HOSPITAL PHARMACY

Chapter 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
Pakistan
• Professional recogonition 1999
Pharmaceutical project
• 1940 ASHP Pharmacist Hierarchy
P & TC
• AJHP
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 dispensing

medicines and medical devices.

• Advising healthcare professionals and patients.

• Safe, effective and efficient use.

 Hospital Pharmacist

Pharmacy Manager

Main store

Medical Surgical
Obs/Gyne Emeregncy
Unit Unit
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

Storage

Member of Distribution
P&TC Dispensing

In charge
medicines

Teaching
Information
research

24/7
availability
 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

1.Administration

6.Research 2.Facilities

Requirements

5.Rational Use 3.Procurement

4.Drug
Information
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

Experimental Qualitative
Systematic
Observational
reviews
 Observational studies

1. 2.
3. Cohort
Exploratory Descriptive

4. Case 5. Cross
control 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
• Aims and Objective
1

• Methodology
2

• Observation
3.

• Conclusion
4.
Recap Chap 1
•Chapter 1
•END