“Drug Information Service as Pharmaceutical Care; Provided by Clinical Pharmacists’ in a South Indian Government Hospital”

Research Article

Austin J Pharmacol Ther. 2014; 2 (6). 1033

“Drug Information Service as Pharmaceutical Care; Provided by Clinical Pharmacists’ in a South Indian Government Hospital”

Sushanta Kr Das1, Souvick Acharya2, Anand Vijayakumar PR3 and Saurabh Gupta4*

1Department of Pharmacy, CMR College of Pharmacy, Kandlakoya (V)-501 401, Hyderabad, India

2Department of Pharmacy, Fortis Escorts Hospital, Amritsar-643 001, Panjab, India

3Department of Pharmacy Practice, JSS College of Pharmacy (Off Campus JSS University), Ootacamund-643 001, Tamilnadu, India

4Department of Pharmacology, Indore Institute of Pharmacy, Rau pithumpur road-45331, Indore, Madhya Pradesh, India

*Corresponding author: : Dr. Saurabh Gupta, Department of Pharmacology, Indore Institute of Pharmacy, Opposite IIM institute, Rau pithumpur road, Indore-45331, Madhya Pradesh, India

Received: July 03, 2014; Accepted: Aug 04, 2014; Published: Aug 08, 2014


Background: Clinical pharmacy services are aimed at better patient care to provide pharmaceutical care to patients by supporting other health care providers. Drug information service are one this, which leads to better patient care.

Aim: Aim of this study was ‘identification and response various drug information in a Government hospital as a part of pharmaceutical care. Objectives were to receive & respond various drug information queries and categorise & document them to obtain result.

Methods: In this prospective study drug information queries were received through various way viz; query box, direct access, e-mail and telephone from Government headquarters Hospital, Ooty, between April 2010 and January 2011. All the queries were responded by using standard and authentic reference within stipulate time period and documented & categorize after receiving feedback from questioners.

Result: A total of 210 drug information queries were received, responded, feedback obtained, documented and categorized. Out of 210 queries, 122 queries were received by direct access followed by query box. Nursing students and nurses were highest among the enquirer followed by pharmacist and doctors. Most of the queries were asked for up-gradation of knowledge (154) than better patient care (56). To respond, 25 were immediate, 13 within 2-4 hours, rest next day to within a week. Web based drug information data bank were maximum used (176) to respond queries followed by tertiary, secondary and primary reference resource. Feedbacks were obtained for entire response and shows the service was accepted by enquirers.

Conclusion: Drug information service in the hospital was found to be beneficial as queries were based on mainly to update the knowledge which ultimately helps in better patient care only.

Keywords: Drug information; Clinical pharmacist; Pharmaceutical care


Concept of clinical pharmacy service was introduced in middle of the twentieth century by pioneers like Prof. Youngken Jr. and L. W. Rising at University of California. In India although clinical pharmacy is yet in infancy, challenges are to develop and provide clinical services to patient and other health care provider in all size of hospitals and pharmacy set up, so that health care role of pharmacist can be recognized both by health care community as well as patients. In contemporary clinical pharmacy service, professional responsibilities are to ensure that right drug dose and dosage form are administered to the patient at right time with right cost. Clinical pharmacy services provided by clinical pharmacist in the hospital include drug dispensing & distribution, drug information, pharmacy vigilance, medication reviews, academic detailing and sterile & non-sterile manufacturing [1]. Drug use is a complex process which leads to increase number of drug-related problems at various levels involving; prescribers, patients, pharmacist, pharmaceutical industry and government. In response to growing need for enhancing the effectiveness, safety, potency and preciseness of drug therapy, profession of pharmacy required to evolve new functions and responsibility for pharmacy practitioners in order to promote rational drug use [2]. The term “clinical pharmacy” was coined to describe the work of pharmacists whose primary job is to interact with the health care team, interview and assess patients, make specific therapeutic recommendations, monitor patient responses to drug therapy and provide drug information. Clinical pharmacists’ work primarily in hospitals and clinical care settings and provide patient-oriented rather than product-oriented services [3-5]. Clinical pharmacy has been defined as ‘those services provided by pharmacists in an attempt to promote rational drug therapy that are safe, appropriate and cost-effective’. The Society of Hospital Pharmacists of Australia (SHPA) says that, all patients should have access to appropriate clinical pharmacy services as part of hospital based care because these services reduce the incidence of adverse drug events [3,5]. In 1988 WHO consultative group recommended the role of pharmacist in the health care system, that clinical pharmacy should be promoted as a hospital discipline to ensure rational use of drug and reduction of costs and should play an active part in patient care by making their expertise available to other disciplines and departments [6]. In an increasingly complex health care environment, it has become difficult to compare the effectiveness of different treatment [7]. Clinical pharmacists should assume that all patients require pharmaceutical care until they have been assessed to exclude drug therapy problems. However, due to limited resources, this step is not always possible and a systematic approach may need to be adopted to facilitate the targeting of care [3].


This prospective study, conducted at Government headquarters hospital, Ooty, India, between April 2010 and January 2011, after obtaining the approval by Institute Ethics Committee, JSS College of Pharmacy, Ooty, India (JSSCP/DPP/IRB/006/2010-11). This service was available with direct access during ward rounds, telephone and e-mail. An innovative drug information query box were prepared and kept in outpatient and different inpatient wards along with query request form & detail contact number in hospital for receiving queries. For mailing query e-mail address was also written on query box. All the queries were received, responded, documented and categorized by using structured documentation forms. Drug information request were evaluated and answered according to modified systemic approach. Original research work publication was used as primary source of reference, full text articles was used as secondary source, standard text books was used as tertiary source and validated internet medicine data bank were used as other (web) source. Query response feedback was also obtained by using structured feedback questionnaire and the service was categorized as; good, satisfactory, need improvement and un-accepted. All the obtained data were categorized based on various parameters and final result was made.


A total of 210 drug information queries were received, the entire query were responded missing any single & feedback were obtained and categorized within study period.

Table 1 represents the distribution of query received throughout the study period. It shows an almost equal distribution of query throughout the period except for the month of May which shows a double in the number of queries.