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A Preceptor Based Research Study and Report on Analysis of Doctor of Pharmacy/Clinical Pharmacy Services Duringclerkship and Internshipward Round Postings in Hospital

Mekkanti Manasa Rekha


Clinical pharmacy is the branch of Pharmacy which is concerned with the science and practice of Rational Medication Use. Clerkship and Internship ward rounds refers to the Practice of Clinical Pharmacy Practice principles by Pharm.D (Doctor of Pharmacy) students. Aim: The Aim of the present study is the preceptor based analysis and report of Doctor of Pharmacy /Clinical Pharmacy Services during the Clerkship and Internship Postings at ESI Hospital, Indiranagar, and Bangalore. Objective: Analysis and Report of Doctor of Pharmacy Clinical Pharmacy services such as Prescription study and preventing Medication Related Problems such as Adverse Drug Reactions, Drug Interactions and Over Dosages, performing Drug Utilization Evaluation, providing Drug and Poison information, Patient Counseling Services, improving the patient safety initiatives, quality of life and health related outcomes, reducing work burden of physicians and providing better health care. Methodology: All the required data was collected from patients through patient representative interview and case sheets and treatment charts analyzed and reported by using adverse drug reactions, drug interactions, drug information query and answer, patient counseling and feedback forms. Discussion and Results: A total of 1500 patients were selected for the study from the different departments includes General Medicine, ENT, Obstetrics and Gynecology, Orthopedics and Surgery a total of 7,750 services provided by the Doctor of Pharmacy Students and the data was analyzed with the help of Prism Graph Pad Software and the P-value was 0.001 which states that the study was highly significant. Conclusion: The present study concludes that the Physicians has an increased workload, as they are not able to manage all the healthcare services which shows clearly that the Doctor of Pharmacy Professionals can reduce the workload of physicians by acting as a bridge between the Physicians and Patients. Its urge that the Indian government should take an initiative to implement and to create a cadre for Doctor of Pharmacy services in all Indian Hospitals to provide better health care services.


Clinical Pharmacy, Doctor of Pharmacy, General Medicine, Obstetrics and Gynecology, Prism graph pad software, Orthopedic, Pediatric and Surgery

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Prospectivestudyonimplementationofclinicalpharmacyservicestogeneralmedicine department in a tertiary care hospital. Journal of Pharma Research, Research article available online through Volume 5 (8).191-198.

A. Bharath kumar, B. Kumar, M. Saipavan, M. Gobinath. A Review on scope importance and future needs of clinical pharmacy practice in india. International journal of current trends in Pharmaceutical research.2015, 3(3): 916-923.

A. Bharath Kumar, Kumar B, RameshD, Gobinath M.A Review On Pharamcotherapy And Management Of Tuberculosis. International journal of Pharmaceutical research and bio sciences, 2014; Volume 3(5): 406-436.

Bharath A, Ramesh D, Kumar B, Gobinath M. Prevention And Management of HivAids.Ijprbs, 2014; Volume 3(3): 217-235.

A. Bharath Kumar, S.P. Zakiullah, M. Manasarekha.A Review On Stroke Prevention And Management Through Life Style Modifications. World Journal of Pharmaceutical Research. Vol 5, Issue 5, 2016.

American College of Clinical Pharmacy. Pharmacotherapy 2008-28 (6), 816–817.

American College of Clinical Pharmacy. The Definition of Clinical Pharmacy. Pharmacotherapy 2008; 28(6):816-817.

Marie Cicelie. C.Ng, Monet M. Loquias. Retrospective Quality Assessment of a Hospital-Based Drug Information Service. International Journal of Pharmacy Teaching & Practices 2013, Vol.4, Issue 3, 724-730.

Javedh Shareef, Sajitha M S, C. S. Shastry. Impact of Pharmacist Provided Patient Counseling on Quality of Life Inpatients with Asthma in a Tertiary Care Teaching Hospital. International Journal of Pharma Research & Review, Feb 2014; 3(2):1-10.

