@article {371, title = {Accounting and Financial in Pharmacy Practice: Software and Applications}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2024}, month = {February 2024}, pages = {152-163}, type = {Review Article}, chapter = {152}, abstract = {

Objectives: To explore the software and applications of accounting and financial policy and procedures in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of the software and applications of accounting and financial policy and procedures in pharmacy practice. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 15 October 2023. The term is in full-text English and includes Case Reports, Classical Articles,Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, Meta-Analysis, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject.subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of general infection control in hospital practice. The committee of pharmacy accounting policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, accountant specialists, and financial experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the accountant specialist. The topic emphasizes accounting and financial software and applications of the Pharmacy policy. Results: The software and applications of accounting and financial policy and procedures in pharmacy practice are continuous, accessible, and fast to retrieve information. Several factors might affect choosing accounting and financial software and applications, including services coverage, cost, and applicable and friendly usage. Conclusion: The software and applications policy is a new pharmacy accounting and financial initiative. The software and applications policy improves the accounting and financial retrieving and documentation system. In addition, it helps pharmacists to adhere to accounting and financial regulations in different places at healthcare organizations. Therefore, the accounting and financial software and applications policy is highly recommended for digital hospital and community pharmacy systems in Saudi Arabia.

}, keywords = {Accounting, Applications, Financial, Policy, Saudi Arabia, Software}, doi = {10.5530/ijpcs.2023.12.20}, author = {Yousef Ahmed Alomi and Ghadeer Zayed Aljumah and Nasser Rashid Alohlie and Naif Saleh Alamri and Maha Hussein Almadany and Riyadh M Alashban and Abeer Hussin Almasoudi} } @article {373, title = {Pharmacy Safety and Occupational Health: Fire Safety Perspectives}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2024}, month = {February 2024}, pages = {167-174}, type = {Review Article}, chapter = {167}, abstract = {

Objectives: To explore the occupational safety and health emphasis on fire safety policy and procedures in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of pharmacy practice fire safety policy and procedures. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of general occupational safety and health in hospital practice. The committee of pharmacy occupational safety and health policy and procedures formulated and consisted of various expert members. The policy included fire prevention, Emergency Plans, Fire Protection, Safety conditions, and requirements for the pharmacy buildings and medication stores. Results: The fire safety of pharmacy practice policy and procedures in pharmacy practice had various benefits, such as fire safety risk assessment, Usage of fire extinguishers type per each fire at each section of pharmacy services, illustrate the fire safety equipment requirement for pharmaceutical warehouse and pharmacy buildings, and instruction prevention of fire and during fire incident. Conclusion: Fire safety as part of occupational safety and health policy and procedures in pharmacy practice is a new initiative in Saudi Arabia. They will improve the pharmacy safety measurement and better occupational safety and health. In addition, it encourages pharmacy staff to adhere to local and international occupational safety and health regulations and standards. Therefore, The pharmacy occupational safety and health emphasis on fire safety highly recommended policies, procedures, and related risk assessment analysis in the pharmacy businesses in Saudi Arabia.

}, keywords = {Fire, Occupational safety, Pharmacy, Policy, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.22}, author = {Yousef Ahmed Alomi and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-Sabah and Naif Saleh Alamri and Abdulah Khalid Al-Otaibi and Mohammed Hakami and Rola AL Kenani and Samah Mukhlef Alzaid and Areej Abdullah Al Jasser and Farida Hamad Alsaiari} } @article {368, title = {Advanced Practice of Total Parenteral Nutrition by Physicians in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {140-149}, type = {Research Article}, chapter = {140}, abstract = {

Objectives: To explore the physician{\textquoteright}s advanced practice of Total Parenteral Nutrition in Saudi Arabia. Methods: It analyzes a cross-sectional survey that discussed advanced physician practice of Total Parenteral Nutrition services (TPNs) in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about physicians and Advanced Practice Total Parenteral Nutrition services (TPNs) by Physicians, the types of prescribing, preparations, and administrations of the Total Parenteral Nutrition services (TPNs) system, The responsibility of Total Parenteral Nutrition services (TPNs). The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of the reliability of McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were done with the study. In addition, the data analysis of the Pharmacist practice of Cardiopulmonary Resuscitation (CPR) medications is done through the survey monkey system. Besides, the Statistical Package of Social Sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 409 physicians responded to the questionnaire. Of them, almost one-half responded from the Northern region (186 (45.48\%)), and one Quarter responded from the central area (106 (25.92\%)), with statistically significant differences between the provinces (p=0.000). Females responded more than males (268 (65.53\%)) versus 141 (34.47\%)), with statistically significant differences between all levels (p=0.001). Most of the responders were in the age group of 36-45 years (198 (48.41\%)) and 46-55 years (109 (26.65\%)), with statistically significant differences between all age groups (p=0.000). Almost one-half of responders, 176 (43.03\%), worked at an organization that had Parenteral Nutrition services (TPNs) services, with only 86 (21.03\%) had been ever requested any Parenteral Nutrition services (TPNs) with statistically significant differences between all answers (p=0.000). The average score of items for advanced practicing Total Parenteral Nutrition services (TPNs) was (3.48). The {\textquotedblleft}Patient safety system for TPN{\textquotedblright} item scored the highest (3.74). Followed by The element {\textquotedblleft}Pediatrics TPN forms{\textquotedblright} (3.73) and The element {\textquotedblleft}Clean room for TPN preparation{\textquotedblright} (3.73). Most physicians had Customized Total Parenteral nutrition for geriatrics 228 (55.75\%) and Pediatric 225 (55.01\%). In using Standardized Total Parenteral nutrition, most physicians used for geriatrics, 283 (69.19\%) and 189 (46.21\%), do not know how to use it. In Pre-mixed Total Parenteral nutrition, most physicians used geriatrics 211 (51.59\%) and adolescents 209 (51.10\%). Conclusion: The advanced practice of parenteral nutrition by physicians was adequate. One-half of physicians practice the New model of parenteral nutrition. The physician had negative perceptions of the parenteral nutrition responsibilities of the pharmacist. The advanced practice of TPN should be considered for further evaluation and accountability in medical care.

}, keywords = {Nutrition, Parenteral, Physicians, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.18}, author = {Yousef Ahmed Alomi and Fatma Al Raisi and Riyadh M Alashban and Ban Abdullah Aldosary and Abdulmajeed Ali Alshehri} } @article {375, title = {KSA-Self Assessments of Pharmacy Safety and Occupational Health}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {179-186}, type = {Review Article}, chapter = {179}, abstract = {

Objectives: To explore the KSA-Self Assessments of Pharmacy Safety and Occupational Health as a new initiative project in Saudi Arabia. Methods: It was a narrative review of KSA-Self Assessments of Pharmacy Safety and Occupational Health. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of general occupational safety and health in hospital practice. The committee of pharmacy accounting policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The self-assessment is based on guidelines based on occupational safety and health societies{\textquoteright} regulations. In addition to Institution Safe Medication Practice (ISMP) criteria and KSA-Self assessment of pain management drug safety. The policy draft by one member by the second member was reviewed and corrected. The third revision was by the occupational safety specialists. The topic emphasizes self-assessments of Pharmacy Safety and Occupational Health. Results: The KSA Self Assessments of Pharmacy Safety and Occupational Health consisted of nine items. That has included Characteristics of Pharmacy Services, Pharmacy and warehouse building, Fire Safety, Crises and Disaster Management. Besides the Medication Information, Pharmacy Safety Practice, Patient/Family Education, Pharmacy staff competency and training, and Total Quality and Risk Management. Each element had various closedended questions scored using the 5-point Likert response scale system. Conclusion: The KSA-Self Assessments of Pharmacy Safety and Occupational Health policy is a new initiative project in Saudi Arabia. The KSA-Self Assessments of Pharmacy Safety and Occupational Health policy improves the Pharmacy Safety and Occupational Health system foundations. In addition, it encourages pharmacists to adhere to Pharmacy Safety and Occupational Health regulations in different places in the public and healthcare organizations. Therefore, the KSA-Self Assessments of Pharmacy Safety and Occupational Health policy is highly recommended for pharmacy career professionals in Saudi Arabia.

}, keywords = {Occupational health, Pharmacy, Safety, Saudi Arabia, Self-assessment}, doi = {10.5530/ijpcs.2023.12.24}, author = {Yousef Ahmed Alomi and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-Sabah and Naif Saleh Alamri and Abdulah Khalid Al-Otaibi and Mohammed Hakami and Areej Abdullah Al Jasser and Samah Mukhlef Alzaid and Rola AL Kenani and Huda Juhaim Alruwaili} } @article {377, title = {Performances and Activities of Virtual Pediatrics Medication Counselling Clinic in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {189-194}, type = {Research Article}, chapter = {189}, abstract = {

Objectives: To explore the activities and performances of a virtual pediatrics medication counseling clinic in Riyadh City, Saudi Arabia. Methods: it was a retrospective analysis of activities and performances of a virtual pediatric medicine counseling clinic operated by the pharmacist at a public pediatric and maternity hospital. The pharmacist documented all the activities, including demographic information of patients visiting the clinic, the reason for the counseling, medication requirements to be counseled, and patient counseling items based on international guidelines. The data analysis was done through SPSS version 20 and Microsoft Excel version 2021; descriptive analysis and logistic regression of factors associated with the reason for counseling. Results: The total number of patients who visited the virtual pediatric medicine clinic through 20 months was 1955, with (97.75) per month. The majority of patients were female in the year 2021, 204 (63.55\%) vs. female 900 (61.19\%) in 2021, compared to male 117 (36.46\%) vs. males in year 2022 628 (38.81\%) with non-significant differences (p=0.149). The majority of patients were diagnosed as Diabetic Miletus in both years, 145 (45.17\%) vs 884 (54.47\%), with statistical significance differences between two 2021 and 2022 (p=0.000). The majority of patients counseled due to high alert medication was 230 (71.65\%) in 2021 vs. 1198 (73.32\%) in 2022, with non-statistically significant difference between them (p=0.539), and chronic diseases such as diabetes and asthma 224 (69.78\%) vs. 901 (55.14\%) in the year 2021 and 2022 respectively with statistical significance differences between both years (p=0.000). Most medication counseled was Insulin Aspart in both years, 121 (21.72\%) vs. 909 (31.92\%), insulin Glargine 104 (18.67\%) in 2021 vs. 555 (19.49\%) in 2022, and Enoxaparin in both years 40 (7.18\%) vs. 205 (7.20\%). Conclusion: The virtual pediatric medicine counseling clinic served many patients, emphasizing pediatric chronic diseases such as Diabetes and Asthma. Future studies are highly recommended to measure the clinical and economic outcomes and patient satisfaction.

}, keywords = {Clinic, Counseling, Medication, Pediatric, Saudi Arabia, Virtual}, doi = {10.5530/ijpcs.2023.12.26}, author = {Nouf Musleh Alassadi and Asma Mohammed Alzahrani and Haifa Shabeeb Almutairi and Tahani Mohammed Alotaibi and Mona Yousef Lubbad and Nouf Abdurazaq Alhaza and Raghad Maluoh Alanazi and Yousef Ahmed Alomi} } @article {367, title = {Pharmacy Safety and Occupational Health: Crisis and Disaster Management}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {129-137}, type = {Review Article}, chapter = {129}, abstract = {

Objectives: To the Crisis and Disaster Management policy and procedures in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of pharmacy practice{\textquoteright}s Crisis and Disaster Management policy and procedures. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of general occupational safety and health in hospital practice. The committee of pharmacy accounting policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the occupational safety and health specialist. The topic emphasizes the Crisis and Disaster Management of the Pharmacy policy. Results: Crisis and Disaster Management in pharmacy practice indicates its preparation for an emergency position at a particular time, indicating its assets, competent pharmacy human resources, and related material. The Crisis and Disaster Management consisted of the General concept of crisis and disaster management and the Content of Pharmacy crisis and disaster management (Planning, Implementation, Execution, Training and Education, Exercise and test, Maintenance, and improvement). Conclusion: The Crisis and Disaster Management in pharmacy practice policy and procedures is a new initiative project for pharmacy career professionals. Crisis and disaster management in pharmacy practice improve public demand during healthcare emergencies and risk management decisions. In addition, it encourages pharmacists to participate in public voluntary and charitable activities at various places in healthcare institutions. Therefore, the Crisis and Disaster Management in pharmacy practice policy and procedures policy is highly recommended for implementation in the pharmacy business in Saudi Arabia.

}, keywords = {Crisis, Disaster, Management, Pharmacy, Safety, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.16}, author = {Yousef Ahmed Alomi and Naif Saleh Alamri and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-Sabah and Abdulah Khalid Al-Otaibi and Mohammed Hakami and Samah Mukhlef Alzaid and Rola AL Kenani and Ammar Ali AlAbdullatif and Areej Abdullah Al Jasser and Ibrahim Ali Al Mughira} } @article {379, title = {Pharmacy Safety and Occupational Health: Education and Training}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {197-206}, type = {Review Article}, chapter = {197}, abstract = {

Objectives: To explore the occupational safety and health system education and training in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of occupational safety and health policy and procedures in pharmacy practice. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of occupational safety and health in hospital practice. The committee of pharmacy occupational safety and health policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the occupational safety specialists. The topic emphasizes the occupational safety and health system education and training of the Pharmacy policy. Results: The pharmacy occupational safety and health Education and Training consisted of various items. That has included program objectives, admission requirements, teaching and education methodology, and occupational safety and health Education and Training steps in pharmacy practice. The occupational safety and health education and training contained five models. For instance, Fire safety at pharmacy services, Pharmacy Crisis and Disaster Management, and Pharmacy Material Safety Data Sheet. Besides, the Pharmacy Safety and Occupational Health Surveillance and Monitoring and Quality Management of occupational safety and health. Each model describes the Module description, Learning Objectives, Module Outlines, and Competency items. Conclusion: The occupational safety and health system education and training in pharmacy practice is a new initiative for pharmacy career professionals. It will improve pharmacy occupational safety and health system skills and encourage all pharmacy staff (clinical, distributive pharmacist, and pharmacy technicians) to comply with occupational safety and health system regulations in different pharmacies in various healthcare organizations. Therefore, the occupational safety and health system education and training policy and procedures are required and mandated for pharmacy services in Saudi Arabia.

