@article{1824,
  keywords = {ambulatory care pharmacy services, electronic health record, hospital pharmacy services, medication therapy management, pharmacy staffing, transition of care},
  author = {Craig A. Pedersen and Philip J. Schneider and Douglas J. Scheckelhoff},
  title = {ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2016.},
  abstract = {<p><b>PURPOSE: </b>The results of the 2016 ASHP national survey of pharmacy practice in hospital settings are presented.</p><p><b>METHODS: </b>A stratified random sample of pharmacy directors at 1,315 general and children's medical-surgical hospitals in the United States were surveyed using a mixed-mode method offering a choice of completing a paper survey or an online survey. IMS Health supplied data on hospital characteristics; the survey sample was drawn from IMS's hospital database.</p><p><b>RESULTS: </b>The survey response rate was 29.8%. Drug policy development by pharmacy and therapeutics committees continues to be an important strategy for improving prescribing. Strict formulary systems are maintained in 63.0% of hospitals, and 89.7% of hospitals use clinical practice guidelines that include medications. Pharmacists have the authority to order laboratory tests in 89.9% of hospitals and order medications in 86.8% of hospitals. Therapeutic interchange policies are used in 89.2% of hospitals. Electronic health records (EHRs) have been implemented partially or completely in most hospitals (99.1%). Computerized prescriber-order-entry systems with clinical decision support are used in 95.6% of hospitals, and 92.6% of hospitals have barcode-assisted medication administration systems. Transitions-of-care programs are increasing in number, with 34.6% of hospitals now offering discharge prescription services. Pharmacists practice in 39.5% of hospital ambulatory or primary care clinics. The most common service offered by pharmacists to outpatients is anticoagulation management (26.0%). When pharmacists practice in ambulatory care clinics, 64.5% have prescribing authority through collaborative practice agreements.</p><p><b>CONCLUSION: </b>Pharmacists continue to expand their role in improving the prescribing of medications in both hospital and outpatient settings. The adoption of EHRs and medication-use technologies has contributed to this growth.</p>},
  year = {2017},
  journal = {Am J Health Syst Pharm},
  volume = {74},
  pages = {1336-1352},
  month = {09/2017},
  issn = {1535-2900},
  doi = {10.2146/ajhp170228},
  language = {eng},
}