Sathvik Belagodu Sridhar, Shoukath Ali Khan, Manjunath S Shetty. An Audit of Renal Clinical Pharmacist Provided Drug Information Services to Nephrology Department. Indian Journal of Pharmacy Practice, Vol 7, Issue 4, Oct–Dec, 2014.

Sanghera N, Chan PY, Khaki ZF, Planner C, Lee KK, Cranswick NE, Wong IC. Interventions of hospital pharmacists in improving drug therapy in children: a systematic literature review. Drug Saf, 2006(29), 1031–1047.

Prasanna dahal, satish kumar ,R rajeshvenkataraman. assessment of clinical pharmacist intervention in tertiary care teaching hospital of southern india.vol 6, suppl 2, 2013.

Das S Kr, Acharya S, Vijayakumar PRA, Gupta S. “Drug information service as pharmaceutical care; provided by clinical pharmacists’ in a south Indian government hospital”. Austin J PharmacolTher, 2014; 2(6): 1-3.

Kumar MBJ, Sandeep A, Krishnagoudar BS, Venkappa KR, Ramanath KV. Assessment and evaluation of drug information services provided by the clinical pharmacists in a rural tertiary care teaching hospital of south India. RGUHS J Pharm Sci, 2011; 1(1): 26-31.

Vigneshwaran E, Reddy YP, Devanna N. Drug information services to HIV/AIDS care and support centre in resource limited settings. Asian J Pharm Clin Re, 2013; 6(4): 175-8.

Bera A, Mukherjee A. The importance of generic drugs in India. International journal of pharmaceutical, chemical and biological sciences, 2012; 2(4): 575-87.

subashvijayakumar,vijayalaxmichakilam,alekhyapabba.performanceof drug information centre by a clinical pharmacist in a tertiary care teaching hospital, warangal, andhrapradesh, india. International Journal of Pharmacy Practice & Drug Research.3(1), 2013,1-5.

Parthasarathi G, Hasan KN, Nahata MC. A Text Book of Clinical Pharmacy Practice. 3rded., Chennai, India; Orient longman private limited: 2004.

Mudigubba Manoj Kumar, Sowmya B, Dinesh R, Karthik MEvaluation of performance of drug Information center providing quality of information services to healthcare professionals in a tertiary care teaching hospital of south India. Innovations in Pharmaceuticals and Pharmacotherapy.Vol 1 (2), 81-90, 2013.

Jayasutha J, Kumar AM, Sriram S, Nithila MJA. Statistical survey and evaluation of drug information services at a tertiary care hospital. Res J Pharm BiolChemSci, 2011; 2(3):249-53.

Bharvsar R, Zachariah S, Thomas D, Kannan SM. Evaluation and appraisal of drug information services in a rural secondary level care hospital, Anantapur, AP. JPharmBioallSci, 2012; 4(4): 302-6.

Devi P, George J. Drug information needs of physicians treating diabetic nephropathy ina tertiary care hospital. Kathmandu Univ Med J, 2008; 6(21): 23-7.

Kumar MM, Sowmya B, Dinesh R, Karthik M, Nagar AK, Yogananda R, et al. Evaluation of performance of drug information center providing quality of informationservices to healthcare professionals in a tertiary care teaching hospital of south India. Innovations in Pharmaceuticals and Pharmacotherapy, 2013; 1(2): 81-90.

Venkatraghavan S, Rams M, Leelavathi D A. Performance of a drug information centre in a south Indian teaching hospital. Int. J. PharmTech Res, 2010; 2(1): 390-403.

Viktil KK, Blix HS. The Impact of Clinical Pharmacists on Drug-Related Problems and Clinical Outcomes. Basic Clin PharmacolToxicol 2008; 102(3):275-80.

Van den Bemt P M, Egberts T C , De Jong-van den Berg LT ,Brouwers J R Drug-Related Problems in Hospitalised Patients Drug Safety 2000 ; 22 (4): 321-333.