}, keywords = {Education, Health, Occupational safety, Pharmacy, Policy, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.28}, author = {Yousef Ahmed Alomi and Badriya Mufflih Alrasheedi and Mohannad Ali Abu-sabaa and Naif Saleh Alamri and Abdulah Khalid Al-Otaibi and Mohammed Hakami} } @article {381, title = {Pharmacy Safety and Occupational Health: Quality Perspective}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {208-216}, type = {Review Article}, chapter = {208}, abstract = {

Objectives: To explore quality management policy and procedures of the pharmacy occupational safety and health system in pharmacy practice as a new initiative in Saudi Arabia. Methods: It was a narrative review of the pharmacy occupational safety and health system and quality management policy and procedures in pharmacy practice. Literature searched various databases, including PubMed, Medline, and Google Scholar. The search period is from the 1960s until 06 December 2023. The term is in full-text English and includes Case Reports, Classical Articles, Clinical Conferences, Clinical Studies, Clinical Trials, Evaluation Studies, Government Publications, Guidelines, meta-analyses, Observational Studies, Practice Guidelines, Randomized Controlled Trials, Reviews, Systematic Reviews, with Humans subject. All hospital or community pharmacy services are included in a search term. Besides, the National and international guidelines of occupational safety and health in hospital practice. The committee of pharmacy occupational safety and health policy and procedures formulated and consisted of various expert members. That includes clinical pharmacists, occupational safety specialists, Crisis and Disaster Management, and fire safety experts. The guidelines of the policy draft by one member by the second member were reviewed and corrected. The third revision was by the occupational safety specialists. The topic emphasizes the occupational safety and health system and quality management policy and procedures. Results: The review for quality management of occupational safety and health system policy and procedures in pharmacy practice has consisted of pharmacy occupational safety and health auditing and quality management performance indicators. Besides, it discusses the techniques of conducting quality management systems for occupational safety and health programs in pharmacy practice. Conclusion: The quality management of occupational safety and health system policy and procedures in pharmacy practice demands keeping adherence to occupational safety health standards at an appropriate level, with unnecessary cost control. Besides, monitor key performance indicators of pharmacy occupational safety and health auditing system. Thus, quality management of occupational safety and health system policy and procedures is highly recommended for pharmacy career professionals worldwide.

}, keywords = {Health, Occupational safety, Pharmacy, Policy, Quality management, Saudi Arabia}, doi = {10.5530/ijpcs.2023.12.30}, author = {Yousef Ahmed Alomi and Mohannad Ali Abu-sabaa and Naif Saleh Alamri and Areej Abdullah Al Jasser and Maram Kamian Al Shammari and Abdulah Khalid Al-Otaibi and Mohammed Hakami} } @article {374, title = {Safety and Occupational Health in Pharmacy Practice: A New Initiative Project in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {12}, year = {2023}, month = {February 2024}, pages = {175-178}, type = {Review Article}, chapter = {175}, abstract = {

Objectives: The Pharmacy Safety and Occupational Health services were created to align with pharmacy strategies in the future. The topic aims to declare Pharmacy Safety and Occupational Health services as a new initiative in Saudi Arabia. Methods: This new project is driven by local and international Safety and Occupational Health regulations and standards of care. It was formulated from guidelines of pharmacy projects, the international business model, and management institution guidelines for the new project. Project management professionals draft this initiative in various stages, from initial planning to execution, monitoring, and control. Results: Pharmacy Safety and Occupational Health services include fundamental elements such as a defined vision, mission, and goals, besides the pharmacy security, pharmacy fire safety, medication safety datasheet, hazard materials, pharmacy disaster, and safety equipment maintenance. Furthermore, the risk management model description ensures the project{\textquoteright}s continuation. Besides, the monitoring and control of the services were declared. Finally, the analysis investigates the transition to the operation project until the project is in the closed stage. Conclusion: Pharmacy Safety and Occupational Health services are a new initiative in the pharmacy strategic plan with Saudi Vision 2030. Pharmaceutical firms require a clear vision, policy, and long-term partnership. Pharmaceutical care and manufacturer gatherings may be essential in developing appropriate pharmacy professional services zooming on patient care to reach optimal drug therapy management, prevent drug-related misadventures, and avoid unnecessary costs.

}, keywords = {Health, Initiative, Occupational safety, Pharmacy, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2023.12.23}, author = {Yousef Ahmed Alomi and Naif Saleh Alamri} } @article {331, title = {Education and Training Research Policy in Pharmacy Practice}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {June 2022}, pages = {48-55}, type = {Review Article}, chapter = {48}, abstract = {

Objectives: This study explores the Research policy of Research Education and Training in pharmacy practice as a new initiative in Saudi Arabia. Methods: The current topic is a narrative review of education and training procedures in pharmacy research. Litterateur was searched in various databases. That includes PubMed, Medline, Google Scholar, and academic Microsoft. The period covered for the search is from the 1960s to October 2021. The terms used are in the English language and encompass narrative reviews, systemic reviews, meta-analyses, and guidelines. The search keyword includes all hospital and community pharmacy-related services. Moreover, there are national and international guidelines for conducting general research in research in pharmacy practice. The committee of pharmacy research was formed and comprised numerous expert members, including clinical pharmacists, drug information pharmacists, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The topic emphasizes the Pharmacy Research policy of Research Education and Training. Results: Pharmacy Research{\textquoteright}s policy on Research Education and Training covered various topics, including the program objectives, admission requirements, teaching, educational methodology, and steps in pharmacy practice involving research, education, and training. Five models were used in research education and training. For instance, skills in searching for and reviewing the literature, research design and methodology, survey design, biostatistics, and research proposal writing. In addition, each model included a description of the module and Learning Objectives, Module Outlines, and Competency Items. Conclusion: The pharmacy research policy is a new initiative and a component of the pharmacy strategic plan. The Research Education and Training pharmacy policy aims to enhance pharmacists{\textquoteright} research abilities and encourage pharmacists to conduct various types of research in multiple settings within the public and healthcare sectors. Therefore, the Research Education and Training policy are critical for the pharmacy career in Saudi Arabia.

}, keywords = {Education, Pharmacy, Policy, Research, Saudi Arabia, Training}, doi = {10.5530/ijpcs.2022.11.10}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Maha Hussein Almadany and Abeer Hussin Almasoudi} } @article {341, title = {The Home Care Clinical Pharmacy Practice in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {122-131}, type = {Research Article }, chapter = {122}, abstract = {

Objectives: To demonstrate the clinical pharmacy in home health care services in Saudi Arabia. Methods: It analyzes a cross-sectional survey discussing home care clinical pharmacy practice in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about the workforce{\textquoteright}s pharmacists, Pharmacotherapy classes utilization for home healthcare patients, and therapeutic guidelines implemented in Home Healthcare Pharmacy services. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were done with the study. Furthermore, the data analysis of the home care clinical pharmacy practice is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 393 pharmacists responded to the questionnaire. Of them, more than three-quarters responded from the Central region (303 (77.10\%)), with statistically significant differences between the provinces (p=0.000). Males responded less than females (195 (49.74\%)) versus 197 (50.26\%\%)), with statistically non-significant differences between them (p=0.920). Most of the responders were in the age group of 24-35 years (267 (67.94\%)) and 36-45 years (121 (30.79\%)), with statistically significant differences between all age groups (p=0.000). Most responders stated that pharmacy home healthcare workforces were five or more clinical pharmacists (35.14-41.89\%) and full-time pharmacy staff providing home health pharmacy services. Besides, five or more pharmacists (30.89-52.57\%) and five or more pharmacy technicians (31.25-51.09\%) with statistically significant differences between all workforce numbers (p=0.000). Most medications reviewed or dispensed for home healthcare patients include Nutrition support (4.50) and Vitamins and mineral supplements (4.49). They were followed by NSAIDs or Pain killers (4.46) and Antibiotics (4.45), with statistically significant differences between all answers (p=0.000). The average score of therapeutic guidelines implemented in Home healthcare Pharmacy services was (4.29). The element {\textquotedblleft}The standard considerations of urology disease therapy guidelines{\textquotedblright} obtained the highest score (4.44). The element {\textquotedblleft}The standard considerations of acute and chronic kidney disease therapy among geriatric patients{\textquotedblright} was (4.41), and the aspect {\textquotedblleft}The concerns and management of Gastrointestinal therapeutic guidelines{\textquotedblright} was (4.38). Conclusion: Nutrition support and vitamin were most used as pharmacotherapy classes for home healthcare services. The urology and nephrology therapeutic guidelines were most implemented. Future research is needed to determine most home care clinical pharmacy services and identify the role of clinical practitioners in home health care services in Saudi Arabia

}, keywords = {Clinical, Home Healthcare, Pharmacy, Practice, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2022.11.19}, author = {Yousef Ahmed Alomi and Ghorm Allah Abdullah Aghamdi and Areej Abdullah Al Jasser and Maha Hussein Almadany and Hussa Mubarak Muwainea and Abeer Hussin Almasoudi and Osama Ali Alzahrani} } @article {335, title = {Knowledge of Pharmacists about Health Insurance in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {72-81}, type = {Research Article }, chapter = {72}, abstract = {

Objectives: To explore the knowledge of pharmacists about health insurance in Saudi Arabia. Materials and Methods: It analyzes a cross-sectional survey that discussed Pharmacist knowledge of health insurance in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists, The health insurance assessment of primary and advanced knowledge, and The Resources used about the health insurance drug therapy. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of the reliability of McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were done with the study. Furthermore, the data analysis of the Knowledge of Pharmacists about Health Insurance is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 398 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (137 (34.51\%)), and one Quarter responded from the western part (109 (27.46\%)), with statistically significant differences between the provinces (p=0.000). Males responded more than females (239 (60.35\%)) versus 157 (39.65\%)), with statistically significant differences between all levels (p=0.000). Most of the responders were in the age group of 24-30 years (271 (68.26\%)) and 31-35 years (56 (14.11\%)), with statistically significant differences between all age groups (p=0.000). Most of the pharmacists were staff pharmacists (300 (75.76\%)) and pharmacy supervisors (43 (10.86\%)), with statistically significant differences between all levels (p=0.000). Almost one-half of pharmacists currently have health insurance coverage (239 ((60.05\%)) with equal or less than one year (108 ((42.52\%)), or 2-3 years (81 ((31.89\%)), have you been associated with your current insurance provider with statistically significant differences between all levels (p=0.000). The average score of basic knowledge of pharmacists about health insurance was (1.91). The element {\textquotedblleft}the ethics used in health insurance pharmacist{\textquotedblright} obtained the highest score (2.19). The aspect {\textquotedblleft}the health insurance system covered the medications errors sentinel event{\textquotedblright} (2.05). The average score of advanced knowledge of pharmacists about health insurance was (1.95). The element {\textquotedblleft}the knowledge of medications covered by health insurance{\textquotedblright} obtained the highest score (2.38). The aspect {\textquotedblleft}the knowledge of the medications devices and health insurance{\textquotedblright} was (2.17). The most resources used for Pharmacist and health insurance information were health practitioners 179 (46.25\%) SFDA website 128 (33.07\%). They were followed by Scientific literature 117 (30.23\%) and Drug information resources ( Lexi comp-drug information, Micromedex, Epocrates 101 (26.10\%). Conclusion: The pharmacist{\textquoteright}s knowledge of health insurance was insufficient in Saudi Arabia. The Heath insurance pharmacy is in high demand for transformation plans with vision. Therefore, Targeting education and training during undergraduate and postgraduate studies is highly recommended in Saudi Arabia.

}, keywords = {Health, Insurance, Knowledge, Pharmacists, Saudi Arabia}, doi = {10.5530/ijpcs.2022.11.14}, author = {Yousef Ahmed Alomi and Abdulaziz Saad Ali Alrobiea and Shaimaa O Ahmadeen and Mohammad Abdullah Alghamdi and Maha Hussein Almadany and Abeer Hussin Almasoudi and Atheer Fahad Al-Aqile} } @article {342, title = {Practice of Cardiopulmonary Resuscitation Services by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {December 2022}, pages = {132-140}, type = {Research Article }, chapter = {132}, abstract = {

Objectives: To explore the pharmacist practice of CPR services in Saudi Arabia. Materials and Methods: The study analyzed a cross-sectional survey that discussed the Pharmacist practice of Cardiopulmonary Resuscitation (CPR) in Saudi Arabia. The survey consisted of respondents{\textquoteright} demographic information about pharmacists, The availabilities of CPR teams, and pharmacist participation in the teams. The hospital{\textquoteright}s specialties had pharmacy personnel participate with the CPR code. Besides activities the pharmacist provides during CPR code, medications are mainly used for CPR code and pharmacy CPR services implementations. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of the reliability of McDonald{\textquoteright}s ω, Cronbach alpha, Gutmann{\textquoteright}s λ2, and Gutmann{\textquoteright}s λ6 were carried out with the study. The data analysis of the Pharmacist practice of Cardiopulmonary Resuscitation (CPR) medications is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16 were implemented. Results: A total number of 439 pharmacists responded to the questionnaire. Of them, more than one-third responded from the Central region (122 (31.69\%)), one Quarter responded from the Eastern part (91 (23.64\%)), and one-fifth responded from the southern region (79 (20.52\%)). Males responded more than females (203 (53.14\%)) versus 179 (46.86\%)), with statistically non-significant differences between all levels (p=0.219). Most of the responders were in the age group of 36-45 years (152 (39.48\%)) and 46-55 years (134 (34.81\%)), with statistically significant differences between all age groups (p=0.000). The majority of pharmacists had training courses in Basic Life Support (BLS) (293 ((77.11\%)), Advance Cardiac Life Support (ACLS) (289 ((76.05\%)), Pediatric Cardiac Life Support (PCLS) (287((75.53\%)), and Neonatal Cardiac Life Support (NCLS) (203 ((53.42\%)), with statistically significant differences between all levels (p=0.000). Most pharmacists participated with CPR code with Adults CPR team 317 (81.07\%), Neonates CPR team 236 (59.75\%), and Pediatric CPR team 230 (58.08\%). Most hospital specialties had pharmacy personnel and participated with CPR code: Emergency 339 (86.26\%) and Medical (76.59\%). The activities provided during the CPR code by pharmacists mostly were the Administration of medications 314 (71.69\%), Preparation and dispensing of medications 278 (63.47\%), and Providing drug information 267 (60.96\%). During ACLS, the most used medicines were Amiodarone 326 (77.99\%), Dobutamine 323 (74.94\%), and Procainamide 304 (74.33\%). The average score of implemented items for CPR services was (4.09). The {\textquotedblleft}Mission of CPR{\textquotedblright} element obtained the highest score (4.23). The aspect {\textquotedblleft}The vision of CPR including the (ACLS-PCLS-NCLS){\textquotedblright} was (4.18). In contrast, the lowest score was obtained for the element {\textquotedblleft}Policy and procedure of CPR{\textquotedblright} (3.94). The score for the component {\textquotedblleft}The strategic plan of CPR{\textquotedblright} was (4.02), with a statistically significant difference between the responses (p\<0.009). Conclusion: The pharmacist{\textquoteright}s full practice in CPR services is insufficient at most healthcare organizations. Pharmacist participation in the CPR code with whole provides distributive and clinical services that are highly demanded to prevent drug misadventures and improve patient clinical outcomes in the kingdom of Saudi Arabia.

