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Overview of Hospital Pharmacy Functions

This document outlines the course contents for hospital pharmacy. It discusses the role of pharmacists in hospitals, hospital and pharmacy organization, the hospital formulary, dispensing to inpatients and outpatients, and controlling substances. It recommends textbooks on hospital pharmacy practice and administration.

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Maheen Tariq
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100% found this document useful (1 vote)
562 views23 pages

Overview of Hospital Pharmacy Functions

This document outlines the course contents for hospital pharmacy. It discusses the role of pharmacists in hospitals, hospital and pharmacy organization, the hospital formulary, dispensing to inpatients and outpatients, and controlling substances. It recommends textbooks on hospital pharmacy practice and administration.

Uploaded by

Maheen Tariq
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Introduction to Hospital Pharmacy
  • Historical Background
  • Functions of Hospital Pharmacist
  • Functions of Hospital Pharmacy
  • Minimum Standards for Hospital Pharmacy
  • Research in Hospital Pharmacy

HOSPITAL PHARMACY

Course Contents
Recommended Books
• INTRODUCTION: Role of Pharmacist in
Hospital • Hospital Pharmacy, William
• HOSPITAL AND ITS ORGANIZATION Hassan, Lee & Febiger,
PHARMACY, ITS ORGANIZATION AND Washington, 5th Ed., 1986.
PERSONNEL
• PHARMACY AND THERAPEUTIC • Hospital Pharmacy, N I Bukhari,
COMMITTEE
Aziz Book Depot, Lahore-Pakistan
• THE HOSPITAL FORMULARY
2000.
• DISPENSING TO INPATIENTS
• DISPENSING TO AMBULATORY PATIENTS
• Hospital Pharmacy, Martin
• DISTRIBUTION OF CONTROL Stephen, Pharmaceutical Press,
SUBSTANCES
London, 2003.
• SAFE USE OF MEDICATION IN THE
HOSPITAL
HOSPITAL PHARMACY

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
• Pakistan 1999 Pharmaceutical project Pharmacist Hierarchy, P & TC
HOSPITAL PHARMACY

• Health care service.


• Art, practice, and profession.
• Choosing, preparing, storing, compounding, and dispensing medicines and
medical devices.
• Advising healthcare professionals and patients.
• Safe, effective and efficient use.
MULTIPLE DEPARTMENT PHARMACY SYSTEM
HOSPITAL PHARMACIST
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
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
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
4. DRUG INFORMATION

• Patients
• Prescribers
• Students
5. IMPLEMENTING RATIONAL DRUG THERAPY

Prescription review for appropriateness


• Adverse drug reporting
• Development of Hospital formulary
• Safe effective use of medicines
[Link]
RESEARCH IN HOSPITAL PHARMACY,
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
EXPERIMENTAL DESIGN

• Randomized control trials


• In vivo
• Invitro
OTHER DESIGN

• Qualitative research

• Systematic reviews
RESEARCH IN HOSPITAL PHARMACY

Common questions

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Implementing a multiple department pharmacy system in a hospital can lead to more specialized and efficient medication management across various departments. This system allows for tailored pharmaceutical services that meet the specific needs of different patient groups, leading to improved patient outcomes. Moreover, it promotes decentralized operations, which enhances the speed and flexibility of service delivery, potentially reducing wait times and improving overall workflow within the hospital pharmacy setting .

Research in hospital pharmacy is characterized by neutrality, reliability, validity, and generalization. These characteristics ensure that the research is scientifically sound and its findings are applicable to broader practice. Neutrality ensures unbiased results, reliability confirms consistent outcomes, validity guarantees the accuracy of measurements and generalization allows the application of findings across different contexts. Such research is essential for advancing hospital pharmacy practices and improving patient care through evidence-based interventions .

Prescription review for appropriateness is vital in hospital pharmacies as it ensures that the prescribed medications align with the patient's medical condition, considering factors such as allergies, potential drug interactions, and dosage accuracy. Adverse drug reporting complements this by identifying and mitigating negative effects associated with drug use. Together, these practices contribute significantly to patient safety, optimal therapeutic outcomes, and the continuous improvement of medication management practices within the hospital setting .

Hospital pharmacists are responsible for the safe, effective, and efficient use of medications. Their roles include advising healthcare professionals and patients, ensuring the safe distribution of medicaments in wards, dispensing medicaments to outpatients, acting as a source of drug information, implementing the recommendations of the Pharmacy and Therapeutic Committee, and patient counseling. They also maintain a liaison between medical, nursing, and patient teams to forecast demand and manage vaccines and sera accurately .

The hospital formulary system contributes to the rational and efficient use of medicines and resources by establishing a curated list of approved medications that meet the therapeutic needs of the hospital's patients. This system ensures standardized prescribing practices, reduces medication errors, and fosters cost-effective drug use by limiting the selection to proven, effective options. It facilitates better inventory management, reduces waste, and aligns with the hospital's therapeutic and budgetary goals .

The primary components of the physical plant of a hospital pharmacy include location, space, equipment, and drug information sources. These components are vital for ensuring that the pharmacy operations are conducted efficiently and safely. Adequate space and proper location facilitate better workflow and accessibility, while appropriate equipment and drug information sources ensure accurate dispensing and management of drug-related information, contributing to improved patient care and medication safety .

The procurement process in hospital pharmacies involves purchasing drugs and health accessories in accordance with defined rules and regulations. Key factors include the involvement of pharmacists, the purchase department, and agents to ensure that procurement is conducted efficiently and transparently. This process is critical as it directly affects the availability and quality of medications in the hospital, which in turn influences the overall management of patient care and hospital operations .

Drug information services enhance patient care and support health professionals by providing accurate and timely information about medications, including their use, side effects, interactions, and contraindications. This service allows prescribers and healthcare professionals to make informed decisions, leading to improved therapeutic outcomes and patient safety. Additionally, patients receive better guidance on medication use, contributing to increased understanding and adherence to prescribed treatments .

Maintaining a liaison between medical, nursing staff, and patients is critical for hospital pharmacists because it ensures coherent communication and the effective implementation of treatment plans. This role helps bridge potential gaps in medication management, resulting in increased medication adherence, reduced medication errors, and improved overall patient outcomes. Pharmacists provide valuable insights into medication use and address any questions or concerns that arise, enhancing collaborative care in the hospital setting .

The Pharmacy and Therapeutic Committee (P&TC) plays a crucial role in hospital pharmacy operations by developing and implementing the hospital formulary, ensuring rational drug therapy, and supporting adverse drug reporting. It serves as a decision-making body that oversees the safe and effective use of medicines within the hospital environment. The P&TC implements strategies to optimize patient outcomes through the careful consideration of medication management policies and practices .

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