Assessment Of Clinical Pharmacy Services Provided by Pharm D Interns In A Tertiary Care Teaching Hospital

In India the clinical pharmacy services are yet at the infancy stage, very few private hospitals were adopted this system while these services are totally scarce in government hospitals. The aim of the study was to demonstrate the role and importance of clinical pharmacist and to assess the clinical pharmacy services provided. A Prospective analysis of the documented clinical pharmacy services performed by Pharm D interns were assessed for a period of 6 months. A total of 334 past medication history interviews, 333 patient counseling, 325 prescription auditing, 302 drug interactions, 55 medication errors and 23 Drug information queries were provided. Among 272 drug-drug interactions, 60.66% moderate drug-drug interactions and a least of 8.08% major drug-drug interactions and most common management plan recommended was dose adjust­ments (23.52%). Majority of the patients were counseled regarding the name and purpose of the prescribed medicines (96.39 %) and 34.83% reported barriers during their counseling. Among Past medication history interviews, 32.63% of patients had a history of medication intake. 59.38% of prescriptions were not prescribed drugs in their generic names. Maximum number of injections prescribed per prescription was three (20%), antibiotics per prescription were one (44.3%) and 91% of drugs were prescribed from the essential drug list. Of 55 prescribing errors reported majority of errors were belonging to category A (72.72%). It was found that 65.21% queries were to update the requestor’s knowledge and 52.71% used primary sources to respond the queries. The study stresses impeccable role of clinical pharmacist in patient’s care.