}, keywords = {Cardiopulmonary Resuscitation, Pharmacists, Practice, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2022.11.20}, author = {Yousef Ahmed Alomi and Samah Mukhlef Alzaid and Wafa Hussain Alshehre and Rola AL Kenani and Khawlah Ibrahim Alshahrani} } @article {330, title = {Research Policy: Narrative Review in Pharmacy Practice}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {June 2022}, pages = {41-47}, type = {Review Article}, chapter = {41}, abstract = {

Objectives: This study illustrates the Research policy of narrative review design in pharmacy practice as a new initiative in Saudi Arabia. Methods: This article is a narrative review of pharmacy research. Litterateur researched specific research policies and procedures in pharmacy practice using a variety of databases, including PubMed, Medline, and Google Scholar. The period covered for the search is from the 1960s to October 2021. The terms used are English and encompass systemic reviews, meta-analyses, narrative reviews, and guidelines. The search term includes all hospital and community pharmacy-related services. Besides, there are national and international guidelines for conducting general research in hospital and pharmacy practice. The committee of narrative review pharmacy research committee was formed. It consisted of numerous expert members, including clinical pharmacists, drug information pharmacists, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The topic emphasizes the Pharmacy Research policy of the narrative review model. Results: Pharmacy Research{\textquoteright}s policy on the narrative review model in pharmaceutical care services covered various topics, including the advantages and disadvantages of narrative review, the steps involved in conducting a drug review model, the steps involved in conducting disease drug therapy, and the steps involved in operating a new project in pharmacy practice. Conclusion: The narrative review policy for pharmacy research is a new initiative within pharmacy research. The narrative review pharmacy policy facilitates communication between healthcare professionals regarding recent drug reviews and disease-specific drug therapy. Besides, the pharmacy is embarking on a new endeavor with a healthcare organization. Therefore, all narrative review models in pharmacy research policy are highly recommended for the careers of Saudi Arabian pharmaceutical professionals.

}, keywords = {Disease drug therapy, Drug review, Narrative review, New project, Pharmacy, Policy, Research, Saudi Arabia}, doi = {10.5530/ijpcs.2022.11.9}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Maha Hussein Almadany and Abeer Hussin Almasoudi} } @article {329, title = {Research Policy of Case Report and Case Series Design}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {June 2022}, pages = {36-40}, type = {Review Article}, chapter = {36}, abstract = {

Objectives: This study aims to declare the Research policy of case reports and case series design in pharmacy practice as a new initiative in Saudi Arabia. Methods: This article is a narrative review of pharmacy research. Litterateur looked up specific research policies and procedures in pharmacy practice in databases such as PubMed, Medline, and Google Scholar. The time frame for the search was from the 1960s to October 2021. The terms used are in the English language and encompasses narrative reviews, systemic reviews, meta-analyses, and guidelines. The search term includes all hospital and community pharmacy-related services. Besides, there are national and international guidelines for conducting general research in hospital practice was revised. The pharmacy research committee was formed and consisted of expert members, including clinical pharmacists, pharmacists who specialise in drug information, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The topic emphasizes the Pharmacy Research policy of case reports and case series design. Results: The Pharmacy Research policy regarding the design of case reports and case series in pharmaceutical care services included several items. This included the advantages and disadvantages of case reports and case series, the steps involved in conducting case report research, and the steps involved in implementing the case series model in pharmacy practice. Conclusion: The case report and case series policy in pharmacy is a new initiative that is part of the pharmacy research services and the pharmacy strategic plan. The case report and case series pharmacy policies help a healthcare organisation address its unique drug related issues. Additionally, the efficacy of the particular drug in treating the particular disease condition. Therefore, in Saudi Arabia, the case report and case series in pharmacy research policy are highly recommended.

}, keywords = {Case report, Case series, Pharmacy, Policy, Research, Saudi Arabia}, doi = {10.5530/ijpcs.2022.11.8}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Esraa S. Altawil and Maha Hussein Almadany and Ghudair Tashan Alanazi and Abeer Hussin Almasoudi} } @article {321, title = {Research Policy of the Investigational Drugs in the Clinical Trial}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {April 2022}, pages = {03-08}, type = {Review Article}, chapter = {03}, abstract = {

Objectives: This study aims to explore the research policy of investigational drugs in the clinical trial as a new initiative in Saudi Arabia. Methods: This article is a narrative review of pharmacy research. Litterateur researched specific research policies and procedures in pharmacy practice using a variety of databases, including PubMed, Medline, and Google Scholar. The period covered for the search is from the 1960s to October 2021. The terms used are in the English language and encompasses narrative reviews, systemic reviews, meta-analyses, and guidelines. The search term encompasses all hospital and community pharmacy-related services. Besides, there are national and international guidelines for conducting general research in hospital practice. The pharmacy research committee was formed and comprised numerous expert members, including clinical pharmacists, pharmacists specializing in drug information, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The subject emphasizes the research policy for investigational drugs in the clinical trial. Results: A general policy was established for investigational drugs in clinical trials, which included defining clinical trials and addressing related issues. Clinical trial approval policy, the role of the Institutional Review Board, the clinical responsibilities of the research team, and patient informed consent. Apart from that, clinical trials require patient records and auditing. Conclusion: The research policy for investigational drugs in a clinical trial is a novel initiative within pharmaceutical care research and development. The research policy for investigational drug in clinical trials protects patient rights and safety. Additionally, encourage pharmacy services to implement and conduct clinical trials in pharmacy practice at healthcare institutions of Saudi Arabia.

}, keywords = {Clinical trial, Drug, Investigational, Policy, Research, Saudi Arabia}, doi = {10.5530/ijpcs.2022.11.2}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Hamidah Qasim Ali Abushomi and Maha HusseinAlmadany and Abeer Hussin Almasoudi} } @article {324, title = {Research Policy of the Research Data Management in Pharmacy Practice}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {April 2022}, pages = {20-24}, type = {Review Article}, chapter = {20}, abstract = {

Objectives: This study aims to declare the research policy of Data management in pharmaceutical care services as a new initiative in Saudi Arabia. Methods: This article is a narrative review of pharmacy research. Litterateur researched specific research policies and procedures in pharmacy practice using a variety of databases, including PubMed, Medline, and Google Scholar. The period covered for the search is from the 1960s to October 2021. The terms used are in the English language and encompasses narrative reviews, systemic reviews, meta-analyses, and guidelines. The search term includes all hospital and community pharmacy-related services. Besides, there are national and international guidelines for conducting general research in hospital practice. The pharmacy research committee was formed and comprised numerous expert members, including clinical pharmacists, pharmacists specializing in drug information, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The subject emphasizes the Research policy of Data management in pharmaceutical care services. Results: The data management policy for research at pharmaceutical care services was established. That includes the design of the data collection, the data resources, and the data collector. Additionally, the data preparation for analysis, the data{\textquoteright}s reliability and validity, and storage data. Conclusion: The Data management policy for research in pharmacy practice is a new initiative as part of pharmacy departments{\textquoteright} research and development efforts. Data management in pharmacy care services may increase the documentation of pharmacist research and activities. The basic foundation of pharmacy analytics is the new vision of pharmacy career professionals.

}, keywords = {Data management, Pharmaceutical Care, Policy, Research, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2022.11.5}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Hamidah Qasim Ali Abushomi and Maha Hussein Almadany and Abeer Hussin Almasoudi} } @article {325, title = {Research Policy on Case-control and Cohort Study Design in Pharmaceutical Care}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {April 2022}, pages = {25-30}, type = {Review Article}, chapter = {25}, abstract = {

Objectives: This study explores the Research Policy of Case-Control and Cohort Study Design in Pharmacy Practice as a new initiative in Saudi Arabia. Methods: This article is a narrative review of pharmacy research. Litterateur researched specific research policies and procedures in pharmacy practice using a variety of databases, including PubMed, Medline, and Google Scholar. The period covered for the search is from the 1960s to October 2021. The terms used are in the English language and encompasses narrative reviews, systemic reviews, meta-analyses, and guidelines. The search term includes all hospital and community pharmacy-related services. Besides, there are national and international guidelines for conducting general research in hospital practice. The pharmacy research committee was formed and comprised numerous expert members, including clinical pharmacists, pharmacists specializing in drug information, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The subject emphasizes the Pharmacy Research Policy for the Case-Control and Cohort Study Model. Results: The Pharmacy Research policy for the Case-Control and Cohort Study Design in pharmaceutical care services consisted of several components, including the advantages and disadvantages of Case-Control and Cohort Study Design and the steps involved in conducting Case-Control research, and the steps involved in conducting Cohort Study research in pharmacy practice. Conclusion: The pharmacy research policy for the Case-Control and Cohort Study Design is a new initiative as part of the pharmaceutical care services. The pharmacy policy on Case-Control and Cohort Studies aims to improve pharmacists{\textquoteright} research abilities in healthcare institutions. Additionally, the new tools for documenting and validating adverse drug reactions. Therefore, the Case-Control and Cohort Study research policies in pharmacy are recommended for implementation in Saudi Arabia.

}, keywords = {Case-Control, Cohort Study, Pharmacy, Policy, Research, Saudi Arabia}, doi = {10.5530/ijpcs.2022.11.6}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Maha Hussein Almadany and Fakhar Al-Ayoubi and Ghudair Tashan Alanazi and Abeer Hussin Almasoudi} } @article {322, title = {Research Policy on Pharmacy Investigational Medication}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {11}, year = {2022}, month = {April 2022}, pages = {09-14}, type = {Review Article}, chapter = {09}, abstract = {

Objectives: This study aims to demonstrate the Research Policy of Pharmacy Investigational Medication as a new initiative in Saudi Arabia. Methods: This article is a narrative review of pharmacy research. Litterateur researched specific research policies and procedures in pharmacy practice using a variety of databases, including PubMed, Medline, and Google Scholar. The time period covered for the search is from the 1960s to October 2021. The terms used are in the English language and encompasses narrative reviews, systemic reviews, meta-analyses, and guidelines. The search term includes all hospital and community pharmacy-related services. Besides, there are national and international guidelines for conducting general research in hospital settings. The pharmacy research committee was formed and comprised numerous expert members, including clinical pharmacists, pharmacists specializing in drug information, and clinical research specialists. A member drafted the policy{\textquoteright}s guidelines, which were then reviewed and corrected by another member. The research specialist made the third revision. The subject emphasizes Pharmacy Research{\textquoteright}s policy on Investigational Medication. Results: The Pharmacy Research policy for Investigational Medication consisted of a number of components, including the administration of pharmacies, the procurement of investigational drugs, and the storage of investigational drugs. Additionally, the investigative drug prescription, the preparation of investigative drugs, the dispensing of investigative drugs, the administration of investigative drugs, and the monitoring of investigative drugs. There were a number of essential policy items, including the safety of investigational medications, the cost of investigational drugs, and the sponsors of investigational drug research. Conclusion: The Pharmacy Research policy for Investigational Medication is a new initiative as part of pharmacy practice research and development. Investigational Medication Pharmacy Research policy helps healthcare organizations improve patient safety and prevent drug-related morbidity and mortality. It is a component of Saudi Arabia{\textquoteright}s pharmacy strategic plan for Vision 2030 and pharmacy reimbursement initiatives.

}, keywords = {Drug, Investigational, Medication, Pharmacy, Policy, Research, Saudi Arabia}, doi = {10.5530/ijpcs.2022.11.3}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Hamidah Qasim Ali Abushomi and Maha Hussein Almadany and Abeer Hussin Almasoudi} } @article {283, title = {Attitude and Perception of Physicians towards Adverse Drug Reaction Reporting in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {20-27}, type = {Research Article}, chapter = {20}, abstract = {

Objectives: Spontaneous reporting systems are indispensable as they aid perceive serious unknown adverse drug reaction (ADR). To assess the physician{\textquoteright}s perceptions and attitudes of adverse drug reaction reporting in the Kingdom of Saudi Arabia. Methods: It was a cross-sectional study with an authenticated survey distributed to different physicians and dentists in Saudi Arabia. A self-administered electronic survey involved of demographic data and perception of the ADR reporting system and factor facilitated or prevented reporting system. Results: The total number of participants was 151. Of those, 111 (73.5\%) were physicians, while dentists were 39 (26.5\%). The average score physician{\textquoteright}s perception about the prominence of the ADR reporting system was 4.46, with a statistically noteworthy difference within answers of each component (p\<0.05). The average score of the physician{\textquoteright}s perception of factors that enabled the ADR reporting system was 4.13 with a statistically momentous difference within answers of each component (p\<0.05). The average scores of perception physicians were 3.13, with a statistically significant difference between the responses of each facet (p\<0.05). Conclusion: The physicians{\textquoteright} perception of ADR and related issues was optimistic. The physicians request periodic training of ADR identification and reporting program. The pharmacist plays a perilous responsibility to improve the ADR system with healthcare providers.

