This document discusses quality assurance in clinical pharmacy services. It defines quality assurance as ensuring quality of practice and outcomes. The main objectives are to ensure appropriate patient care, monitor medicine needs, and evaluate service standards. Key quality assurance services discussed include patient counseling, adverse drug reporting, and drug information. The document outlines methods for assessing these services, including performance appraisal, peer review, and clinical audit. It also evaluates patient counseling and quality assurance in drug information services.

1. QUALITY ASSURANCE OF
CLINICAL PHARMACY
SERVICES

2. Content :-
 DEFINITION
 OBECTIVE AND FUNTIONS
 QUALITY ASSURANCE SERVICE
 ASSESMENT OF SERVICES
 AUDIT
 EVALUATION OF PATIENT COUNCELLING
 QUALITY ASSURANCE IN DI SERVICES
 EVALUATION METHODS AND MONITORING

3. Definition :-
Quality assurance in clinical pharmacy (cp) is a technique used to
ensure quality of practice and its outcome in cp.

4. OBJECTIVE AND FUNCTIONS :-
The main goal for clinical pharmacy services :
 To ensure provision of an appropriate service to patients
(and those involved in patient care).
 To ensure medicine needs.
 Monitor and evaluate standards of services provided.
 To identify and minimise the risks .
 To identify area of development.

5. Quality assurance services :-
 Patient counselling
 ADR reporting
 Ward round participation
 Drug information services
 Patient interview
 Case note review
 Medication chart review
 Therapeutic consultation
 Drug interactions
 pharmacoeconomics
 Poison management
 News letters
 Initiation and conducting
pharmaceutical research
and development
 Hospital formulary
 Dosage adjustment
calculations
 Therapeutic drug
monitoring
 Therapeutic guideline
preparations.

6. Assessment of qa service :-
 Performance appraisal
 Peer review
 Professional audit and clinical audit

7. Audit :-
Clinical audit is a quality improvement process that seeks
to improve patient care and outcomes.
 Types of audit :-
1) Self audit
2) Peer or group audit
3) External audit

8. Audit cycle
It involves a cycle of measurment,evaluation and improvement.
desire for improvement (or)
evidence of poor quality services
set of improve standards
Identify problems observe
& implement changes practice
compare practice
to standard

9. Evaluation of patient
counselling :-
o Self introduction and patient’s introduction
o Purpose of counselling
o Use of patient profile information
o Assess about reason for therapy
o Use of verbal language
o Non-verbal behaviour
o Discuss about present facts
o Provide complete information
o Information about therapy.
o Summarize using key points

10. Quality assurance in QA
services :-
Quality assurance in drug information services should
implement standard procedures.
Evaluate every aspect of practice and to improve existing
services.
Assessment techniques :-
1) Work load statistics
2) Auditing
3) enquirer’s assessment
4) Peer review

11. Evaluating methods &
monitoring :-
Input
level
Staff
Resources
organizations
Process
level
Receiving queries
Search strategy
Data collection
Literature
evaluation
storage
Output
level
Patient outcome
DI publication
Problem
identification
Corrective actions
Effectiveness of
corrections