National Survey of Pharmacy and Therapeutic Committees in Saudi Arabia: Scope, Structure and Responsibilities (original) (raw)
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Evaluation of drug prescribing practices in private and general hospitals in Makkah, Saudi Arabia
The study of prescribing pattern is a significant constituent of medical review, which helps in monitoring, evaluating and building required modifications in the prescribing practices to attain a rational and cost effective medical care. The present study determined the trends in drug prescription pattern of clinicians in private and general hospitals in Makkah, Saudi Arabia. One thousand two hundred and thirty two prescriptions were collected from private and general hospitals between March and September, 2013. The prescriptions were subjected to analysis using the World Health Organization (WHO) drug use indicators. The study cleared that all collected prescriptions were titled with the name of hospital and some were handwritten and the others were computer printouts. Readability was evident in 58.3% of handwritten prescriptions. The name, address, date, license number, and signature of the prescriber was presented in 71.8, 95.1, 71.8, 47.4 and 77.9% of all prescriptions, respectively. Name of patient, age, sex and address were presented in 81.5, 64.0, 61.0 and 20.5% in all prescriptions, respectively. The diagnosis of complaint or a history of allergy was presented in 44.5 and 12.7%, respectively of all prescriptions. The prescribed drugs in a generic name were 32.8% of all prescriptions. The strength, the drug dosage form, the route and frequency of administration of the prescribed drug were presented in 84.1, 58.1, 33.8 and 93.2% of all prescriptions, respectively whereas, duration of treatment was mentioned in only 12.0% of total prescriptions. The average number of drugs per encounter was 2.8. Prescribers were prescribed one, two, three, four, five or more than five drugs per prescription in 1.7, 41.1, 35.3, 16.2, 3.7 and 2.3%, respectively. This study revealed that it is necessary to further improve drugs prescribing practice. This calls for sustained interventional strategies and periodic review at all levels of healthcare for the avoidance of negative consequences of inappropriate prescription. Polypharmacy and low rate of generic prescriptions remain problems in healthcare facilities.
Saudi Pharmaceutical Journal, 2012
Clinical Pharmacy is a unique service provided by the leading pharmacy departments in the United States. The concept of Clinical Pharmacy evolved after the significant increase in number of pharmaceuticals in the market and the increasing potential of drug interactions. However, the Clinical Pharmacist is not merely an individual who advises on drug interactions. There are a number of functions which include but are not limited to; the design of appropriate drug therapy, such as Pharmacokinetic assessment and evaluation to optimize drug therapy, drug information dissemination to the physicians and other healthcare providers and participation as a toxicology consultant in Poison management. At the King Khalid University Hospital (KKUH) the first Clinical Pharmacy services program began in 1983. The aim of this study is to evaluate the impact of our Clinical Pharmacy program on the patients' care as well as its perception by the Medical staff that came from different parts of the world. Our Clinical Pharmacists were asked to record any suggestions or interventions in the form. The forms were all collected at the end of each day and entered into a database for analysis. Each intervention was analyzed in order to assess the merit of the action in terms of the therapeutic, financial and direct cost impact. The study showed a positive impact on the patients' care as well as on the economy of the drugs prescribed. Meanwhile, the service was very much appreciated by the Medical staff as well as other healthcare providers.