}, keywords = {Adverse drug reaction, Attitude, Perception, Physician, Reporting, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.4}, author = {Yousef Ahmed Alomi and Nouf Hassan Alamoudi and Sabah Alanazi and Abeer Hussin Almasoudi} } @article {287, title = {Dentist{\textquoteright}s Perception of Medication Safety in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {41-46}, type = {Research Article}, chapter = {41}, abstract = {

Objectives: The study aims to discover the dentist{\textquoteright}s perceptions of medication safety in the Kingdom of Saudi Arabia. Methods: It is an analysis of a cross-sectional survey that reconnoitered the dentist{\textquoteright}s medication safety perceptions in Saudi Arabia. It selfreported an electronic survey of dentists, comprising dentists from internship to the consultant, dental specialties in Saudi Arabia. The survey contained respondents{\textquoteright} demographic information about dentists and perception of medication safety in dental care. Also, the perception of barriers averts off employment of the medication safety system in dental care. The 5-point Likert response scale system was employed with closed-ended questions. The data analysis of the dentist{\textquoteright}s knowledge of medication safety is finished through the survey monkey system. The statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft excel sheet version 16 were used in the study. Results: The total number of responding dentists was 242, with the majority of them coming from the central region 95 (39.26\%) with statistically momentous among the areas (p\<0.05). Of those, 144 (59.75\%) were male, while 97 (40.25\%) were female, with statistically significant between them (p\<0.05). The average scores of dentist{\textquoteright}s perceptions of medication safety in dental care were 3.99; the dentist{\textquoteright}s high scores component was relaxed to ask for assistance support from colleagues or peers concerning medication safety (4.27). Medications storage with labeling is a vital element of medication safety in dental care (4.26). The average scores of perception of barriers prevent you from instigating medication safety in dental care (3.52). The high scores element was level of clinical knowledge about dental medications safety services (3.98) and lack of periodic training of dental staff dental medications safety services (3.94). The reliability test includes Cronbach alpha (0.933) and McDonald{\textquoteright}s ω (0.920). Conclusion: The dentist{\textquoteright}s perceptions of medication safety were flawless in Saudi Arabia. Periodic education and training medication safety in dental care is obligatory to improve the dental medication safety system and patient outcomes in dental care in Saudi Arabia.

}, keywords = {Dentist, Medication, Perception, Safety, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.7}, author = {Yousef Ahmed Alomi and Fouzia Abdul Karim Bukhary and Rahmah Abdulilah Alsinan} } @article {288, title = {Dentist{\textquoteright}s Practice of Medication Safety in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {34-40}, type = {Research Article}, chapter = {34}, abstract = {

Objectives: The study aimed to exemplify the dentist{\textquoteright}s practice of medication safety in the Kingdom of Saudi Arabia. Methods: It examines a cross-sectional survey that deliberated the dentist{\textquoteright}s medication safety practice in Saudi Arabia. It self-reported an electronic survey of dentists, including dentists from internship to consultant, dental specialties in Saudi Arabia. The survey entailed respondents{\textquoteright} demographic information about dentists and the implemented medication safety in dental care, the medication{\textquoteright}s safety items stated in dental care, and dental medications implemented the medication{\textquoteright}s safety. The 5-point Likert response scale system was used with closedended questions. The data analysis of the dentist{\textquoteright}s knowledge of medication safety is completed through the survey monkey system. The statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft excel sheet version 16 were employed in the study. Results: The total number of responding dentists was 242, with the mainstream of them coming from the central region 95 (39.26\%) with statistically noteworthy among the areas (p\<0.05). Of those, 144 (59.75\%) were male, while 97 (40.25\%) were female, with statistically significant between them (p\<0.05). The average scores of the executed items for medication safety in dental care were 3.12 with high scores element was adverse drug reactions documentation system (3.26), and the vision of medication safety in dental care was 3.23. The average scores of frequently of the medications safety items reported in dental care was 3.17 with high scores element was pregnancy and lactation altering system (3.88) and patient{\textquoteright}s education of dental medications (3.60). The highest scores of medication Safety (to authorities) the responsibility of types of healthcare professionals was a pharmacist (4.34) and dentist (4.23). The reliability test includes McDonald{\textquoteright}s ω (0.980) and Cronbach alpha (0.979). Conclusion: The dentist{\textquoteright}s practice of medication safety was inadequate in Saudi Arabia. Implementation of medication safety in dental care is obligatory to prevent dental mistakes and drug-related problems. Also, the study aimed to improve the patient safety culture among dental practices in Saudi Arabia.

}, keywords = {Care, Dentist, Medication, Practice, Safety, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.6}, author = {Yousef Ahmed Alomi and Fouzia Abdul Karim Bukhary and Rahmah Abdulilah Alsinan} } @article {294, title = {Forensic Pharmacy Practice: New Initiatives in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {89-91}, type = {Review Article}, chapter = {89}, abstract = {

Objectives: To explore the services provided by the forensic pharmacy as the new initiative in the Kingdom of Saudi Arabia. Methods: This is a new project derived from the national and international forensic pharmacy services guidelines. The project has been formulated from the global business model, which is the pharmacy project guidelines of the new project. The initial project is written by the project management professional. It consisted of the initial and planning phase, the execution phase, and the monitoring and controlling phase. Results: The scope of forensic pharmacy services was explored with a defined vision, mission, and goals. The services revealed clinical and economic benefits to the patients. The risk management model assures the continuation of the project. Moreover, the monitoring and controlling of the forensic services as declared. Finally, the project{\textquoteright}s transition from the operation phase to the closing phase has been explored in this study. Conclusion: The forensic pharmacy practice is a new initiative project, and it was among the pharmacy strategic plan. The forensic pharmacy services were found to meet the requirement of the forensic pharmacy workforces, overcome the requirement of pharmacy services, and improve forensic clinical pharmacy staff. Therefore, it highly suggests implementing forensic pharmacy services in Saudi Arabia.

}, keywords = {Forensic pharmacy, Initiative, Practice, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2021.10.13}, author = {Yousef Ahmed Alomi and Rehab Sultan Najmi and Abeer Hussin Almasoudi} } @article {284, title = {Knowledge of Medication Safety among Dentists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {28-33}, type = {Research Article}, chapter = {28}, abstract = {

Objectives: The present study aimed to affirm the dentist{\textquoteright}s knowledge of medication safety in the Kingdom of Saudi Arabia. Methods: It is an analysis of a cross-sectional survey that conferred dentists{\textquoteright} knowledge of medication safety in Saudi Arabia. Selfreported an electronic survey of dentists, comprising dentists from internship to the consultant, dental specialisms in Saudi Arabia. The survey contained respondents{\textquoteright} demographic information about dentists and knowledge information of designated medication safety elements, and the resources of knowledge of medication safety elements in dental care. The 5-point Likert response scale system was employed with closed-ended questions. The data analysis of the dentist{\textquoteright}s knowledge of medication safety is completed through the survey monkey system. The statistical package of social sciences (SPSS), Jeffery{\textquoteright}s Amazing Statistics Program (JASP), and Microsoft excel sheet (version 16) were used in the study. Results: The total number of responding dentists was 242, with the mainstream of them coming from the central region 95 (39.26\%) with statistically substantial among the areas (p\<0.05). Of those, 144 (59.75\%) were male, while 97 (40.25\%) were female, with statistically significant between them (p\<0.05). The total average scores of dentist knowledge of medication safety in dental care were 2.78 with high scores element, knowledge of the high alert medication in dental care was 3.48, consider the Medication Errors (MEs) as a sentinel event (3.25), and familiar with medications reconciliation in dental care (3.23). The most resources employed for medication safety for dental care were health practitioners [129 (54.20\%)] and scientific literature [118 (49.58\%)]. The reliability test was evaluated in McDonald{\textquoteright}s ω (0.955) and Cronbach alpha (0.955). Conclusion: The dentist{\textquoteright}s knowledge of medication safety was insufficient in the kingdom of Saudi Arabia. Targeting training and education of dental medication safety during undergraduate and postgraduates school of dentistry is highly suggested to improve patient{\textquoteright}s safety in dental care in Saudi Arabia.

}, keywords = {Dentists, Experiences, Knowledge, Medication safety, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.5}, author = {Yousef Ahmed Alomi and Fouzia Abdul Karim Bukhary and Tawfik A. M. Khoja and Rahmah Abdulilah Alsinan} } @article {291, title = {Knowledge of Pharmacists about Nuclear Pharmacy Services in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {51-59}, type = {Research Article}, chapter = {51}, abstract = {

Goal: The knowledge of nuclear pharmacy is essential in pharmacy practice. In addition, the nuclear pharmacy services demand various diagnoses and drug therapy management. In this study, we aimed to explore pharmacists{\textquoteright} knowledge about nuclear pharmacy in the Kingdom of Saudi Arabia. Methods: This is a crosssectional qualitative study. In this study, we distributed an electronic validated reliability questionnaire to all pharmacists and pharmacy interns. Students were excluded from this study. The survey collected demographic data of the responders and the knowledge of pharmacists about nuclear pharmacy, radioactive drugs, and resources of nuclear pharmacy. Data were analyzed using Statistical Package of Social Science (SPSS), Microsoft Excel, and Survey Monkey system. Results: A total of 235 pharmacists responded to the survey questionnaire. Of them, 142 (63.96\%) were male, and 80 (36.04\%) were female, with a statistically significant difference between them (p\<0.001). About two-thirds of the pharmacists had earned a Bachelor{\textquoteright}s degree (149 (63.40\%)) and Diploma in Pharmacy (75 (31.91\%)), with statistically significant differences among all qualifications (p\<0.001). The average score for pharmacists{\textquoteright} knowledge of nuclear pharmacy services was 1.61, with high scores obtained for the elements{\textemdash}knowledge of the nuclear pharmacist has additional salary in Saudi Arabia (1.76) and radiation safety considerations (1.73). The average score was obtained for knowledge of radiopharmaceutical products (1.63), and the highest score on knowledge was obtained for 131I-Sodium Iodide capsule five mCi (for thyroid therapy) (1.8) and 201Tl-Thallium solution five mCi (for cardiac imaging) (1.8). The resources used to access information about nuclear pharmacy services were drug information resources (93 (40.09\%)), scientific literature (83 (35.78\%)), and the internet (83 (34.48\%)). Conclusion: The pharmacist{\textquoteright}s knowledge of nuclear pharmacy services and radiopharmaceutical products was poor. Therefore, to expand nuclear medicine, including pharmacy-related nuclear services, we recommend implementing the education and training program on nuclear pharmacy in Saudi Arabia.

}, keywords = {Knowledge, Nuclear, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.9}, author = {Yousef Ahmed Alomi and Ali Taer Al-Asmri and Mohammed Abdulaziz Ayoub Asiri and Abdulaziz Saleh Alnabbah} } @article {295, title = {Nuclear Pharmacy Practice: New Initiatives in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {47-50}, type = {Review Article}, chapter = {47}, abstract = {

Objectives: To declare the nuclear pharmacy services in the Kingdom of Saudi Arabia. Methods: It is a new initiative project derived through the international nuclear pharmacy services guidelines. The project has been formulated from the global business model and pharmacy project guidelines of a new project. Various project management tools write the new project. It consists of the initial and planning phases, the execution phase, and the monitoring and controlling phase. Results: The project presents nuclear pharmacy services with a defined vision, mission, and goals. The nuclear pharmacy services showed various benefits, including clinical and economic benefits to the patient. The risk management model description assured the continuation of the project. Moreover, the monitoring and controlling of the services were explored. Finally, the transition to operation project through the closing project stage is explored in the analysis. Conclusion: The nuclear pharmacy services is a new initiative project in the Kingdom of Saudi Arabia. It includes a pharmacy strategy in Saudi Vision 2030. The nuclear pharmacy services required the pharmacy workforces, all requirements of basic nuclear pharmacy services foundations. Therefore, the implementation of nuclear clinical pharmacy services is highly suggested in Saudi Arabia.

}, keywords = {Initiative, Nuclear, Pharmacy, Practice, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2021.10.8}, author = {Yousef Ahmed Alomi and Rehab Sultan Najmi and Abeer Hussin Almasoudi} } @article {292, title = {Perception of Pharmacists about Nuclear Pharmacy Services in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {80-88}, type = {Research Article}, chapter = {80}, abstract = {

Goal: In this study, we aimed to explore the nuclear pharmacy perception in the Kingdom of Saudi Arabia. Methods: This is a 4-month cross-sectional study including all pharmacists and pharmacy interns in the Kingdom of Saudi Arabia. Students were excluded from this study. We distributed the electronic survey to the participants which consisted of two parts. The first part collected demographic information, and the second part collected information of perception of pharmacists about nuclear pharmacy services and reasons preventing nuclear pharmacy services. The responses were obtained through the Survey Monkey system and analyzed via Microsoft Excel and Statistical Package of Social Science (SPSS) software. Results: A total of 235 pharmacists responded to this survey. Of them, 142 (63.96\%) were male and 80 (36.04\%) were female responders, with statistically significant differences between them (p\<0.001). Most of the responders were in the age group of 24{\textendash}30 years (115 (48.94\%)) followed by those in the age group of 31{\textendash}35 years (57 (24.26\%)), with statistically significant differences between all age groups (p\<0.001). About two-thirds of the pharmacists had obtained Bachelor{\textquoteright}s degree (149 (63.40\%)) and Diploma in Pharmacy (75 (31.91\%)), with statistically significant differences between the degrees (p\<0.001). The total average score for the element {\textquotedblleft}pharmacist perception of nuclear pharmacy services{\textquotedblright} was 3.54. We obtained high scores for the element {\textquotedblleft}nuclear pharmacy required to complete the drug therapy for cancer patients{\textquotedblright} (3.77) followed by the element {\textquotedblleft}nuclear pharmacy should be mandatory{\textquotedblright} (3.75). The score for the element {\textquotedblleft}under-working in nuclear pharmacy in the healthcare institutions{\textquotedblright} (3.74). The total average score for the element {\textquotedblleft}barriers prevent the implementation of nuclear pharmacy services{\textquotedblright} was 3.54 with high score obtained for the element {\textquotedblleft}lack of periodic training of pharmacy staff about nuclear pharmacy{\textquotedblright} (3.81). The most recommendations/suggestions for facilitating the implementation of nuclear pharmacy was implemented nuclear pharmacy residency program (170 (72.65\%)). Moreover, set up the therapeutic protocol or guidelines for nuclear pharmacy (147 (62.82\%)). Conclusion: The perception of pharmacists about nuclear pharmacy services was acceptable. The nuclear pharmacy system demands workforces, nuclear management guidelines, and implementation of nuclear pharmacy residency program. We highly recommend to resolve all nuclear pharmacy challenges in order to improve healthcare services in Saudi Arabia.

