This document discusses hospital pharmacy practices in Bangladesh and other developed countries. It begins by defining hospital pharmacy as dealing with procurement, storage, compounding, dispensing, manufacturing, testing, packaging and distribution of drugs within a hospital setting. It then outlines the objectives, functions, ideal location and structure of a hospital pharmacy. The current situation of hospital pharmacy in Bangladesh is described as still being in its early stages. Key differences between hospital and community pharmacies are provided. Finally, examples of developed hospital pharmacy practices in countries like the US, UK, Norway and Japan are contrasted with the slower implementation in developing nations like Bangladesh.

1. Department of Pharmacy
Assignment
On
Hospital Pharmacy Practice in
Bangladesh and other developed
countries
Course code: BPH 4209
Course Title: Pharmacy Practice-I
Submitted by:
Mehedi Shah
Roll no:161328
Session:2015-2016
4th
Year 2nd
Semester
Department of Pharmacy
Pabna University of Science and
Technology, Pabna.
Submitted to:
Most. Reshma Akter
Lecturer
Department of Pharmacy
Pabna University of Science and
Technology, Pabna.

2. No. Sub Topic Pg. No.
1. What is Hospital Pharmacy? 03
2. What are the objectives of a Hospital Pharmacy? 04
3. What are the Functions of HOSPITAL PHARMACY? 05
4. What should be the Location of Hospital Pharmacy? 06
5. Structure of a Hospital Pharmacy: 06
6.
REQUIREMENTS AND ABILITIES
07
7. Current Situation of Hospital Pharmacy Practice
in Bangladesh
08
8. What is the difference between Hospital Pharmacy
& Community Pharmacy?
08
9. Hospital Pharmacy in Developed Countries
09
10. Conclusion 10

3. What is Hospital Pharmacy?
The department of the hospital which deals with procurement, storage,
compounding, dispensing, manufacturing, testing, packaging, and distribution
of drugs. The practice of pharmacy within the hospital under the supervision of
a professional pharmacist is known as hospital pharmacy. As per known
history, the first pharmacy was established in Baghdad in 754 AD.

4. What are the objectives of a Hospital Pharmacy?
• Cost Containment.
• Effective and efficient service.
• Patient Satisfaction.
• Effective staff utilization.
• To participate in research projects.
• To act as a data bank on drug utilization.
• To ensure the availability of right drug at right dose in right time at
minimum possible cost.
• To act as a counseling department for medical stuff, nurses and for
patient.
• To co-ordinate and cooperate with other department of hospitals.
What are the Functions of HOSPITAL PHARMACY?
❖ Forecast of demand.
❖ Assisting physicians and other health professionals to make drug-based
decisions.
❖ Helping patients to understand their medications and how to take them
❖ Providing medicines in emergency situations
❖ Devising specific medication plans that are individualized for patients
❖ Conducting clinical trials to uncover new or modified treatments for rare
diseases
❖ Assisting in specialized medical care, such as for cancer patients
❖ Determining specifications of the required medicament.
❖ Quality control of purchased or manufactured products.
❖ 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 pharmacy and therapeutic
committee
❖ Patient counseling
❖ Establishment and maintenance of “Drug information Centre”

6. What should be the Location of Hospital Pharmacy?
➢ Located in Hospital premises so that patient and stuff can easily approach
it.
➢ In multi-storeyed building of a hospital, the pharmacy should be
preferably located on ground floor especially the dispensing unit.
➢ It should be located in such a way that there is continuous flow of men
and materials.
Structure of a Hospital Pharmacy:

7. REQUIREMENTS AND ABILITIES
Hospital pharmacy is an important department of any hospital. It should have
competent persons. Well trained in the profession of pharmacy. Hospitals mainly
depend upon the services of diploma holders in pharmacy. The head of hospital
pharmacy department should be a post-graduate in Pharmacy preferably in
Pharmaceutics, Pharmacology or Hospital Pharmacy. He acts as a coordinator for
the pharmacy and non-pharmacy staff in the hospital. He reports to the
administrator and interacts with other medical departments.
Current Situation of Hospital Pharmacy Practice in Bangladesh:
In the recent year, Hospital Pharmacy Practice has become an important part in
the health care system worldwide. In Bangladesh, this system is still in the primary
stage. This current work reveals the real scenario of the Hospital Pharmacy
Practice in Bangladesh. To evaluate the actual condition, repeated visiting was
done personally with proper authority those who are specialist and responsible
for conducting the hospital pharmacy practice in some selected private hospitals
of Bangladesh. By the survey, data was collected about the services, facilities and
the problems of Hospital Pharmacy. This system is very much essential for the
proper health care system of the country and also for the employment of large
number of competent pharmacists. So, it is the time for the pharmacist, health
professional, entrepreneurs and government to come forward to establish
standard Hospital Pharmacy setting throughout the country.

8. Here is a chart which gives information about a research on current situation
of hospital pharmacy of four hospitals situated at Bangladesh.
Hospital A & B are situated in Dhaka, C is in Bogra & D is in Rajshahi.Among
them only D was government hospital and the rest are Privately owned.
https://www.researchgate.net/publication/265026203

9. What is the difference between Hospital Pharmacy & Community Pharmacy?
Although many of the tasks of a hospital pharmacist are similar to a community
pharmacist who works in a community setting, there are some distinctive differences.
These include:
• Increased interaction with prescribers and other health professionals
• Greater input in prescribing decisions about drugs and administration
• Larger team of pharmacists working together in the same institution
• Better access to medical records of patients
However, the patient contact for hospital pharmacists is often much less when
compared to a pharmacist working in the community. Hospital pharmacies also
usually stock a large variety of medications, including those for specialized purposes
that may only be indicated in a controlled medical setting.
Hospital Pharmacy in Developed Countries: Developed countries such as USA, UK,
Switzerland, Norway, UAE have realized the importance of pharmaceutical care service delivery in
hospitals and implemented clinical pharmacy programs. Empirical studies reveal that
implementation of clinical pharmacy services reduce the length of hospital stays and produce
significant cost savings, both medication costs and total inpatient expenditures. These developments
have the potential to lead to improved patient quality of life, better use of healthcare resources and
a reduced rate of mortality.
IN USA There are about 60,000 full-time equivalent (FTE) pharmacists providing
inpatient services in nonfederal short-term hospitals. 17 (Hospitals employ
approximately an equal number of pharmacy technicians.) About one-fourth of all

10. actively practicing pharmacists in the United States work in hospitals. In 1957 the
total number of hospital pharmacists were 4850 full-time.
IN Norway, there are 902 community pharmacies and 32 hospital pharmacies.
In CHINA, hospital pharmacies have the responsibilities to guarantee the safe and
effective use of drugs within the hospital and to do research. Even though Chinese
factories manufacture many pharmaceutical products, the hospital pharmacy must
manufacture many more. Hospitals have established Agreed Prescription programs,
whereby drugs are manufactured in large batches, repackaged, and distributed to
other hospital pharmacies in the area if needed.
In JAPAN, Japanese Society of Hospital Pharmacists (JSHP), is an organization whose
membership comprises pharmacists and other professionals who work at hospitals, clinics
and long-term care facilities. The JSHP carries out a variety of activities with the aim of
contributing to the promotion of the health and welfare of patients and the general public,
not only through the members’ voluntary efforts to enhance their professional skills and
knowledge, but also through the provision of high-quality pharmacotherapy.
Here is a list of Number of Hospital Pharmacies in Developed Countries:

11. Conclusion:
Hospital pharmacists are a vital part of the healthcare team. Working in either
the NHS or private hospitals, being a hospital pharmacist means you’re part of
a team where the focus is firmly on patients. Hospital Pharmacy is an important
subject for any country. Hospital pharmacy maintains health care facilities at a
higher level. Without hospital pharmacy a country can’t progress that much in
healthcare department. There is good implementation of hospital pharmacy in
Developed countries though developing countries are a bit slower. Many of the
developing countries don’t even know about it. Implementation of Hospital
pharmacy in developing countries are a bit slow and under developed countries
don’t even think about it but on Developed countries there is a better
implementation of Hospital pharmacy.