Abstract
International Journal of Pharmacology and Clinical Sciences,2019,8,2,99-104.DOI:10.5530/ijpcs.2019.8.17Published:June 2019Type:Research ArticleAuthors:Yousef Ahmed Alomi, Rasha Abdelsalam Elshenawy, and Sultan Mohammed Al-Jarallah Author(s) affiliations:Yousef Ahmed Alomi1,* , Rasha Abdelsalam Elshenawy2, Sultan Mohammed Al-Jarallah3 1The Former General Manager of General Administration of Pharmaceutical Care, Former Head, National Clinical Pharmacy and Pharmacy Practice, Former Head, Pharmacy R and D Administration, Ministry of Health, Riyadh, SAUDI ARABIA. 2General Administration of Pharmaceutical Care, Ministry of Health, Riyadh, SAUDI ARABIA. 3Head, Ambulatory Care Pharmacy, Oncology and Hematology Clinical Pharmacist, Pharmaceutical Care Department, Security Forces Hospital, Riyadh, SAUDI ARABIA. Abstract:Objectives: A clinical pharmacist offers vital support in the expansion of a final prescription with improved patient management and enhanced safety. The aim of the current study to explore the Pharmacokinetics services at Ministry of Health (MOH) hospitals in Saudi Arabia with an emphasis on drug therapy monitoring and patient’s education. Methods: This is a 2-months cross-sectional national survey related to the Pharmacokinetics services with a focus on drug therapy monitoring and education of pharmacist at MOH hospitals in Saudi Arabia. The study consisted of two parts; the first part captures demographic information and the second part contained 43 questions designed by the authors. It was derived from American Society of Health-System Pharmacists (ASHP) guidelines and from the literature. We used the 5-point Likert response scale system to obtain responses of the participants; there were close-ended questions. The electronic questionnaire was distributed to all the coordinators of the clinical pharmacy services or to the drug information centers at MOH hospitals. All analysis was done through survey monkey system. Results: A total of 43 hospital pharmacies returned the survey, for a response rate of 86%. The most clinical pharmacokinetics services documented were drug quality reporting 34 (87.18%), drug information inquiries 35 (83.33%), adverse drug reaction 35 (81.40%) and medication error 35 (81.40%). Highest clinical impact and cost avoidance of clinical Pharmacokinetics services were drug information inquiries 25 (60.98%), the drug quality reporting system 21 (53.85%) and pharmacist intervention 21 (52.5%). Analysis of monthly workload for clinical Pharmacokinetics services were a number of drug information inquiries 28 (70%) and the number of prescriptions needs 25 (64.1%). The clinical Pharmacokinetics services education and training for pharmacists were found at average 7.8 (20.89%) hospitals with high percentages type of educations was short education course 1-5 days [15 (39.47%)] and long training course 4-5 weeks [8 (21.05%)]. While Pharmacokinetics services education and training for healthcare provider were found at main 6 (15.66%) hospitals only with high percentages type of educations was short education course 1-5 days [8 (20.00%)] and Pharmacokinetics competencies 7 (18.92%). Conclusion: Pharmacokinetics services on drug therapy monitoring was not competent at half MOH hospital, while only few of the hospitals had pharmacokinetics education and training to offer. Implementing the MOH pharmacokinetics services strategy with an emphasis on the drug therapy monitoring with education and training is required at all MOH hospitals in Saudi Arabia. Keywords:Education, Healthcare, Ministry of Health, Monitoring, Pharmacokinetics Services, Saudi Arabia, TherapyView:PDF (404.36 KB) PDFClick here to download the PDF file. Images Demographic hospital information
Highlights
Clinical Pharmacokinetic (PK) calculations are a key competencies for the pharmacists, which is important to ensure the safe use of drugs.[1]
Implementing the Ministry of Health (MOH) pharmacokinetics services strategy with an emphasis on the drug therapy monitoring with education and training is required at all MOH hospitals in Saudi Arabia
The objective of this study is to explore the Pharmacokinetics services at Ministry of Health (MOH) hospitals in Saudi Arabia with an emphasis on pharmacokinetics workload, documentation, healthcare provider education and training
Summary
Clinical Pharmacokinetic (PK) calculations are a key competencies for the pharmacists, which is important to ensure the safe use of drugs.[1]. Evaluation and expansion of clinical pharmacokinetic monitoring was an integral part of pharmaceutical care. In addition to developing and applying computer programs and pointof-care information systems to enhance the accuracy and sophistication of pharmacokinetic modeling, applications to pharmaceutical care and serving as an expert consultant to pharmacists with a general background in clinical pharmacokinetic monitoring.[2]. Few studies investigated the pharmacokinetics services survey over hospitals. It included general pharmacokinetic practice, medication monitored, cost avoidance and perception toward of the services.[3,4,5,6,7]
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