}, keywords = {Attitude, Nuclear, Perception, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.12}, author = {Yousef Ahmed Alomi and Ali Taer Al-Asmri and Mohammed Abdulaziz Ayoub Asiri and Abdulaziz Saleh Alnabbah} } @article {302, title = {Pharmacist Practice of Forensic Pharmacy Services}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {111-119}, type = {Research Article}, chapter = {111}, abstract = {

Goal: The current study expected to demonstrate the forensic pharmacy practice in the Kingdom of Saudi Arabia. Methods: It is an analysis of a cross-sectional study. An electronic survey was dispersed to all pharmacists and pharmacy interns. All students were omitted from the existing study. The survey consisted of demographic data about responders and practice aspects and implementations of forensic pharmacy. All analysis was completed using Microsoft Excel and Statistical Package of Social Science (SPSS), and Survey monkey. Results: The total number of responding pharmacists was 402. Of those, 198 (49.75\%) were male, while 200 (50.25\%) were female, with statistical significance between them (p\<0.001). Almost threequarters of the pharmacists had bachelor{\textquoteright}s degrees 303 (75.56\%), with statistically significant among all pharmaceutical degrees (p\<0.001). The total average scores of pharmacist feature elements of forensic pharmacy services were 2.5. The high scores element was forensic pharmacy and potential drug-drug interactions (1.42). On the contrary, the lowest score aspect of nuclear pharmacy was forensic pharmacy, education and training program (1.26). The average score of forensic pharmacy practice implementation was 3.15. With high scores was the pharmacist always parts in crimes medicine committee (3.74), while the lowest forensic pharmacy practice implementation scores were attendance several courses or workshops about forensic pharmacy (2.41). Conclusion: The pharmacist part elements or the practice applications of forensic pharmacy were insufficient. The pharmacist plays an active role in the forensic pharmacy practice. Recognized forensic pharmacy with a clear job description of pharmacy staff with the relationship with forensic medicine and forensic strategic planning is mandatory to improve forensic pharmacy services in Saudi Arabia.

}, keywords = {Forensic, Pharmacist, Pharmacy, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.16}, author = {Yousef Ahmed Alomi and Mawadah Mohsen Aqeeli and Rehab Sultan Najmi and Samiyah Ibrahim Qassadi} } @article {301, title = {Pharmacist{\textquoteright}s Knowledge of Forensic Pharmacy Services}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {92-101}, type = {Research Article}, chapter = {92}, abstract = {

Goal: The knowledge of forensic pharmacy is a grave issue in practice. For example, forensic pharmacy services are obligatory for crime and drug-related death investigations. The current study purposes to affirm Pharmacist knowledge of forensic pharmacy in the Kingdom of Saudi Arabia. Methods: It was a qualitative examination with a cross-section design. An electronic validated and reliability survey was dispersed to all pharmacists and pharmacy interns. All students were omitted from the study. The questionnaire checked demographic data about the responders and pharmacist{\textquoteright}s basic and advanced knowledge of forensic pharmacy and resources of forensic pharmacy. Statistical Package of Social Science (SPSS), Microsoft Excel, and survey monkey did all analysis. Results: The total number of responding pharmacists was 402. Of those, 198 (49.75\%) were male, while 200 (50.25\%) were female, with statistical significance between them (p\<0.001). Almost three-quarters of the pharmacists had bachelor{\textquoteright}s degrees 303 (75.56\%), with statistically significant among all pharmaceutical degrees (p\<0.001). The total average scores of pharmacists{\textquoteright} knowledge of forensic pharmacy services were (2.0) with high scores element was the valuation of basic knowledge of the forensic pharmacy was the medications induced addiction (2.74). In contrast, the lowest scores were the job description of forensic pharmacist (1.5). The average score advances knowledge of forensic pharmacy (1.92). The highest score knowledge was the cardiovascular medications (3.00), while the lowest score knowledge of advanced knowledge of forensic pharmacy was the resources of forensic pharmacy (1.37). The most resources applied for Forensic pharmacy services were internet 224 (56.71\%) and healthcare practitioners 222 (56.20\%). Conclusion: The pharmacists{\textquoteright} knowledge of forensic pharmacy services was insufficient. Therefore, the preventing of crimes problems and drug-related death are obligatory to improve patient outcomes. The undergraduate and postgraduate education and training of forensic pharmacy services in highly recommended in Saudi Arabia.

}, keywords = {Forensic, Knowledge, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.14}, author = {Yousef Ahmed Alomi and Rehab Sultan Najmi and Mawadah Mohsen Aqeeli and Samiyah Ibrahim Qassadi} } @article {300, title = {Pharmacist{\textquoteright}s Perception of Forensic Pharmacy Services}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {120-128}, type = {Research Article}, chapter = {120}, abstract = {

Goal: To illuminate the pharmacist perception of forensic pharmacy in Saudi Arabia. Methods: It is cross-sectional of convenient sampling and planned number of the subject with power eighty. An electronic survey was dispersed to the pharmacist and pharmacy intern, excluding pharmacy students and other healthcare professionals. The survey entailed of demographic data, pharmacist{\textquoteright}s perception of forensic pharmacy, and barriers preventing implementation of forensic pharmacy. Survey monkey, Microsoft Excel, and Statistical Package of Social Science (SPSS) were used in this study. Results: The total number of responding pharmacists was 402. Of those, 198 (49.75\%) were male, while 200 (50.25\%) were female, with statistical significance between them (p\<0.001). Almost three-quarters of the pharmacists had bachelor{\textquoteright}s degrees 303 (75.56\%), with statistically momentous among all pharmaceutical degrees (p\<0.001). The total average scores of pharmacist perception of forensic pharmacy services were (3.93). The high scores element was under-working in forensic pharmacy in the healthcare institutions (4.15). On the contrary, the lowest score medical staff feel like their mistakes are held against them when an event is stated (3.35). The total average scores of barriers prevent the implementation of forensic pharmacy services were (3.41) with high scores element was lack of periodic training of pharmacy staff about forensic pharmacy (4.13). At the same time, the lowest score aspect of forensic pharmacy was the pharmacist shred in forensic sciences is too trivial to work (1.88). The most suggestions for facilitating forensic pharmacy implementation were implementing an electronic forensic pharmacy 306 (77.86\%) and raise the number of forensic pharmacist staff by 319 (81.17\%). Conclusion: The pharmacist had a positive insight of forensic pharmacy. However, various barriers are requisite to eliminate to start the implementation of forensic pharmacy services. Therefore, education and training are indispensable elements for establishing forensic pharmacy services in the Kingdom of Saudi Arabia.

}, keywords = {Forensic, Perception, Pharmacist, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.17}, author = {Yousef Ahmed Alomi and Samiyah Ibrahim Qassadi and Mawadah Mohsen Aqeeli and Rehab Sultan Najmi} } @article {281, title = {Physician{\textquoteright}s Knowledge of Adverse Drug Reaction in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {6-12}, type = {Research Article}, chapter = {6}, abstract = {

Objectives: To state the physicians and dentists{\textquoteright} knowledge and responsiveness of the adverse drug reaction (ADR) and reporting system in Saudi Arabia. Methods: It was a cross-sectional design of an authorized self-administered electronic survey about awareness and knowledge valuation of the ADR reporting system in Saudi Arabia. The electronic survey contained of demographic data and designated knowledge assessment of participants about the ADR reporting system. Results: The total number of participants was 151. Of those, 111 (73.5\%) were physicians, while dentists were 39 (26.5\%). Of those (93.38\%) responders who perceived of the ADR reporting system and (54.3\%) knew the diverse types of hypersensitivity reaction. Also, (45.33\%) knew the official form of ADR reporting system, (43.71\%) knew to reflect the ADR as sentinel events and (34.44\%) knew about the legal provision in the medicine act that provides pharmacovigilance activities in Saudi Arabia. Conclusion: The physicians knowledge of ADR and reporting system was insufficient in the Kingdom of Saudi Arabia. Targeting education and training is a planned goal to recover physicians{\textquoteright} ADR knowledge and all healthcare professionals and ADR{\textquoteright}s documentation system.

}, keywords = {Adverse drug reaction, Knowledge, Physician, Reporting, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.2}, author = {Yousef Ahmed Alomi and Nouf Hassan Alamoudi and Sabah Alanazi and Abeer Hussin Almasoudi} } @article {282, title = {Physician{\textquoteright}s Practice of Adverse Drug Reaction in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {March 2021}, pages = {13-19}, type = {Research Article}, chapter = {13}, abstract = {

Objectives: To discover the healthcare providers (physicians and dentists) practice of the adverse drug reaction reporting system in Saudi Arabia. Methods: It was a crosssectional study with a self-administered electronic authenticated survey distributed to Saudi Arabia physicians and dentists. The survey contained of demographic data and rudiments of practicing the ADR reporting system, the number of ADR reported, the method of ADR reporting systems. Results: The total number of participants was 151. Of those, 111 (73.5\%) were physicians, while dentists were 39 (26.5\%). Of those 52 (35.68\%), only those who reported the ADR despite most responders 138 (92.62\%) thought the ADR reporting system was critical. The average scores of physicians practice ADR elements were 2.59. The physicians and dentists{\textquoteright} responders had a high score of the agreement; ADR{\textquoteright}s essential tasks as a pharmacist. Conclusion: Over the past twenty years, more than theory studies and our study specified that ADR physicians{\textquoteright} reporting was terrible. The switching accountability of ADR reporting from healthcare providers to the pharmacist is highly suggested.

}, keywords = {Adverse drug reaction, Physician, Practice, Reporting, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.3}, author = {Yousef Ahmed Alomi and Nouf Hassan Alamoudi and Sabah Alanazi and Abeer Hussin Almasoudi} } @article {293, title = {The Practice of Nuclear Pharmacy Services by Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {70-79}, type = {Research Article}, chapter = {70}, abstract = {

Goal: In this study, we aimed to illustrate the practice of nuclear pharmacy services in Saudi Arabia. Methods: This is a cross-sectional study. An electronic survey was distributed to all pharmacists and pharmacy interns. Students were excluded from this study. The survey consisted of demographic data about responders and pharmacy practice aspects of nuclear pharmacy. The data were collected using the Survey Monkey system and analyzed using Microsoft Excel and Statistical Package of Social Science (SPSS). Results: A total of 235 pharmacists responded to the survey, with most of them coming from the southern region (82 (34.89\%)), central region (49 (20.85\%)), and western region (47 (20.00\%)), with statistically significant differences between the regions (p\<0.001). Almost two-thirds of the pharmacists had obtained Bachelor{\textquoteright}s degree (149 (63.40\%)) and Diploma in Pharmacy (75 (31.91\%)), with statistically significant differences between all the pharmaceutical degrees (p\<0.001). Most pharmacists were staff pharmacists (119 (51.29\%)) and interns (43 (18.53\%)). The total average score of elements of the practice of nuclear pharmacy services was 1.69. The highest score was recorded for the element {\textquotedblleft}nuclear pharmacy and facilities, equipment, and place for preparation are available{\textquotedblright} (1.79), followed by the elements {\textquotedblleft}nuclear pharmacy and drug monitoring system{\textquotedblright} (1.78) and {\textquotedblleft}nuclear pharmacy and radiation safety{\textquotedblright} (1.77). The average score for the element {\textquotedblleft}nuclear pharmacy practice implementation{\textquotedblright} was 3.39. High scores were obtained for the element {\textquotedblleft}nuclear pharmacy should be covered by health insurance{\textquotedblright} (3.79) and {\textquotedblleft}nuclear pharmacy outsourcing is highly recommended{\textquotedblright} (3.67). The highest score was obtained for the element {\textquotedblleft}nuclear pharmacy currently is the responsibility was a nuclear pharmacist{\textquotedblright} (4.28) and {\textquotedblleft}toxicologist laboratory{\textquotedblright} (3.55). Conclusion: The various aspects of pharmacists based on the elements of the practice implementation of nuclear pharmacy were insufficient in the Kingdom of Saudi Arabia. Pharmacists play an active role in the nuclear pharmacy practice. Further studies on nuclear pharmacy services should be conducted thoroughly and setup strategic plan to improve nuclear pharmacy services in Saudi Arabia.

}, keywords = {Nuclear, Pharmacist, Pharmacy, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.11}, author = {Yousef Ahmed Alomi and Ali Taer Al-Asmri and Mohammed Abdulaziz Ayoub Asiri and Abdulaziz Saleh Alnabbah} } @article {298, title = {Public{\textquoteright}s Experiences and Expectations of Pharmacists during Coronavirus (COVID-19) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {60-69}, type = {Research Article}, chapter = {60}, abstract = {

Goal: To elucidate the public{\textquoteright} experiences and expectations of pharmacists during COVID-19 in Saudi Arabia. Methods: It is three cross-sectional of convenient sampling and calculated number of the subject with power eighty. It was a self-reported electronic survey for the population in the King of Saudi Arabia. It encompassed all citizens who lived in Saudi with the age of more than 18 years and above. The survey entailed of the demographic data patients actual experiences of pharmacists during COVID-19 and patients actual expectations of pharmacists during any other pandemic situation. Survey monkey, Microsoft Excel, and Statistical Package of Social Science (SPSS) were used for the analysis. Results: The total number of responding pharmacists was 461. Of those, 440 (95.44\%) were Saudi, and 344 (74.62\%) were female, with statistical significance between nationality or gender answers (p\<0.001). Almost two-thirds of the responders had bachelor{\textquoteright}s degrees 319 (69.20\%) with statistically noteworthy between among all academic qualifications (p\<0.001). Most of the responders were non-healthcare professionals 338 (74.45\%), and physicians and nurses representative high percentages 37 (35.92\%) and 31 (30.10\%), respectively, with statistically significant among the remaining answers (p\<0.001). The total average scores of patients{\textquoteright} actual experiences of pharmacists during COVID-19 were 3.41. The high scores element was pharmacists routinely counsel me regarding the safe and appropriate use of my medications (3.79), and the pharmacist implemented the MOH covid-19 instructions and guidelines (3.77). The total average scores of patients actual expectations of pharmacists during any other pandemic situation were 3.71 with high scores element was the pharmacist expand their services and will most of my medications request by online and mobile application (3.88) and the pharmacist applied software applications for education for drugs and any pandemic (3.86). Conclusion: The public{\textquoteright} experiences and expectations of pharmacist during COVID-19 in Saudi Arabia is very optimistic. Therefore, targeting education, training, declaring the pharmacist{\textquoteright}s role during pandemic situations, emergency public health emphasizing therapeutic guidelines and preventing drug-related problems is highly proposed for implementations in Saudi Arabia.

