The document outlines the role of clinical pharmacy in enhancing patient care through medication history interviews, drug therapy monitoring, and participation in healthcare teams. It highlights the importance of identifying and managing drug-related problems (DRPs), providing drug and poison information services, and patient counseling. Furthermore, it emphasizes quality assurance in clinical pharmacy services and the broad scope of practice including education, research, and policy-making.

1. INTRODUCTION TO
PHARMACY PRACTICE
&
CONCEPT OF
CLINICAL PHARMACY
Dr. Sharad Chand Pharm. D., Ph.D.
Assistant Professor,
AIP, AUUP, Lucknow.

8. 1. Medication History Interview
•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.

9. •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.

10. 2. 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

11. 3. Ward Round Participation
•Member of a healthcare team
•Contribute to patient care through the provision
of drug information
•Promotion of rational drug therapy.
•Timely decision making in selection of drugs.

12. 4. Identification and Management of DRPs
•DDIs
•ADRs
•Untreated Condition
•Unwanted
medications
•Ineffective therapy
•Use of unsafe
medications
•Dosage too low
•Toxic dose
•Non-Compliance

13. 5. Drug & Poison Information Services
•Provide information on drug-related matters.
•Initiated by the pharmacist or may be in
response to a request.
•Preparation of specific drug-related resources,
(Protocols and PILs).

14. 6. Patient Counseling
•Provide sufficient information and
counseling on disease, diet, lifestyle and
outcomes and to enable patients/their
representatives to achieve judicious use of
their medicines.

15. 7. Drug Utilization Evaluation/Review
•Quality assurance/management activity for
drug therapy.
•Promote rational and economical drug use.
•Improve drug therapy outcomes.
•Review of medical prescribing, pharmacy
dispensing and patient use of drugs.

16. Quality Assurance of Clinical Pharmacy
Services
•Procedures to set, promote, maintain and
monitor the desired standards for services.
•Efficient, effective and accepted standards
of professional ethics and knowledge.
•Clinical pharmacy services are
documented.
•Administrative responsibility

17. Scopes of Clinical Pharmacy
•Hospital/Clinical Pharmacy practice
•Institute-based and community-based
pharmacists
•Policy making
•Disaster and Pandemics
•Liaison with hospital, dispensing, industrial
and community services.
•Education and research

18. •Clinical trials
•Quality assurance
•Guideline and protocol formulation &
evaluation
•Health Promotion
•Pharmacovigilance
•Manufacture of the drugs till the drug
disposal, covers all spectrum of drugs.