Value in Health, 2016
Objective: To explore the National Survey of Drug Information Centers practice in Saudi Arabia: Leadership and Practice management at Ministry of Health hospital. Method: It is a cross-sectional four months national survey of Drug Information Services at Ministry of Health hospital. It contained ten domains with 181 questions designed by the authors. It was derived from Internal Pharmaceutical Federation, American Society of Health-System Pharmacists best practice guidelines. This survey was distributed to forty hospital pharmacies that run drug information services. In this study, domain of Drug Monitoring and Patient Counselling System explored and analyzed. It consisted of eight questions about the written policy and procedure and application methods for Leadership and Practice management in the drug information centers. All analysis was done through survey monkey system. Results: The survey distributed to 45 of hospitals, the response rate, was 40 (88.88%) hospitals. The highest score of the DIC had policy and procedures with a clear mission, vision, and values were Evidence of valid Saudi Council of Health Specialties license to practice in Saudi Arabia did not exist in 3 (7.5%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug information centers had a space, adequate furniture, hours of operation were determined and announced as well as there was a qualified and licensed staffing. All Drug Information Centers staff had valid licenses from Saudi Commission for Health Specialties to practice in Saudi Arabia, did not exist in 6 (15%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers Supervisor, reports workload statistics to the appropriate and leadership number of Full Time Employee staff and actual workload published was the answering question depends on the priority of the question did not exist in 6 (15%) hospitals while only 22 (55%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers showed evidence of Quality Improvement, and the process for Drug Information Centers Networking. The reporting any questionable drug quality to Pharmacy director, did not exist in 4 (10 %) hospitals while only 25 (62.5%) of hospitals 100% applied the elements. Conclusion: There were an acceptable implementation leadership and practice management in drug information centers practice. The drug information centers workload analysis and quality management should improve. Drug information centers network indication required an implementation to improve the services at Ministry of Health hospital in Kingdom of Saudi Arabia.
Journal of Pharmacy Practice and Community Medicine
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License INTRODUCTION The Hospital pharmacy establishment needs minimum standard. The American society of hospital pharmacy published minimum standard of hospital pharmacy consisted of several elements for instance but not limited to the leadership, drug distribution and control Human Resources, education, training, and pharmacy research. [1] The ASHP conducted a survey at every certain period to measure the pharmacy services across united states of America over past years until now. [2,3,4,5,6,7] Recently the ASHP is focusing on six domain like prescribing, transcending, dispensing, Administration, drug monitoring, and patient education. [2,3] Every year surveyed about two domains. The Saudi Pharmaceutical Society with the cooperation of ASHP before several years did a survey in Kingdom of Saudi Arabia with same six domains. [8,9,10] However, the number of hospitals was few and not investigated Ministry of health hospitals. Also, it was hard to find hospital pharmacy practice in Gulf and Middle East counties. The objective of this study is to explore the National Survey of Pharmacy Practice at MOH hospitals in Saudi Arabia, with emphasis on the pharmacy management and resources. METHODS It is a 4-months cross-sectional National Survey of Pharmacy Practice at MOH hospitals in Saudi Arabia. The study consisted of two parts; the demographic information and the second part contained eighty-five questions divided into nine domains drove from American Society of Health-System Pharmacists (ASHP) and Saudi Pharmaceutical Society (SPS) survey, the international standard of Joint Commission of Hospital Accreditation in addition to the local standards of Saudi Center of healthcare accreditation. [3,5,8,9,10,11,12] The parts were pharmacy management and resources, prescribing and medication control, preparation of medications and dispensing, computerized and pharmacy technology, clinical pharmacy services, drug
www.rphsonline.com, 2018
Objective: To explore the National Survey of Drug Information Centers practice in Saudi Arabia: PharmacoEconomic System at Ministry of Health Hospitals. Methods: It is a cross-sectional four months national survey of Drug Information Services at MOH. It contained ten domains with 181 questions designed by the authors. It was derived from Internal Pharmaceutical Federation (FIP), American Society of Health-System Pharmacists best practice guidelines. This survey was distributed to forty hospital pharmacies that run drug information services. In this study, the domain of Pharmacoeconomics System was explored and analyzed. It consisted of eight questions about the written policy and procedure and application methods for the PharmacoEconomic system in the drug information centers. All analysis was done through survey monkey system. Results: The survey was distributed to forty-five of hospitals, the response rate, was 40 (88.88%) hospitals. Of those; The Written policy and procedure of PharmacoEconomic did not exist in 26 (65%) hospitals. The definition types of PharmacoEconomic do not exist in 23 (57.5%) hospitals. Evaluation Processes of PharmacoEconomic Studies did not exist in 22 (55%) hospitals. The intensive analysis performed for all significant potential cost of the medications did not exist in 22(55%) hospitals. The evidence for using reported PharmacoEconomic data to improve medication use process and reduce cost rate, not found in 22 (55%) hospitals. Moreover, the Evidence of involvement of Drug Evaluation Processes not existed in 20 (50%) hospitals. Conclusion: the pharmacoeconomics system was week implementations of drug information centers practice. Revision of pharmacy strategic plan with pharmacoeconomics applications is required to improve the system at MOH hospital in the kingdom of Saudi Arabia.