}, keywords = {COVID-19, Expectations, Experiences, Pharmacists, Public, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.10}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Dona Abdullah Alajmah and Shatha Alhassan Alnami} } @article {297, title = {Public{\textquoteright}s Perception of Pharmacy Services during Coronavirus (COVID-19) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {September 2021}, pages = {102-110}, type = {Research Article}, chapter = {102}, abstract = {

Goal: To exemplify the public{\textquoteright}s perception of pharmacy services during COVID-19 in Saudi Arabia. Methods: It is three cross-sectional of convenient sampling and calculated number of the subject with power eighty. It was a self-reported electronic survey for the population in the King of Saudi Arabia. It encompassed all citizens who lived in Saudi with age more than 18 years and above. The survey contained of the demographic data patient{\textquoteright}s perception of medication delivery service during COVID-19. Besides, the patient{\textquoteright}s experiences of drug information inquiries were linked with the pharmacist during COVID-19. Survey monkey, Microsoft Excel, and Statistical Package of Social Science (SPSS) were used in this study. Results: The total number of responding pharmacists was 461. Of those, 440 (95.44\%) were Saudi, and 344 (74.62\%) were female, with statistical significance between nationality or gender answers (p\<0.001). Almost two-thirds of the responders had bachelor{\textquoteright}s degrees 319 (69.20\%) with statistically noteworthy between among all academic qualifications (p\<0.001). Most of the responders were non-healthcare professionals 338 (74.45\%), and physicians and nurses illustrative high percentages 37 (35.92\%) and 31 (30.10\%), respectively, with statistically significant among the remaining answers (p\<0.001). The total average scores of patient{\textquoteright}s perception of medication delivery service during COVID-19 were 2.50. The high scores element was answering drug information inquiries (3.30), medications home delivery (2.80), and requesting medications through a mobile application (2.78). The total average scores of patient{\textquoteright}s experiences of drug information inquiries communicated with a pharmacist during COVID-19 were 2.76 with high scores element was the drug administration inquiries (3.37). In addition, dosage/ schedule inquiries (3.29) and Pharmacoeconomics/medications cost inquiries (3.18) were also entailed. Conclusion: The public{\textquoteright}s perception of medication delivery service and experiences of drug information inquiries transferred with the pharmacist during COVID-19 was not optimum. Therefore, targeting a strategic plan of hospital and community pharmacy services during pandemic situations is highly suggested. In addition, further studies of hospital and community pharmacy services individually during a pandemic or emergency public health are mandatory in Saudi Arabia.

}, keywords = {COVID-19, Perception, Pharmacy, Public, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2021.10.15}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Dona Abdullah Alajmah and Shatha Alhassan Alnami} } @article {280, title = {Role of Pharmacist in the epidemic, pandemic, and emergency public health with an emphasis on Coronavirus Disease (COVID-19)}, journal = {International Journal of Pharmacology and Clinical Scie}, volume = {10}, year = {2021}, month = {March 2021}, pages = {1-5}, type = {Review Article}, chapter = {1}, abstract = {

Objectives: To explore the role of Pharmacist in an epidemic, pandemic, and emergency public health with an emphasis on Coronavirus Disease (COVID-19). Methods: It is a new initiative services drove by national and international infection control, epidemic, pandemic, and medicine disaster guidelines. The projects formulated the latest project from pharmacy project guidelines, the international business model, and project management institution guidelines. Project management professionals steps write the initiative project. It consisted of several parts, including the initial phase, the planning phase, the execution phase, and the monitoring and controlling phase. Results: The Role of Pharmacists in the epidemic, pandemic, and emergency public health emphasizes COVID-19 with a defined vision, mission, and aims. The services had multiple benefits, including clinical and economical on patients, as illustrated in the review. The continuity of the project is assured by the risk management model description. Besides, the monitoring and controlling of the services as declared. The transition to operation project through the closing project stage is explored in the analysis. Conclusion: The Role of Pharmacists in the epidemic, pandemic, and emergency public health emphasizing COVID-19 is essential and beneficial. The Pharmacist might contribute to the infection control at the pharmacy and healthcare system, provide enough supply from medications, and be involved in public health education about epidemic or pandemic management; it is highly suggested to implement other counties in Saudi Arabia the world.

}, keywords = {Disaster, Emergency, Epidemic, Pandemic, Pharmacist, Public health, Saudi Arabia}, doi = {10.5530/ijpcs.2021.10.1}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah} } @article {318, title = {A Strategic Plan for Pharmaceutical Companies: A New Initiative Project in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {10}, year = {2021}, month = {December 2021}, pages = {169-175}, type = {Research Article}, chapter = {169}, abstract = {

Objectives: The manufactures pharmaceutical care strategic plan was created to align with Saudi Vision 2030. The purpose of this topic is to declare the strategic plan of pharmaceutical companies{\textquoteright} services as a new initiative in the Kingdom of Saudi Arabia. Methods: This new project is driven by local and international pharmaceutical care strategic plan. It was formulated from the international business model, guidelines of pharmacy projects, and management institution guidelines for the new project. This initiative is drafted by project management professionals and consists of several stages from the initial to planning phases, execution, monitoring and controlling stages. Results: Pharmaceutical manufacturers{\textquoteright} strategic plans included several fundamental elements of a pharmaceutical company{\textquoteright}s strategic plan, such as a defined vision, mission, and goals. The strategic plan had five goals, twelve initiatives, and 75 objectives. Furthermore, the risk management model description ensures the project{\textquoteright}s continuation. Besides, the monitoring and control of the services were declared. Finally, the analysis investigates the transition to operation project through the closing project stage. Conclusion: The pharmaceutical companies{\textquoteright} strategic plan is a new initiative that is part of the pharmacy strategic plan with Saudi Vision 2030. Pharmaceutical firms require a clear vision and policy, as well as a long-term partnership. Pharmaceutical care and manufacturer gatherings may play an important role in developing an appropriate pharmacy career plan focusing on patient care to achieve optimal drug therapy management and prevent drug-related misadventures and also avoid unnecessary costs.

}, keywords = {Initiative, Pharmaceutical Companies, Pharmacy, Saudi Arabia, Services.}, doi = {10.5530/ijpcs.2021.10.23}, author = {Yousef Ahmed Alomi and Fatimah Abdaziz Almana and Amal Hassan Al-Najjar and Sultan Mohammed Al-Jarallah} } @article {250, title = {Adult Standardized Concentration of Antibiotics Intravenous Infusion: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {20-26}, type = {Review Article}, chapter = {20}, abstract = {

Objectives: To demonstrate the adult standardized concentration of Antibiotics intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of Antibiotics services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The adult standardized concentration of Antibiotics intravenous infusion services with a defined vision, mission and goals. The services had various benefits including clinical and economic on patients as exemplified in the review. The continuous of the project assured by risk management model description. In addition, the monitoring and controlling of the services as declared. The transition to operation project though closing project stage was explored in the analysis. Conclusion: The adult standardized concentration of Antibiotics intravenous infusion services is a new initiative part of the intravenous admixture program. The standardized concentration of Antibiotics will lessening drug-related problems and improve patient safety at hospital practice; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Antibiotics, Concentration, Intravenous, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.5}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz Abdullah Bahadig} } @article {251, title = {Adult Standardized Concentration of Cardiovascular Medications Intravenous infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {64-69}, type = {Review Article }, chapter = {64}, abstract = {

Objectives: To declare the adult standardized concentration of cardiovascular intravenous infusion as a new initiative in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of cardiovascular services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The adult standardized concentration of cardiovascular medications intravenous infusion services defined as vision, mission and goals. The services had various benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as illustrated in the review. The transition to operation project though closing project stage explored in the analysis. Conclusion: The adult standardized concentration of cardiovascular intravenous infusion services is a new initiative part of the intravenous admixture program. The standardized concentration of cardiovascular will diminish healthcare professional workload and avoid economic burden on healthcare system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Cardiovascular, Concentration, Intravenous, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.12}, author = {Yousef Ahmed Alomi and Afnan Owedah Alshomrani and Faiz Abdullah. Bahadig and Hani Alhamdan} } @article {252, title = {Adult Standardized Concentration of Central Nervous System Medications Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {103-107}, type = {Review Article}, chapter = {103}, abstract = {

Objectives: To declare the adult standardized concentration of central nervous system medications intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of central nervous system medications services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The adult standardized concentration of central nervous system medications intravenous infusion services defined as a vision, mission and goals. The services had various profits including clinical and economic on patients, the continuous of the project assured by risk management model description. In addition, the monitoring and controlling of the services and the transition to operation project though closing project stage explored in the analysis as illustrated in the review. Conclusion: The adult standardized concentration of central nervous system medications intravenous infusion services is a new initiative part of the intravenous admixture program. The standardized concentration of central nervous system medications maybe leads to reduction of medication errors and improve patient safety culture at healthcare organization; it is highly suggested to implement in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Central nervous system medications, Concentration, Intravenous, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.20}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz A Bahadig} } @article {248, title = {Adult Standardized Concentration of Chemotherapy Intravenous Infusion: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {35-44}, type = {Review Article}, chapter = {35}, abstract = {

Objectives: To explore the adult standardized concentration of chemotherapy agent intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of chemotherapy agent services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The adult standardized concentration of chemotherapy medications intravenous infusion services with a defined vision, mission and goals. The services had various benefits including clinical and economic on patients as explored in the review. The continuous of the project assured by risk management model description. In addition, the monitoring and controlling of the services as declared. The transition to operation project though closing project stage explored in the analysis. Conclusion: The adult standardized concentration of chemotherapy agent intravenous infusion services is a new initiative part of the intravenous admixture program. The standardized concentration of chemotherapy medications will reduce medication misadventures, decrease healthcare professional workload and avoid economic burden on healthcare system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Chemotherapy, Concentration, Intravenous, Medications, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.7}, author = {Yousef Ahmed Alomi and Faiz Abdullah. Bahadig and Hani Alhamdan} } @article {253, title = {Adult Standardized Concentration of Miscellaneous Medications Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {November 2020}, pages = {131-136}, type = {Review Article}, chapter = {131}, abstract = {

Objectives: To establish the adult standardized concentration of miscellaneous medications intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of miscellaneous medications services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The adult standardized concentration of miscellaneous medications intravenous infusion services defined as a vision, mission and goals. The services had various benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage explored in the analysis. Conclusion: The adult standardized concentration of miscellaneous medications intravenous infusion services are a new initiative part of the intravenous admixture program. The standardized concentration of miscellaneous medications might diminution drug related problems, reduction of healthcare professional workload and avoid additional redundant cost; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Concentration, Intravenous, Miscellaneous medications, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.27}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz A Bahadig} } @article {272, title = {Dermatology Medications Therapeutic Interchanges: A Narrative Reviews}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {November 2020}, pages = {124-127}, type = {Review Article }, chapter = {124}, abstract = {

Objective: To review the dermatology medications therapeutic interchanges therapy. Methods: It is an extensive search, or fifty databases comprised the following through the Saudi Digital Library (SDL) searching engine. It included the various types of studies (meta-analysis, randomized controlled studies and observational studies) in the English language with human study only for the update May 2017. The search in terms of therapeutic interchange, medication, therapy and type of disease or medication base on therapeutics class of anti-psychiatric. The medication list and switch from one drug to substitute based on the literature found the search that has included comparative safety, efficacy and cost of the type of medication for each disease and national or international evidence-based guidelines. Results: The total number of studies after an extensive search with a specific term search was 487 studies. Of those, there were 107 duplicated studies, and 380 studies included for future assessment. After assessment, 375 Records were excluded due to Non dermatology therapeutics interchange. Of the previous search, there were 5 studies that had been found discussed the dermatology medications therapeutic interchanges. Conclusion: There were few studies about medications used in skin disorder therapeutic interchange. It is better to start for generic substitutes and based on the international Therapeutic dermatology guidelines.

}, keywords = {Dermatology Medications, Initiative, Saudi Arabia, System, Therapeutic Interchange}, doi = {10.5530/ijpcs.2020.9.25}, author = {Yousef Ahmed Alomi and Faiz Abdullah. Bahadig} } @article {265, title = {Mass Gathering (Hajj) Clinical Pharmacy Services: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {48-50}, type = {Review Article}, chapter = {48}, abstract = {

Objective: To declare the clinical pharmacy services during the mass gathering hajj period as a new initiative in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering clinical pharmacy services with a defined vision, mission and goals. The services had multiple benefits, including clinical and economical on the healthcare system, as described in the review. The continuation of the services assured by risk management elements description. Moreover, the monitoring and controlling of the projects as illustrated. The transition to operation project, though closing project stage illustrated in the analysis. Conclusion: The clinical pharmacy services during the mass gathering hajj period is a new initiative project in the mass gathering medicine. Multiple clinical pharmacy services can be started during a mass gathering with an emphasison decrease morbidity and mortality; it is highly recommended in the Kingdom of Saudi Arabia.

}, keywords = {Clinical pharmacy, Hajj, Initiative, Mass Gathering, Saudi Arabia}, doi = {10.5530/ijpcs.2020.9.9}, author = {Yousef Ahmed Alomi and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Sultan Mesfer Aljumayi and Hani Mohammed Ali Jumah and Ahmad M. AlKharoby and Wael H. Motair} } @article {269, title = {Mass Gathering (Hajj) Community Pharmacies Services: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {87-89}, type = {Review Article }, chapter = {87}, abstract = {

Objective: To illustrate the pharmacy indicators during the mass gathering hajj as a new initiative in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering community pharmacy services with a defined vision, mission and goals. The services had various advantages, including clinical and economic on patients and healthcare services as demonstrated in the review. The continuation of the project assured by risk management elements description. Furthermore, the monitoring and controlling of the services as illustrated. The transition to operation project, though closing project stage declared in the analysis. Conclusion: The mass gathering medication safety is a new initiative project is part of the mass gathering medicine. There are various part of medication safety services can be started during mass gathering; it is highly recommended in Saudi Arabia.

