recommendations.
CONCLUSIONS: Through a collaboration between the state affiliate, a school of pharmacy, and ASHP, completion of the PAI 2030 Self-Assessment Tool was promoted among hospital pharmacy directors between August 2022 and March 2023. A total of 18 out of 66 hospitals completed the survey. The results were compared with national data provided by ASHP from 163 US hospitals. Areas where PR hospitals rated high were in PAI 2030 domain A (Pharmacy Technician Role, Education, and Training) and domain E (Pharmacist Leadership in Medication Use and Safety). PR hospitals rate their performance lower in domain A (Patient-Centered Care) and domain B (Pharmacist Role, Education, and Training). Specific focus areas for improvement by PR hospitals include pharmacist participation in medication reconciliation, 24/7 access to advanced clinical pharmacy services, expansion of the pharmacist\'s scope of practice, and training through the Board of Pharmacy Specialties and residency programs.
CONCLUSIONS: This study illustrates how the PAI 2030 Self-Assessment Tool can be used to benchmark pharmacy services at the state level. We suggest that changes are needed to close the gap between hospital pharmacies working towards optimizing the role of pharmacists in healthcare systems and those still struggling with dedicating staff to well-recognized pharmacist roles and responsibilities.
OBJECTIVE: The American Society of Health-System Pharmacists (ASHP) developed the Practice Advancement Initiative 2030 (PAI 2030) to support the continuous improvement of hospital pharmacy services in the United States. Puerto Rico (PR) hospitals\' level of compliance with PAI 2030 recommendations is not currently known. The primary objective of this study was to describe the hospital pharmacy scenario in PR in the 5 areas addressed in PAI 2030 recommendations.
CONCLUSIONS: Through a collaboration between the state affiliate, a school of pharmacy, and ASHP, completion of the PAI 2030 Self-Assessment Tool was promoted among hospital pharmacy directors between August 2022 and March 2023. A total of 18 out of 66 hospitals completed the survey. The results were compared with national data provided by ASHP from 163 US hospitals. Areas where PR hospitals rated high were in PAI 2030 domain A (Pharmacy Technician Role, Education, and Training) and domain E (Pharmacist Leadership in Medication Use and Safety). PR hospitals rate their performance lower in domain A (Patient-Centered Care) and domain B (Pharmacist Role, Education, and Training). Specific focus areas for improvement by PR hospitals include pharmacist participation in medication reconciliation, 24/7 access to advanced clinical pharmacy services, expansion of the pharmacist\'s scope of practice, and training through the Board of Pharmacy Specialties and residency programs.
CONCLUSIONS: This study illustrates how the PAI 2030 Self-Assessment Tool can be used to benchmark pharmacy services at the state level. We suggest that changes are needed to close the gap between hospital pharmacies working towards optimizing the role of pharmacists in healthcare systems and those still struggling with dedicating staff to well-recognized pharmacist roles and responsibilities.
摘要：
结论：为了加快文章的发表，AJHP在接受后尽快在线发布手稿。接受的手稿经过同行评审和复制编辑，但在技术格式化和作者打样之前在线发布。这些手稿不是记录的最终版本，将在以后替换为最终文章（按照AJHP样式格式化并由作者证明）。
目的：美国卫生系统药剂师协会（ASHP）制定了“实践促进倡议2030”（PAI2030），以支持美国医院药学服务的持续改进。波多黎各（PR）医院对PAI2030建议的遵守程度目前尚不清楚。这项研究的主要目的是描述PAI2030建议中涉及的5个领域中PR的医院药房情景。
结论：通过国家分支机构之间的合作，一所药学院，和ASHP，2022年8月至2023年3月期间,医院药房主任推动完成PAI2030自我评估工具.66家医院中有18家完成了调查。将结果与美国163家医院的ASHP提供的国家数据进行了比较。PR医院评级较高的地区在PAI2030领域A(药房技术员角色，教育,和培训）和领域E（药剂师在药物使用和安全方面的领导）。PR医院在领域A(以患者为中心的护理)和领域B(药剂师角色，教育,和培训)。公关医院需要改进的具体重点领域包括药剂师参与药物和解，全天候获得先进的临床药学服务，扩大药剂师的执业范围，并通过药房专业委员会和住院医师计划进行培训。
结论：本研究说明了如何将PAI2030自我评估工具用于州一级的药房服务基准。我们建议需要做出改变，以缩小医院药房之间的差距，这些药房致力于优化药剂师在医疗保健系统中的作用，而那些仍在努力使员工致力于公认的药剂师角色和职责。
目的：美国卫生系统药剂师协会（ASHP）制定了“实践促进倡议2030”（PAI2030），以支持美国医院药学服务的持续改进。波多黎各（PR）医院对PAI2030建议的遵守程度目前尚不清楚。这项研究的主要目的是描述PAI2030建议中涉及的5个领域中PR的医院药房情景。
结论：通过国家分支机构之间的合作，一所药学院，和ASHP，2022年8月至2023年3月期间,医院药房主任推动完成PAI2030自我评估工具.66家医院中有18家完成了调查。将结果与美国163家医院的ASHP提供的国家数据进行了比较。PR医院评级较高的地区在PAI2030领域A(药房技术员角色，教育,和培训）和领域E（药剂师在药物使用和安全方面的领导）。PR医院在领域A(以患者为中心的护理)和领域B(药剂师角色，教育,和培训)。公关医院需要改进的具体重点领域包括药剂师参与药物和解，全天候获得先进的临床药学服务，扩大药剂师的执业范围，并通过药房专业委员会和住院医师计划进行培训。
结论：本研究说明了如何将PAI2030自我评估工具用于州一级的药房服务基准。我们建议需要做出改变，以缩小医院药房之间的差距，这些药房致力于优化药剂师在医疗保健系统中的作用，而那些仍在努力使员工致力于公认的药剂师角色和职责。
