HOSPITAL PHARMACYChapter 1 Hospital Pharmacy

Abuzar Khan PhD.

Contents Chapter 1

• a. Role of Pharmacist in Hospital

• b. Minimum standards for pharmacies in Institutions/Hospitals

• c. Research in Hospital Pharmacy

Hospital Pharmacy

• Hospital pharmacies are pharmacies usually found within the premises of a hospital.

• Hospital pharmacies usually stock a larger range of medications. Hospital pharmacies typically provide medications for the hospitalized patients only.

• Some hospitals do have retail pharmacies as well.

Historical background

• 1752 pennsylania hospital

• Professional recogonition

• 1940 ASHP

• AJHP

Pakistan1999Pharmaceutical projectPharmacist Hierarchy P & TC

Historical background

Stage 1

Stage 2

Stage 3

Stage 4

Stage 5

Stage 6

Hospital Pharmacy

• Health care service.

• Art, practice, and profession.

• Choosing, preparing, storing, compounding, and dispensingmedicines and medical devices.

• Advising healthcare professionals and patients.

• Safe, effective and efficient use.

Hospital Pharmacist

Pharmacy Manager

Medical

UnitSurgical

UnitObs/Gyne Emeregncy

Main store

Functions of Hospital Pharmacist

• Distribution of medicaments in the wards

• Dispensing of medicaments to out-patients

• Drug information source in hospitals

• Centre for drug utilization studies

• Implement recommendations of the P &TC

• Patient counseling

• Maintaining liaison between medical, nursing and the patient.

• Forecast of demand

• Vaccines and sera's

Functions of Hospital Pharmacist

In charge medicines

Storage

Distribution

Dispensing

Information

24/7 availability

Teaching research

Member of P&TC

Functions of Hospital Pharmacy

1. Purchasing

2. Inventory Control

3. Drug Distribution

4. Manufacturing bulk and sterile

5. Ancillary Products

6. Clinical Pharmacy Services

7. Research and education

Minimum Standards for Hospital Pharmacy

Minimum Standards for Hospital Pharmacy

Requirements

1.Administration

2.Facilities

3.Procurement

4.Drug Information

5.Rational Use

6.Research

1. Administration• Director of pharmacy services

• Full authority

• Goals

• Planning scheduling and achieving previous goals.

• Supervision and implementation for previous plans.

• Assessment and correction

2. Physical Plant• Location

• Space

• Equipment

• Drug information sources

3. Procurement• Purchase of drugs and other items like health accessories.

• Pharmacist, purchase department, agent.

• Purchase rules and regulations

Drug information• Patients

• Prescribers

• Students

Implementing Rational drug therapy• Prescription review for appropriateness

• Adverse drug reporting

• Development of Hospital formulary

• Safe effective use of medicines

Research

1. Pharmaceutical

2.Operational

3. Clinical research.

4. Problem Research

Research in Hospital Pharmacy

Research Characteristics • Research is creative and systematic work undertaken to increase the

stock of knowledge, including knowledge of humans, culture and society, and the use of this stock of knowledge to devise new applications.

• Neutrality

• Reliability

• Validity

• Generalization

Research Design

Observational

Experimental Qualitative

Systematic reviews

Observational studies

1. Exploratory

2. Descriptive

3. Cohort

4. Case control

5. Cross sectional

Experimental design• Randomized control trials.

• In vivo

• Invitro

Other Design• Qualitative research

• Systematic reviews

Research in Hospital Pharmacy

1. Pharmaceutical

2.Operational

3. Clinical research.

4. Problem Research

Research in Hospital Pharmacy

1

• Aims and Objective

2

• Methodology

3.

• Observation

4. • Conclusion

Recap Chap 1

•Chapter 1•END