}, keywords = {Community pharmacy, Hajj, Initiative, Mass Gathering, Saudi Arabia}, doi = {10.5530/ijpcs.2020.9.16}, author = {Yousef Ahmed Alomi and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Sultan Mesfer Aljumayi and Hani Mohammed Ali Jumah and Ahmad M. AlKharoby and Wael H. Motair} } @article {268, title = {Mass Gathering Hajj Emergency Pharmacy: New Initiative Project in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {84-86}, type = {Review Article}, chapter = {84}, abstract = {

Objectives: To explore the mass gathering hajj emergency pharmacy as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering emergency pharmacy services with a defined vision, mission and goals. The services had various benefits, including clinical and economical on pilgrims, as described in the review. The continuity of the project assured by the risk management model description. Moreover, the monitoring and controlling of the services as demonstrated. The transition to operation project though closing project stage exemplified in the analysis. Conclusion: The mass gathering emergency pharmacy is a new initiative project in the mass gathering medicine. There are various emergency pharmacy services can be started during the mass gathering with clinical emergency pharmacy; it is highly suggested in Saudi Arabia.

}, keywords = {Emergency pharmacy, Hajj, Initiative, Mass Gathering, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2020.9.15}, author = {Yousef Ahmed Alomi and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Osama Hamad Alahmadi and Majed Mohammd Alluhibi and Ahmad M. AlKharoby and Wael H. Motair} } @article {264, title = {Mass Gathering (Hajj) Medication Safety Services: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {45-47}, type = {Review Article }, chapter = {45}, abstract = {

Objective: To demonstrate the mass gathering hajj medication safety as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The medication safety services during the mass gathering with a defined vision, mission and goals. The services had multiple benefits, including clinical and economical on patients and healthcare services, as described in the review. The extension of the project assured by risk management elements description. Besides, the monitoring and controlling of the services as illustrated. The conversion of operation project, though closing project stage illustrated in the analysis. Conclusion: The mass gathering medication safety is a new initiative project that is part of the mass gathering medicine. There is various part of medication safety services can be started during the mass gathering; it is highly recommended in Saudi Arabia.

}, keywords = {Hajj, Initiative, Mass Gathering, Medication safety, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2020.9.8}, author = {Yousef Ahmed Alomi and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Osama Hamad Alahmadi and Majed Mohammd Alluhibi and Ahmad M. AlKharoby and Wael H. Motair} } @article {263, title = {Mass Gathering (Hajj) Pharmacy Infection Control: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {5-9}, type = {Review Article }, chapter = {5}, abstract = {

Objectives: To demonstrate the pharmacy infection control services during the mass gathering Hajj period as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering pharmacy infection control services with a defined vision, mission and goals. The services had various aids, including clinical and economical on pilgrims, as illustrated in the assessment. The continuation was of the project assured by the risk management model description. Besides, the monitoring and controlling of the services as declared. The transition to operation project, though closing the project stage, explored in the analysis. Conclusion: The mass gathering pharmacy infection control services are a new initiative, part of the mass gathering medicine. There are various pharmacy transition care services can be started during the mass gathering with an emphasis on pharmacy personnel, infection control; it is highly suggested to implement in Saudi Arabia.

}, keywords = {Control, Hajj, Infection, Initiative, Mass Gathering, Pharmacy, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2020.9.2}, author = {Yousef Ahmed Alomi and Lamees Essa Abdullah Hakami and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Taha Mohamd Rafuden Bakhsh and Nojoud Adnan Khayat and Ahmad M. AlKharoby and Wael H. Motair} } @article {262, title = {National Mass Gathering Pharmaceutical Care Program at Healthcare Institution in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {1-4}, type = {Review Article}, chapter = {1}, abstract = {

Objective: To explore the pharmaceutical care services during mass gathering (MG) Hajj at the healthcare organizations in Saudi Arabia (SA). Methods: It is a descriptive analysis of a newly established program at the MOH in SA called MG pharmaceutical care program during Hajj and Umra Seasons, which was analyzed within the Pharmacy Strategic Plan 2012-2020 and update the plan with new Saudi vision 2030. Results: MG pharmaceutical care program is a new program established by the healthcare organizations in the last four years, which amongst to provide pharmaceutical care services in various fields. Conclusion: The mass gathering of pharmaceutical care services is a new initiative, part of the mass gathering medicine. The program should expand after the foundation stage with performance indication monitoring and follow up. Further assessment of the new project is required to validate the clinical and economic outcomes to research the high level of quality and professionalism in the future.

}, keywords = {Healthcare, Institution, Mass Gathering, National, Pharmaceutical Care, Saudi Arabia}, doi = {10.5530/ijpcs.2020.9.1}, author = {Yousef Ahmed Alomi and Nouf Hameed AL-Muwallad and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Taha Mohamd Rafuden Bakhsh and Nojoud Adnan Khayat and Ahmad M. AlKharoby and Wael H. Motair} } @article {254, title = {Pediatrics Standardized Concentration of Antibiotics Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {27-34}, type = {Review Article}, chapter = {27}, abstract = {

Objectives: To declare the pediatrics and neonates standardized concentration of antibiotics intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of antibiotics services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates standardized concentration of antibiotics intravenous infusion services defined as a vision, mission and goals. The services had various benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage established in the analysis. Conclusion: The pediatrics and neonates standardized concentration of antibiotics intravenous infusion services are a new initiative part of the intravenous admixture program. The pediatrics and neonates standardized concentration of antibiotics will prevent drug related misadventures and implement of patient safety at healthcare organizations; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Antibiotics, Concentration, Intravenous, Neonates, Pediatrics, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.6}, author = {Yousef Ahmed Alomi and Faiz Abdullah. Bahadig and Hani Alhamdan} } @article {255, title = {Pediatrics Standardized Concentration of Cardiovascular Intravenous Infusion Medications: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {70-75}, type = {Review Article}, chapter = {70}, abstract = {

Objectives: To explore the pediatrics and neonates standardized concentration of cardiovascular intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of cardiovascular intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: Results indicates that the pediatrics and neonates standardized concentration of cardiovascular intravenous infusion services with a defined vision, mission and goals. The services had multiple benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage confirmed in the analysis. Conclusion: The pediatrics and neonates standardized concentration of cardiovascular intravenous infusion services is a new initiative as part of the intravenous admixture program. The pediatrics and neonates standardized concentration of cardiovascular might diminution the workload of healthcare, pharmacy staff and avoid additional unnecessary economic burden on healthcare system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Cardiovascular, Concentration, Intravenous, Neonates, Pediatrics, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.13}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz Abdullah Bahadig} } @article {258, title = {Pediatrics Standardized Concentration of Central Nervous System Intravenous Infusion Medications: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {108-112}, type = {Review Article }, chapter = {108}, abstract = {

Objectives: To establish the pediatrics and neonates standardized concentration of central nervous system intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of central nervous system intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates standardized concentration of central nervous system intravenous infusion services with a defined vision, mission and goals. The services had multiple benefits including clinical and economic on patients, the continuous of the project confident by risk management model description and the monitoring and controlling of the services as explored in the review. The transition to operation project though closing project stage confirmed in the analysis. Conclusion: The pediatrics and neonates standardized concentration of central nervous system intravenous infusion services is new initiative as part of the intravenous admixture program. The pediatrics and neonates standardized concentration of central nervous system intravenous infusion properly reduce medication errors and improve patient safety culture system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Central Nervous System, Concentration, Intravenous, Neonates, Pediatrics, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.21}, author = {Yousef Ahmed Alomi and Faiz Abdullah Bahadig and Hani Alhamdan} } @article {257, title = {Pediatrics Standardized Concentration of Chemotherapy Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {May 2020}, pages = {76-83}, type = {Review Article}, chapter = {76}, abstract = {

Objectives: To discover the pediatrics and neonates standardized concentration of chemotherapy intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of chemotherapy intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates standardized concentration of chemotherapy intravenous infusion services with a defined vision, mission and goals. The services had various paybacks including clinical and economic on patients as discovered in the review. The continuous of the project was assured by risk management model description and the monitoring and controlling of the services as declared. The transition to operation project though closing project stage demonstrated in the analysis. Conclusion: The pediatrics and neonates standardized concentration of chemotherapy intravenous infusion services is a new initiative as part of the intravenous admixture program. The pediatrics and neonates standardized concentration of chemotherapy intravenous infusion will lessen medication errors and recover patient safety at healthcare system; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Concentration chemotherapy, Intravenous, Neonates, Pediatrics, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2020.9.14}, author = {Yousef Ahmed Alomi and Faiz A Bahadig and Hani Alhamdan} } @article {259, title = {Pediatrics Standardized Concentration of Miscellaneous Mediations Intravenous Infusion: A New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {November 2020}, pages = {137-142}, type = {Review Article }, chapter = {137}, abstract = {

Objectives: To declare the pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national standardized concentration of miscellaneous mediations intravenous infusion services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion services with a defined vision, mission and goals. The services had multiple benefits including clinical and economic on patients, the continuous of the project assured by risk management model description and the monitoring and controlling of the services as declared as explored in the review. The transition to operation project though closing project stage demonstrated in the analysis. Conclusion: The pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion services is a new initiative as part of the intravenous admixture program. The pediatrics and neonates{\textquoteright} standardized concentration of miscellaneous mediations intravenous infusion might improve patient outcome and avoid added unnecessary cost; it is highly recommended to implement in the Kingdom of Saudi Arabia.

}, keywords = {Concentration, Intravenous, Miscellaneous, Neonates{\textquoteright}, Pediatrics, Saudi Arabia, Services, Standardized}, doi = {10.5530/ijpcs.2020.9.28}, author = {Yousef Ahmed Alomi and Hani Alhamdan and Faiz Abdullah Bahadig} } @article {260, title = {Pharmacist Prescribing System: A New Initiative in the Kingdom of Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {August 2020}, pages = {90-93}, type = {Review Article}, chapter = {90}, abstract = {

Objectives: To declare the pharmacist prescribing system as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national Pharmacist prescribing system services. The projects formulated from the international business model, pharmacy project guidelines and project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase, the monitoring and controlling phase. Results: The pharmacist prescribing system services with a defined vision, mission and goals. The services had various benefits including clinical and economic on patients as illustrated in the review. The continuation of the project assured by risk management model description. In addition, the monitoring and controlling of the services as declared. The transition to operation project, though closing project stage explored in the analysis. Conclusion: The pharmacist prescribing system services is new initiative, part of the clinical pharmacy program. The Pharmacist prescribing system will reduce drug-related problems, improve clinical and economic outcomes of patients and the healthcare system and create patient{\textquoteright}s safety culture at healthcare organization; it is highly recommended to implement in Saudi Arabia.

}, keywords = {Initiative, Pharmacist, Prescribing, Saudi Arabia, Services, System}, doi = {10.5530/ijpcs.2020.9.17}, author = {Yousef Ahmed Alomi and Saleh Ibrahim ALdakheel and Faiz Abdullah Bahadig} } @article {271, title = {Pharmacy Transition Care Services during Mass Gathering Hajj in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {November 2020}, pages = {117-119}, type = {Review Article }, chapter = {117}, abstract = {

Objective: To declare the pharmacy transition care services during the mass gathering hajj period as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national mass gathering pharmaceutical programs. The projects drove the mass gathering medicine guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The mass gathering pharmacy transition care services with a defined vision, mission and goals. The services had multiple benefits, including clinical and economical on pilgrims, as demonstrated in the review. The extension of the project assured by risk management elements description. In addition, the monitoring and controlling of the services as illustrated. The conversion of operation project, though closing project stage, demonstrated in the analysis. Conclusion: The pharmacy transition care services during the mass gathering is a new initiative, part of the mass gathering medicine. Various pharmacy transition care services can be started during mass gathering; it is highly recommended to implement in Saudi Arabia.

}, keywords = {Hajj, Initiative, Mass Gathering, Pharmacy, Saudi Arabia, Services, Transition Care}, doi = {10.5530/ijpcs.2020.9.23}, author = {Yousef Ahmed Alomi and Nezar Adnan Yahya Khayat and Yasir Abdulraheem Bamagaus and Naif Olaythah Alharbi and Fareed Ali Alharpi and Ahmad M. AlKharoby and Wael H. Motair} } @article {247, title = {Therapeutic Interchange: New Initiative System in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {9}, year = {2020}, month = {February 2020}, pages = {10-13}, type = {Review Article}, chapter = {10}, abstract = {

Objective: To validate the therapeutic interchange system at healthcare institutions as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project drove by national therapeutic interchange system programs. The projects drove the therapeutic interchange system guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and contained of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The therapeutic interchange services with a defined vision, mission and goals. The services had various aids, including clinical and economical, on patients and the healthcare system, as exemplified in the assessment. The continuation was of the project assured by the risk management model description. Besides, the monitoring and controlling of the services as declared. The transition to operation project, though closing the project stage, explored in the analysis. Conclusion: The therapeutic interchange system is a new initiative, part of the formulary management. There are various therapeutic interchange system classes of medications can be started though antibiotics, gastrointestinal medications and anti-psychiatric medications; it is highly recommended to implement in Saudi Arabia.

}, keywords = {Drug Therapy, Initiative, Medications, Saudi Arabia, System, Therapeutic Interchange}, doi = {10.5530/ijpcs.2020.9.3}, author = {Yousef Ahmed Alomi and Faiz Abdullah Bahadig} } @article {62, title = {Adherence Assessment of Medication Errors Reporting System at the Public Hospital in Riyadh, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {105-109}, type = {Research Article}, chapter = {105}, abstract = {

Objective: Medication errors have noteworthy implications in the field of patient safety. Error detection through a dynamic supervision and an efficient error reporting system unveils medication errors and boosts safe practices. The overall goal of this study is to explore the pharmacist{\textquoteright}s adherence to medication errors reporting system in adults and pediatrics at the public hospital in Riyadh, Saudi Arabia. Methods: This article describes 9 months retrospective cohort study in year of 2015. A retrospective study was conducted on all inpatients at a 300-bed hospital where all medication procedures in each ward were monitored by a clinical pharmacist. The study was conducted at the Public Hospital in Riyadh, Saudi Arabia. The hospital had medication safety officer with medication safety committee. The program led by trained pharmacist and delivered basic medication safety education programs to all health professional. The medication error report consisted of patient demographic information, qualification of committing mistakes, time of errors occurs, type of medication errors, reasons for medication errors, medications stages involved and errors outcome. Results: The total number of reports were 805. The most common adherence documentation of error involving medications were cost related information (100\%), error related information with an average (90.59\%), patient related information (50.37\%) and drug related information (49.39\%). While the action related information (0.57\%) was harmless. The most common completed of error related information were causes of medication errors 775 (96.3\%) and type of medication errors 770 (95.6\%) followed by outcome of medication errors 764 (94.9\%) and medication process stages involved 711 (88.3\%). While the patient{\textquoteright}s demographic information completed only (50\%) in reports. Conclusion: Despite the medication error reporting is consider new at the public hospital, the number of reporting was high. The system needs more determination to follow completeness medication errors reporting system and that by development of an electronic reporting system, program awareness and positive documentation system feedback changes in pharmacy practice.