Hardmeier B, Braunschweig S, Cavallaro M, Roos M, Pauli-Magnus C, Giger M, Meier P,Fattinger K . Adverse drug events caused by medication errors in medical inpatients. Swiss MedWkly 2004; 134:664–670.

Blix HS, Viktil KK, Reikvam A, Moger TA, Hjemaas BJ, PretschP. The majority of hospitalised patients have drug-related problems: results from a prospective study in general hospitals. Eur J Clin Pharmacol 2004; 60:651–658.

Florence van Hunsel& Christine van der Welle. Motives for reporting adverse drug reactions by patient-reporters in the Netherlands. European journal of Clinical Pharmacology.2013.

Omole Moses Kayode et al.A study on establishment of drug information center in western Nigeria. International journal of research in ayurveda and Pharmacy.3(5).2012.

Kucukarslan SN, Peters M, Mlynarek M, Nafziger DA. Dopharmacists’ presences on rounding teams reduce preventable adverse drug events in hospital general medical units.CMAJ 2004 Feb; 170(3):333.

Roberts MS , Stokes JA , King MA, Lynne TA, Purdie DM. Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes. Br J Clin Pharmacol 2001; 51:257-265.

Langebrake C, Hilgarth H. Clinical Pharmacist intervention in German University Hospital. Pharm World Sci 2010; 32:194-199.

Bruno Charpiat, Ornella Conort, Francoois-Xavier Rose Assessment of Clinical Pharmacists Interventions in FrenchHospitals: Result of Multicenter Study. Ann. Pharmacother 2008Jul; 42(7):1095-1103.

Alagiriswami B, Ramesh M, Parthasarathi G, BasavanagowdappaH. A Study of Clinical Pharmacist Initiated Changes in DrugTherapy in a Teaching Hospital. Indian J Pharm Pract 2009;1(2):36- 45.

Ganachari MS, Mahendrakumar BJ, Shashikala CW, fibrin M.Assessment of drug therapy intervention by Clinical Pharmacistin Tertiary care Hospital. Indian J Pharm Pract 2010; 3(3):22-28.

S Mangasuli, Padma, GM Rao. Clinical intervention: Apreliminary survey in a South Indian teaching hospital. Indian JPharmacol 2006 Oct;38(5):361-362.

Parthasarathi G, Ramesh M, Kumar JK, Madaki S. Assessment ofdrug related problems and clinical pharmacists ’ interventions inan Indian teaching hospital. J Pharm Prac Res. 2003; 33:272-74.

Anne Spinewine, Soraya Dhillon, Louise Mallet et al. Implementation of Ward-Based Clinical Pharmacy Services inBelgium-Description of the Impact on a Geriatric Unit. Ann.Pharmacother 2006 Apr; 40:720-728.

CJ Hawkey, S Hodgson, A Norman, TK Daneshmend, ST Garner.Effect of reactive pharmacy intervention on quality of hospitalprescribing. BMJ. 1990; 300:986-990.

ND Barber, R Batty, DA Ridout. Predicting the rate of physician-accepted interventions by hospital pharmacists in the UnitedKingdom.405.

G Parthasarathi, Karin nyfort-hansen, Milap C Nahata. A textbook of clinical pharmacy practice, second edition, Indcom Press, India, 2012, 2-18.

Jeevangi V M et al. Assessment and evaluation of drug infroamtion service provided by Pharmacy practice department based on enquirers perspective. international research journal of pharmacy.2012.3.(10).

Frank D. Dundee, Dominic M. Dundee, and David M.Noday, Pediatric counseling and medication management services: Opportunities for community pharmacists, Journal of the American pharmaceutical association., 42, 2002,556-567.

Chuan Zhang, Linglizhang mail, Rong Luo, Jin Wen, Clinical pharmacists on medical care of Pediatric inpatients: A single-center randomized controlled trial, Public library of science.,7, 2012, 56-61.

