Topic on the introduction to the clinical pharmacy services. INTRODUCTION TO PHARMACY PRACTICE & CONCEPT OF CLINICAL PHARMACY add the fundamentals on Contribute significantly to patient care through obtaining the accurate medication histories from patients or other sources. verifying medication histories obtained by other health care professionals. To obtain the correct information on aspects of drug use. Compare medication for best Assess the rationale for drugs prescribed. Assess patient medication compliance. Screen for DRPs. Document allergies, S/E and adverse drug reactions. Assess the evidence of drug abuse. Drug Therapy Monitoring provided by a clinical pharmacist for specific patients to optimize drug therapy to achieve health outcomes. Medication Order Review. Adverse Drug Reaction Management. Clinical Review. Therapeutic Drug Monitoring. Pharmacist Interventions