Skip main navigation

Good Pharmacy Practice Guideline: pharmacist’s role

video
14.4
Hello everyone! My name is Fan-Hsiu Chao and I am a clinical Pharmacist in Taipei Veterans General Hospital. I am going to present to you about
28.8
Clinical Pharmacy Services: Part I. Today, our outlines include first Introduction of current practices of clinical pharmacy services (CPS) in hospital settings of Taiwan. Second, Introduction of pharmacist’s role described in Good Pharmacy Practice (GPP) guideline, and last some Experiences sharing. Some learning Objectives are recognized in the clinical pharmacy services (CPS) and patient education described in GPP guidelines, Understand current practices of CPS and patient education in hospital settings of Taiwan. First, let us Introduce current practices of clinical pharmacy services (CPS) in Taipei Veterans General Hospital. Taipei Veterans General Hospital is a national medical center located in northern part of Taiwan and established since 1959.
106.1
The reach of the Taipei Veterans General Hospital extends beyond Taipei and into Tao-Yuan, Hsin-Chu, and eastern Taiwan includes Yi-Lan, Hua-Lien, and Tai-Tung. There are 7 branch hospitals to provide integrated healthcare services. The Taipei Veterans General Hospital is a 3000-bed facility, which serves more than 8,000 outpatient visits per day and 200 emergency visits per day Pharmacy department will process approximately 15 million prescriptions each year. And Our staffs are over 210 pharmacists including 35 clinical pharmacists and 13 assistants. In our pharmacy, we have nearly 35 clinical pharmacists performing clinical pharmacy services. We hold the largest clinical pharmacist team in Taiwan. Most clinical pharmacists are graduated with a master degree and we are encouraging all staffs to pursue graduate degrees.
191.1
We have around 35 full-time clinical pharmacists who serve to be in charge of 15 intensive care units,25 collaborative clinics, and 2 pharmacist-managed clinics, which comprised of 22 specialties in total. Each clinical pharmacist will care about 15-25 beds or patients and cooperative with at least one attending physician. There are 15 intensive care units, such as medical, surgical, burn, coronary care, cardiovascular surgery, chest, new born, pediatric, stroke, neurology, neurosurgery, respiratory care ICUs, etc. Specialties throughout cardiology, geriatric medicine, infectious disease, oncology, transplantation, nephrology, gastroenterology, endocrinology, metabolism, rheumatology, cardiovascular surgery, pediatric, psychiatric, total parenteral nutrition, etc. let us Introduce pharmacist’s role related to clinical pharmacist services described in Good Pharmacy Practice GPP guideline.
287.8
The International Pharmaceutical Federation (FIP) first adopted the nationally accepted standards of Good Pharmacy Practice in 1993. Later a revised version of this document was endorsed by WHO in 1997 and subsequently approved by the FIP Council in 1997. In 2011, FIP and WHO adopted an updated version of Good Pharmacy Practice entitled “Joint FIP and WHO guidelines on
331.4
good pharmacy practice: standards for quality of pharmacy services”. In this document, the aim of pharmacy practice is defined as to “contribute to health improvement and to help patients with health problems to make the best use of their medicines.” One of FIP’s most important tasks is to set global pharmacy standards through policy statements and professional scientific guidelines. GPP are organized around 4 major roles for pharmacists. Of the following, the role number 2 stated to provide effective Medication Therapy Management (MTM). MTM is a distinct service or group of services that optimize therapeutic outcomes for individual patients. MTM services are independent of, but can occur in conjunction with, the provision of a medication product.
406.8
Additional minimum national standards should be established for these activities. Under Role number 2, there are 4 functions structured and a list of minimum national standards
423.2
to be established have been set, including:
427.5
A: Assess patient health status and needs
433.4
B: Manage patient medication therapy
437.5
C: Monitor patient progress and outcomes
443.3
D: Provide information about medicines and health-related issues
450.5
Under Function A: Assess patient health status and needs. The minimum national standards should be established for example, Pharmacists should ensure that health management, disease prevention and healthy lifestyle behavior are incorporated into the patient assessment and care process.
477.6
Under Function B: Manage patient medication therapy. The minimum national standards should be established for example, Pharmacists should have a key role in educating prescribers on the access to and evidence for optimal and appropriate use of medicines including the required monitoring parameters and prescribing adjustments. Also, Where appropriate, pharmacists should provide advice or recommendations to the prescribers on medicine therapy, including the selection of the appropriate medication or dosage. What are the National Standards regarding provide effective Medication Therapy Management (MTM) in Taiwan? Hospital Accreditation Criteria of Taiwan in Pharmacy Practice state for inappropriate prescriptions, pharmacists can discuss with physicians with a collaborative, mutually supportive manner.

Last week we introduced clinical pharmacy services (CPS). In this session, we welcome clinical pharmacist Fan-Hsiu Chao.

Ms Chao will first introduce the purpose of learning clinical pharmacy services (CPS): – Recognize the clinical pharmacy services (CPS) and patient education described in GPP guidelines. – Understand current practices of CPS and patient education in hospital settings.

Then, she will give detailed examples of CPS practiced in hospital settings of Taiwan and share some of her experiences as a clinical pharmacist at Taipei Veterans General Hospital (TVGH).

Next, we will have a recap on Good Pharmacy Practice (GPP). Ms Chao will explain how local authorities need to set their own standards on top of the GPP guidelines. GPP is organized around 4 major roles for pharmacists. Of the following, Role number 2 stated to provide effective Medication Therapy Management (MTM). Under Role number 2, there are 4 functions structured and a list of minimum national standards to be established have been set, including:

  • Role 2 Function A: Assess patient health status and needs.

Minimum national requirement: Pharmacists should ensure that health management, disease prevention, and healthy lifestyle behavior are incorporated into the patient assessment and care process.

  • Role 2 Function B: Manage patient medication therapy.

Minimum national requirement: Pharmacists should have key roles in educating prescribers on the optimal and appropriate use of medicines, including monitoring key patient parameters, and adjusting prescriptions. Where appropriate, pharmacists should offer direct advice or recommendations to the prescribers on medical therapy.

Ms Chao will explain how local authorities need to set their own standards on top of the GPP guidelines. We will see function C and D in the next step.

We have provided the Guideline on GPP from WHO in the also link below. Please use it as a reference if you have not read it. Turn to page 14 on this file. In the next few step, you will also need to use this file.

Share and learn:

  • Why do you think countries should establish additional standards on top of GPP?
  • Do you know of such policies/standards in your country?
This article is from the free online

Good Pharmacy Practice: Introduction to Clinical Pharmacy Services

Created by
FutureLearn - Learning For Life

Our purpose is to transform access to education.

We offer a diverse selection of courses from leading universities and cultural institutions from around the world. These are delivered one step at a time, and are accessible on mobile, tablet and desktop, so you can fit learning around your life.

We believe learning should be an enjoyable, social experience, so our courses offer the opportunity to discuss what you’re learning with others as you go, helping you make fresh discoveries and form new ideas.
You can unlock new opportunities with unlimited access to hundreds of online short courses for a year by subscribing to our Unlimited package. Build your knowledge with top universities and organisations.

Learn more about how FutureLearn is transforming access to education