Pharmaceutical care services in hospitals of Kuwait
Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Société canadienne des sciences pharmaceutiques, 2006
To describe the current pharmacy practice in the general public hospitals based on self-reported practice by pharmacists, explore the awareness of the pharmacists of pharmaceutical care concept, identify their willingness to implement pharmaceutical care practice, and identify the barriers that may limit its implementation. Eighty hospital pharmacists working in four general public hospitals were approached to be included in the study. Data were colleted via face-to-face structured interview of the respondents using a pre-tested questionnaire. The response rate was 76.3%. Thirty five (57.4%) of the respondents had frequently performed interventions on prescriptions through interaction with physicians. Thirty two (52.5%) had frequently provided patient counselling. The knowledge of the respondents about the counseling points for salbutamol inhaler was assessed using a total score of 10, 35 (57.4%) scored = 5. The frequent provision of counseling was non-significantly least common amo...
Hospital pharmacy practice in Saudi Arabia: Dispensing and administration in the Riyadh region
Saudi Pharmaceutical Journal, 2012
Background: There is very little published data assessing hospital pharmacy practice in Saudi Arabia. Hence, a comprehensive survey has been undertaken to evaluate hospital pharmacy services of the Kingdom of Saudi Arabia. Recently, we published the survey results on the prescribing and transcribing steps of the medication use process. This paper focuses on dispensing and administration. Methods: A modified-American Society of Health-System Pharmacists (ASHP) survey questionnaire was personally delivered to the pharmacy directors of 48 hospitals in the Riyadh region. Three attempted follow-ups were made within 3 months to non-responders and the surveys were collected upon completion. The survey was conducted using similar methods to those of the ASHP surveys. Results: Twenty-nine hospitals participated in the survey with a response rate of 60.4%. Centralized distribution (74%) is the most commonly used model for inpatient pharmacies. Overall, 21% of hospitals routinely use bar coding technology in medication dispensing. None of the hospitals are using a robotic distribution system to automate the dispensing of unit doses. Automated dispensing cabinets (ADCs) are used by 21% of hospitals as part of their decentralized distribution model.
The Department of Pharmacy is a part of the hospital that is responsible for managing drugs which includes the selection, procurement, distribution and use of drugs. This study aims to analyze the level of efficiency of drug management in the Pharmacy Department of Hospital Nacional Guido Valadares (HNGV) Dili. Timor-Leste. The research uses descriptive designs for retrospective and concurrent data. Retrospective observations include planning and drug use reports, financial reports, drug procurement reports, invoices, stocktaking reports. Concurrent observation includes the average waiting time for patient prescription services. Data is collected quantitatively and qualitatively. Data obtained from all stages of drug management in the Pharmacy Department of the HNGV Dili were analyzed by efficiency indicators using the Ministry of Health indicators (2008) and WHO (1993) when compared with other standards or research results. The results of the study show that the management system that is not yet in accordance with the standards is: the selection stage, the suitability of the drug with DOEN TL (96.19%); stage of procurement, capital / funds available with all the funds needed (86.03%); allocation of funds for drug procurement (4.23%); suitability of planning with the actual use for each drug item (88.12%); procurement of each drug item per year (4.97 times); distribution stage, drug expiration and damage (20.76%); compatibility between physical medicine and stock card (76.90%); level of drug availability (18 months); stage of use, number of items per prescription sheet (4.07 items for outpatient care and 8.23 items for hospitalization); Stage that fits the standard: the distribution stage, the average time used to serve the recipe to the patient's prescription in outpatients is 28.15 minutes, while for concoction recipes at 53.60. It ishoped that the Timor-Leste hospital will improve the effective and efficient management of drugs to ensure health services.