Gunar Stemer,1 Gerda Laml-Wallner,1 Ingrid Kuegler. Comprehensive evaluation of clinical pharmacists interventions in a large Austrian tertiary care hospital. European Journal of Hospital Pharmacy 2012;0: 1–6. doi:10.1136/ejhpharm-2012-000131.

Russo, Medication error prevention by clinical pharmacists in two children’s hospitals, Official journal of the American academy of pediatrics., 79, 1986, 718-722.

M. G. Rajanandh, rubyvarghese, c. Ramasamy. Assessment Of Drug Information Services In A South Indian Tertiary Care Hospital In Kanchipuram District. International Journal of Pharmacy and Pharmaceutical Sciences.Vol 3, Issue 3, 2011.

Zafar Iqbal et al.2012.Potential Drug-Drug Interactions in Psychiatric Ward of a Tertiary Care Hospital: Prevalence, Levels and Association with Risk Factors. Tropical Journal of Pharmaceutical Research 11(2):289-296 · April 2012.

srinivasan r, ramya g. Adverse drug reaction-causality assessment. international journal of research in pharmacy and chemistry.2011,1(3).

Barun Ranjan Sarkar. Drug Information Services in Resource-Limited Settings: A Case of Drug Information Center in Gondar University Hospital, Northwest Ethiopia. International Journal of Pharma Research and Health Sciences. Volume 4 (1), 2016, Page-948-953.

dr. rajaram, g., dr. sugirda, p. and dr. lenin, r.Pattern of adverse cutaneous drug reactions presenting to general practitioners in a semi urban area.asian journal of science and technology vol. 6, issue 09, pp. 1788-1790, september, 2015.

Jean F Kozak and AkberMithani. Prevalence of Adverse Drug Events in Long Term Care: Variations in Screening Between Nurses and Physician-Pharmacist Reviewers. HSOA Journal of Gerontology & Geriatric Medicine.2015, 1: 007.

Ragesh G., Sindhubharathi A, Ushasri M, SrinivasuluA.A Study On Assessment Of Clinical Pharmacy Services To Cardiology Department In Tertiary Care Teaching Hospital. Int J Pharm Pharm Sci, Vol 6, Issue 2, 192-195.2015.

Satish Kumar BP, Prasanna Dhalal, Rajesh Venkataraman. Assessment of Clinical Pharmacist Intervention in Tertiary Care Teaching Hospital of southern India, Asian journal of pharmaceutical and clinical research.,6, 2013, 258-261.

Gairiksengupta et al. Adverse drug reaction monitoring in psychiatry out patient department of Indian teaching hospital. indian journal of practice.2011.

Mohamed N Al-Arifi, AY Mayet, Syed Wajid, M Al-Saadi. Knowledge, Attitude and Perception of Physicians towards Adverse Drug Reaction Reporting at King Khalid University Hospital, Riyadh, Saudi Arabia. Tropical Journal of Pharmaceutical Research May 2015; 14(5): 907-911.

WalliMohammed, Dr.Samreen Afroz, Dr. Satish Miriyala, Dr. G. Ramya Naidu, ShardhaSrikanth. World Journal Of Pharmaceutical Research.Vol 4, Issue 3, 2015.

Mohd.TahirSiddiqui,AllamRoshini,A.SivaAbhishek,K.Ashwini,Assessment of the Prevalence of Drug–Drug Interactions in the Medical Intensive Care Unit of a Tertiary Care Teaching Hospital in India. International journal pharmacy and pharmaceutical research 2015; Vol. 4 (3): 102-112.

Ashok Kumar. D, M. VenkataSubbaiah, M. Purushothaman. Evaluation Of Adverse Drug Reactions In A Tertiary Care Teaching Hospital. World Journal Of Pharmacy And Pharmaceutical Sciences. Vol 4, Issue 08, 2015.


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