@article {165, title = {National Survey of Clinical Pharmacy Practice in Saudi Arabia-2017-2018: Performances and Activities}, journal = {PTB Reports}, volume = {6}, year = {2020}, month = {March 2020}, pages = {44-49}, type = {Research Article}, chapter = {44}, abstract = {

Objectives: To explore the national survey of clinical pharmacy practice in Saudi Arabia from 2017- 2018 with an emphasis on performances and activities. Methods: This is a 4-month cross-sectional national survey regarding clinical pharmacy practice in Saudi Arabia. The study consisted of two parts: The first part collected demographic information and the second part comprised a questionnaire with 51 questions divided into four domains. The questions were derived from the standards of the American Society of Health-System Pharmacists (ASHP) and Saudi Pharmaceutical Society (SPS) survey, the international standards of the Joint Commission of Hospital Accreditation, in addition to the local standards of Saudi Center of Healthcare Accreditation. The four domains were as follows: clinical pharmacy administration and management, performances and activities, education and training and workload documentation. The responses were obtained using a 5-point Likert response scale system with close- and open-ended questions. The survey questionnaire was distributed in an electronic format to the 31 directors of pharmacies at various hospitals in Saudi Arabia. In this study, we analyzed the national survey of clinical pharmacy practice at hospitals in Saudi Arabia with regard to performances and activities. All data were obtained through the Survey Monkey system. Results: The survey questionnaire was distributed to 31 hospitals. Majority of the specifications of clinical pharmacy services provided were for concurrent and routine monitoring of drug therapy of the patients (17 (54.84\%)) and written medication history (16 (51.61\%)). Majority of the clinical services recorded was for answering drug information inquiries (74.19\%), error and adverse drug event reporting (70.97\%) and medication administration (70.97\%). Most of the pharmacy units had clinical pharmacy services for control and narcotics system (4.13 (82.60\%)), unit dose system (4.07 (81.40\%)) and adults emergency medication (3.45 (69\%)). Most of the hospital programs had clinical services existed for stewardship antimicrobial (64.52\%), medication safety (61.29\%) and medication reconciliation/history-taking (54.84\%). Most of the methods of clinical pharmacist prescribing privileges in relevant hospital programs was prescribing under physician supervision (66), followed by independent prescribing (49) and refill prescribing (20). Conclusion: The performances of clinical pharmacy services monitoring of drug therapy only; that is including medication misadventures monitoring and prevention through antibiotics, medication safetyrelated services. The clinical pharmacist had inadequate prescribing privilege under physician supervision. Targeting of upgrading the clinical pharmacy performances and privilege is higher recommended with New Saudi vision 2030 to improve patient clinical outcome and avoid any economic burden of the healthcare system in Saudi Arabia.

}, keywords = {Activities, Clinical, Performances, Pharmacy, Practice, Saudi Arabia}, doi = {10.5530/PTB.2020.6.8}, author = {Yousef Ahmed Alomi and Fatimah Al-Doughan and Sultan Mohammed Al-Jarallah and Yasir Ahmed Ibrahim and Adel Mehmas Alragas and Norah Omar Bin Haidarah} } @article {159, title = {Privileges of Pharmacist in Saudi Arabia: Clinical and Administrative Activities}, journal = {PTB Reports}, volume = {6}, year = {2020}, month = {March 2020}, pages = {13-18}, type = {Research Article}, chapter = {13}, abstract = {

Objectives: To explore the privileges of pharmacists through the clinical and administrative activities in Saudi Arabia. Methods: This is a 4-month cross-sectional survey regarding clinical and administrative privileges of pharmacists in Saudi Arabia. The study consisted of two parts: the first part collected demographic information and the second part comprised a questionnaire with 28 questions divided into 4 domains. The questions were derived from previous literature and from the regulatory standards of the American Society of Health-System Pharmacists (ASHP). The four domains were as follows: privilege management and resources, pharmacist prescribing and therapeutic interchange, clinical and administration privilege and drug monitoring and healthcare education. The responses were obtained using a 5-point Likert response scale system with close- and open-ended questions. The survey questionnaire was distributed in an electronic format to the director of pharmacy of each hospital in Saudi Arabia. In this study, we analyzed pharmacist{\textquoteright}s privilege in Saudi Arabia with regard to the clinical and administrative activities. All data were obtained through the Survey Monkey system. Results: The survey was distributed to 36 hospitals. The average score of pharmacist privilege in the hospital pharmacy practice program was 3.16 (63.13\%). Most of the pharmacy practice programs having pharmacist privilege were nonformulary requests (3.69 (73.8\%)), patient counseling (3.60 (72\%)) and medication errors preventing and monitoring (3.58 (71.6\%)). The average score of clinical privilege for a pharmacist was 2.95 (58.97\%). The maximum score of clinical privileges for a pharmacist were to answer questions from all healthcare professionals (3.83 (76.6\%)), to decrease drug dosing (3.47 (69.4\%)) and to change drug strength (3.4 (68\%)). The average score of pharmacist administration privilege was 3.14 (62.75\%). The administration privileges for pharmacists were to conduct educational courses (3.81 (76.2\%)) followed by to setup vision and mission (3.71 (74.20\%)) and to conduct training programs (3.64 (72.80\%)). Conclusion: The clinical and administrative privileges of a pharmacist is not well established in the Kingdom of Saudi Arabia. Most of the clinical and administrative privileges were regular and primary duties. Therefore, it is important to update the policies and procedures of clinical and administrative privileges given to a pharmacist with more engagement in the pharmacy practice. These practices are highly recommended in order to improve pharmaceutical care implementation at hospitals in the Kingdom of Saudi Arabia.

}, keywords = {Activities, Administrative, Clinical, Pharmacist, Privileges, Saudi Arabia}, doi = {10.5530/PTB.2020.6.3}, author = {Faisal Al-Otaibi and Mohamed Soliman Imam and Randa Mansour Abdel-Sattar Ahmed and Amsha Alotaibi and Asma Alotaibi and Amal Alotaibi and Wesam Alsuwaid and Yousef Ahmed Alomi} }