HISTORY OF
CLINICAL
PHARMACY
clinical
pharmacy
clinical
pharmacy
► There are several definitions but perhaps the most
exact is that of the Commission of Specialization in
Clinical Pharmacy of the United States, since this
country is its origin:
The clinical pharmacy
► It is a specialty of Health Sciences, whose responsibility is to ensure
the safe and appropriate use of medications in patients, through the
application of specialized functions and knowledge in patient care,
and which requires specialized training and/or structured learning. .
► This requires reasoning in data collection and interpretation, specific
patient involvement, and direct interprofessional interactions.
GENERAL OBJECTIVE N
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► Promote the rational use of medications.
Definition of URM:
Patients receive medication appropriate
to their clinical needs, in doses
corresponding to their individual
requirements, for an appropriate period
of time and at the lowest possible cost to
themselves and the community. (WHO,
1985)
SPECIFIC OBJECTIVES
► Ensure and guarantee that each patient receives the appropriate
pharmacological treatment for their needs.
► Contribute through timely studies to the risk/benefit determination of
pharmacological treatments, both individually and collectively.
► Integrate and collaborate actively and fully in the healthcare team.
► Promote the safe, effective and appropriate use of medications
through correct patient education and the formation of other
professionals
sanitary.
SPECIFIC OBJECTIVES
► Consider medication utilization costs.
► Open lines of study and research to improve treatments.
► Information systems
► Set self-assessment criteria
GENERAL FUNCTIONS
Preparation of medication histories and pharmacotherapeutic profiles
of patients to ensure the correct use of medications.
Provide objective and updated information about medications to
other health professionals, facilitating their appropriate selection
(pharmacotherapeutic guides, forms)
Active participation in pharmacological committees.
Active monitoring of pharmacological treatments in order to evaluate
the patient's individual response (effectiveness, safety)
GENERAL FUNCTIONS
► Provide medication information and advice to patients
upon discharge.
► Development of education programs for patients and
health professionals in order to achieve effective, safe
and appropriate use of medications.
GENERAL FUNCTIONS
► Preparation and participation in research projects of
reviews, protocols, innovative pharmaceutical
formulations, pharmacovigilance, drug use studies,
pharmacoeconomics.
► Development of teaching training programs in Clinical
Pharmacy and participation in training activities of other
health professionals.
SPECIALIZED FUNCTIONS•
Preparation and monitoring of Parenteral and Enteral
Nutrition protocols.
Pharmacotherapeutic consulting in Oncology, Infectious
Diseases (AIDS) teams.
Clinical Pharmacokinetics Services
Clinical Toxicology Services.
Information and evaluation of medications for
therapeutic exchange programs.
The functions of the clinical pharmacy are:
► 1.- Information about medications to others
healthcare professionals.
► 2.- Ensure the correct use of medications by patients
patients through pharmacotherapeutic records in their medical history.
► 3.- Monitoring of pharmacological treatments included
the request and interpretation of laboratory data (drugs, biochemistry,
microbiology, genetics, etc...).
► 4.- Inform and advise patients about their medication.
► 5.- Participate in emergency medical care.
► 6.- Inform and advise society on health issues
in general.
► 7.- Carry out studies on the use of medications and
therapeutic audits.
Evolution of Pharmacy
clinic
The evolution of Clinical Pharmacy, especially in Hospital
Pharmacy, has led to super-specialization in it. The
following are specialized functions of the Clinical
Pharmacy:
Preparation and monitoring of Parenteral and Enteral
Nutrition protocols.
Pharmacotherapeutic consulting in Oncology, Infectious
Diseases (AIDS) teams.
Evolution of Pharmacy
clinic
► Clinical Pharmacokinetics Services
► Clinical Toxicology Services.
► Information and evaluation of medications for therapeutic exchange
programs.
► Pharmacists must get out from behind the cash register and start
serving the public, providing them with care instead of just drugs.
► There is no future in the mere act of dispensation.
► This activity can and will be done online, through vending machines
and/or by technicians trained for it. “The fact that pharmacists have
academic training and act as health professionals offers them the
opportunity to serve society better than they do today.”
(Of: Pharmaceutical care, European developments in concepts,
implementation, and research: areview.)1,p.ix
HISTORY V
► •The interest of pharmacists in carrying out activities that benefit
directly to patients is as old as the profession itself.
► S. XIV Henry III proposes separation. Doctor: diagnoses and prescribes;
Pharmacist: prepares and dispenses; patient or family: take or
administer medication.•
► 1580 Seville Hospital of Espíritu Santo doctor, surgeon and apothecary
They spent visits together.•
► 1617, Members of the Society of Apothecaries of Great Britain
They prescribed medications with the same authority as general
practitioners.•
► 1700 Italy pharmacists were included in the college of
doctors.
► At the beginning of the s. XX the pharmacy is distanced from
medicine, it is outside the healthcare team: it acquires and
dispenses.•
► USA 1904 L. Wait Rising established the goal of Clinical Pharmacy.
► •USA 1953 Gloria Frankle publishes an article “Development of Clinical
Pharmacy”•
► However, it was in the 1960s when clinical pharmacy began to be
formally discussed in the United States.
► 1972 Frankle and Whitney publish “Perspectives on
Clinical Pharmacy” They establish a Drug Information Center (CIM) and
a dosing center.•
► 1980 Peru UNMSM creates the specialty of Pharmacy
Clinic. The essence of its reason for being is a form of professional
pharmaceutical practice aimed at the rational use of medications by
patients and the making of therapeutic decisions, regarding
medications, by health professionals.•