}, keywords = {Adherence, Medication errors, Ministry of Health, Public, Riyadh, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.18}, author = {Yousef Ahmed Alomi and Nisreen Al-Shubaar and Nadia Lubad and Fatimah Ali Albusalih} } @article {64, title = {Assessment of Patient Satisfaction with Pharmaceutical Services in Ministry of Health Hospitals at East Province, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {116-121}, type = {Research Article}, chapter = {116}, abstract = {

Objective: Patient satisfaction is considered as a measure of the quality of care in health system. Investigation of satisfaction with pharmaceutical services will disclose gaps in training and barricades of implementation. The study examined patient satisfaction of pharmaceutical services at Ministry of Health Hospitals at East Province in Saudi Arabia. Methods: It is a 4-months cross-sectional self-administered survey of patient satisfaction of pharmaceutical care in Ministry of Health Hospitals at East Province, Saudi Arabia. The survey comprises two parts; the first part was demographic data about the patients, the second part was several domains about various pharmaceutical care services at East Province in Saudi Arabia. The 5-point Likert response scale system used with closed and ended questions. The survey scattered through five hospitals in East Province involved a public, pediatrics, maternity and psychiatry hospitals ambulatory care patient. All data and variables analyzed by Microsoft Excel program version 10. Results: The study sample size was 892. Out of 892 patients, 815 (95.66\%) was Saudi and 37 (4.34\%) was non-SaudiSaudi. Of that 213 (25\%) was female and 639 (75\%) was male. The majority of patients were between the ages of 20-40 (61.33\%) and 41-60 years (39.44\%) old. The average score of pharmacy location and related issues was 3.69/5.00. The domain of pharmacy location was ranked highest (4.05/5.00), while the domain of pharmacy waiting area was ranked lowest (3.47/5.00). The average score of medication related issues was 4.28/5.00. The domain of the drug label stickled with all medications was ranked highest (4.43/5.00), while the domain of the medication reconciliation was ranked lowest (3.56/5.00). The average score of pharmacist related issues was 4.66/5.00. The domain of the pharmacist assure by your name before dispensing was ranked highest (4.58/5.00), while the domain of the pharmacist provides you with medication counseling and encourages you to ask questions was ranked lowest (3.91/5.00). The overall pharmacy evaluation was 4.55/5.00. Conclusion: The patient satisfaction of pharmacy services was adequate at MOH hospital in East Province, Saudi Arabia. The outcomes showed a lack in pharmacists {\textquoteleft}interaction with patients and exertions should be focused towards involvement in a more patient-oriented training in Saudi hospital pharmacies.

}, keywords = {Assessment, East Province, Ministry of Health, Patient, Pharmaceutical, Satisfaction, Saudi Arabia, Services}, doi = {10.5530/ijpcs.2019.8.20}, author = {Mohammed Mohsen Almaznai and Osama Mohammed Almadani and Ibrahim Abdul Karim Aloraifi and Saleh Ali Alsallouk and Hussain Alkabaz and Abdulaziz Saud Alotaibi and Hamdi Abdullah Alamri and Kairat Imad Al-Hennawi and Mohanad Imad Al-Hennawi and Yousef Ahmed Alomi} } @article {63, title = {Attitudes and Perceptions of Healthcare Professionals towards Pharmaceutical Care Services in Kingdom of Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {110-115}, type = {Research Article}, chapter = {110}, abstract = {

Objective: Pharmaceutical care is a health science discipline in which pharmacists deliver patient care that improves medication therapy and helps health, wellness and disease prevention. An important issue in this area emphases on patient oriented rather than drug product-oriented service. The aim of this study to evaluate the attitudes and perceptions of health care professionals towards Pharmaceutical care services in Kingdom of Saudi Arabia. Methods: A 4-months cross-sectional survey of healthcare professionals was conducted in Kingdom of Saudi Arabia. The survey consisted of two-part demographic information and second part forty-nine questions divided into four domains. It included domain one: It included domain one: Primary or essential information about healthcare providers pharmacists, domain two: healthcare professionals information about the ambulatory care pharmacy, domain three: healthcare professionals information about pharmacist{\textquoteright}s relationship and counseling and domain four: Healthcare providers perception of Pharmaceutical care services. All type of healthcare professionals included in the study. A 5-point Likert-type scale was used. There were open and closed-ended questions. The survey was distributed through social media by using what{\textquoteright}s App to more than one thousand healthcare professionals overall Kingdom of Saudi Arabia. The survey was made in an electronic format and it analyzed domain two: healthcare professional{\textquoteright}s information about Pharmaceutical care services through survey monkey system. Results: The total responders were 170 healthcare providers. Of those 150 (93.8\%) were Saudi and 10 (6.25\%) were non-Saudi. The gender distribution 129 (75.9\%) were females and 41 (24.1\%) were males. The most of the healthcare professionals were pharmacists 81 (47.65\%), followed by nurses 27 (15.88\%) and physicians 23 (13.53\%). The majority of patient had visited a pharmacy more than 10 times in the past 12-months was 53 (31.36\%), while 40 (23.67\%) of respondents visited a pharmacy more than 5 to 9 times. The most common performances of pharmaceutical care services were dispensing of prescribed medication 119 (73.91\%), medication consultation 89 (55.28\%), dispensing of over the counter medications 88 (54.66\%) and dispensing of non-medications supplements 74 (45.96\%). The highest scores of pharmaceutical care services provides to the patients were at private{\textquoteright}s hospitals (3.45) and non-MOH governmental hospitals (3.40). The most current experience of perception and challenges with high propriety scores were few pharmacist and clinical pharmacists, un-available of patient medication counseling privacy and Unclear handwriting prescription. The most Future Perception suggestion with high Propriety and Opportunity scores were Increase awareness of pharmacist role in public health and Implement patient counseling clinic operated by the pharmacy. Conclusion: Healthcare professional{\textquoteright}s insight is the dynamic tool to develop pharmacy services. Increase the number of the clinical pharmacist, expand the awareness of pharmacist to the public and implement patient counseling clinic, will change the future vision of pharmacy career in Saudi Arabia.

}, keywords = {Attitudes, Healthcare Professionals, Perceptions, Pharmaceutical Care, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.19}, author = {Yousef Ahmed Alomi and Ban Abdullah Aldosary and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {45, title = {Cost Analysis of Activities for Network Drug Information Centers at the Ministry of Health Hospitals in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {45-51}, type = {Research Article}, chapter = {45}, abstract = {

Objectives: In this study, we aimed to analyze the cost of network drug information services at the Ministry of Health (MOH) hospitals in Saudi Arabia. Method: In this study, we simulated the 2-month cross-sectional survey data of all drug information centers at the MOH hospitals. Any drug store that has provided services to the healthcare professionals and the public participated in the questionnaire. National, regional and local drug information centers in the healthcare institutions participated in this survey. All type of hospitals or primary care centers (e.g. public, pediatric, maternity and psychiatry) were included in this study. The survey consisted of two parts: the first part collects demographics data and the second part analyzes the cost of activities of drug information centers. The clinical activities were derived from the model of the American College of Clinical Pharmacy (ACCP). The type cost consisted of related central drug information activities, the cost of the patient-centered drug information activity and the cost of Administrative drug information activities. All cost used US dollar currency. Results: The survey was distributed to 60 drug information centers and a total of 46 centers responded to the survey; the response rate was 76.66\%. Most of the hospitals (11 (23.9\%)) had 100{\textendash}199 beds and the others (11 (23.9\%)) had 200{\textendash}299 beds. The total daily cost of drug information activities was 6,002.18 USD. The highest cost of drug information activities was central drug information activities (2,654.69 USD (44.23\%)) followed by the administration of drug information activities (2,280.59 USD (37.99\%)) and patient-specific drug information activities (1,066.9 USD (17.77\%)). The highest daily cost of drug information activities among central drug information center was responding to drug information inquiries ((536.24 USD)) followed by the residential training ((9274.46 USD)) and pharmacist{\textquoteright}s training ((263.14 USD)). Conclusion: The central activities of drug information centers costed the highest. Expanding the services to patient-specific activities will decrease morbidity, mortality and justify cost analysis at MOH hospitals in Saudi Arabia.

}, keywords = {Activities, Cost Analysis, Drug Information Centers, Ministry of Health, Network, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.9}, author = {Yousef Ahmed Alomi and Ban Abdullah Aldosary} } @article {198, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Antibiotic Pediatrics Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s7-s10}, type = {Research Article}, chapter = {s7}, abstract = {

Objectives: The aim of this study to explore the cost analysis of selected pediatrics antibiotics formularies in the Kingdom of Saudi Arabia. Methods: It is a retrospective cost analysis of pediatrics formulations at 300-beds pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section received the specific formulation from physician then the expert pharmacist applied the international standard of clinical compounding through providing to healthcare staff over eight hours per days for five days per a week. The pediatrics formulations consisted of selected four antibiotics (Nitrofurantoin, Oseltamivir, Chloroquine and Clindamycin). The analysis of the cost included the variable expenses included personal cost, material and supply cost, Costs fixed including direct cost, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All cost used US dollar currency. The study analyzed the cost of anti-hypertension pediatrics formulations through the Microsoft Excel sheet version 10th. Results: The estimated average total standard cost of pediatrics formulations per hour was (53.82 USD). The average estimated cost of Nitrofurantoin per each preparation was (14.13 USD) which consisted of standard cost (0.31 USD) and the direct cost was (13.82 USD). The average estimated cost of Oseltamivir per each preparation was (16.95 USD) which consisted of standard cost (0.33 USD) and the direct cost was (16.62 USD). The average estimated cost of Chloroquine per each preparation was (6.645 USD) which consisted of standard cost (4.36 USD) and the direct cost was (6.645 USD). The average estimated cost of Clindamycin per each preparation was (14.478 USD) which consisted of standard cost (2.018 USD) and the direct cost was (12.46 USD). Conclusion: There are varieties in the cost analysis between selected pediatric formulation and manufactured ready-made products. The pharmacist should select the cheapest one among them. The cost analysis of pediatrics formulation was used for health insurance coverage and to meet the updated pharmacy strategic plan and Saudi vision 2030 in the Kingdom of Saudi Arabia.

}, keywords = {Antibiotic, Clinical, Compounding, Cost, Formulations, Ministry of Health, Pediatrics, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.37}, author = {Yousef Ahmed Alomi and Malika Alhadab and Faiz Bahadig and Mohammad Jabir Al Harbi and Mona Lubbad and Ebtesam Nazal} } @article {199, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Anticonvulsant Pediatrics Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s11-s14}, type = {Research Article}, chapter = {s11}, abstract = {

Objectives: The aim of this study is to explore the cost analysis of pediatrics anticonvulsant formulations in Saudi Arabia. Methods: It is a retrospective cost analysis of pediatrics formulations at 300-beds pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section received the specific formulation from physician then the expert pharmacist applied the international standard of clinical compounding through of providing to healthcare staff over eight hours per days for five days per a week. The pediatrics formulations consisted of selected four anticonvulsant medications. The analysis of the cost included the variable expenses included personal cost, material and supply cost, Costs fixed including direct cost, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All cost was used US dollar currency. The study analyzed the cost of anticonvulsant pediatrics formulations through the Microsoft Excel sheet version 10th. Results: The estimated average total standard cost of pediatrics formulations per hour was (53.82 USD. The average estimated cost of Levetiracetam per each one preparation was (53.313 USD). The total annual cost of Levetiracetam was (18,126.42 USD). The average estimated cost of Topiramate per each one preparation was (22.66 USD). The total annual cost of Topiramate was (1,087.68 USD). The average estimated cost of Rufinamide per each one preparation was (29.342 USD), while the total annual cost of Rufinamide was (293.42 USD). Conclusion: This is the first study about cost analysis of anticonvulsant pediatrics formulations in KSA and Middle East. There are some differences in the cost analysis between the pharmacy preparations and manufactured related to internal and external reasons. The pharmacist should select the cheapest one among them the preparations. The cost analysis of pediatrics formulation meets the Saudi vision 2030 strategic plan in the Kingdom of Saudi Arabia.

}, keywords = {Anticonvulsant, Clinical, Compounding, Cost, Formulations, Ministry of Health, Pediatrics, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.38}, author = {Yousef Ahmed Alomi and Malika Alhadab and Faiz A. Bahadig and Mona Lubbad and Ebtesam Nazal and Khulud Khalid Alnami} } @article {197, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Antihypertensive of Pediatric Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s2-s6}, type = {Research Article}, chapter = {s2}, abstract = {

Objectives: The primary objective of this study was to explore cost analysis of pediatric formulations in Riyadh city, Saudi Arabia. Methods: This is a retrospective study of cost analysis of pediatric formulations at 300-bed pediatric and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section of this hospital receives the specific formulation from the physician. Then, the expert pharmacist applied the international standard for clinical compounding and provides services to the healthcare staff and patients over 8 hr per day for 5 days per week. The pediatric formulations consisted of but not limited to antibiotics, anti-tuberculosis (TB) medications and anti-hypertensive medications. The cost analysis included the variable expenses such as personal cost, material cost and supply cost and fixed expenses such as direct cost, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All costs used have been analyzed in US dollar currency. In this study, we analyzed the cost of antihypertensive medications for pediatric use through the Microsoft Excel software (version 10). Results: The estimated average total standard cost of pediatric formulations per hour was 53.82 USD and consisted of 58.58\% (31.53 USD) for personal cost, 25.14\% (13.53 USD) for overhead cost, 3.34\% (1.8 USD) for material and supply cost and 12.93\% (6.96 USD) for the non-salary cost. The average estimated cost of Propranolol, Captopril, Methyldopa, Amlodipine and Hydralazine per each preparation was (8.27 USD, 2.37 USD, 6.88 USD, 17.385 USD) and (49.44 USD), respectively. Conclusion: To the best of our knowledge, this is the first study which demonstrated the cost analysis of antihypertensive pediatric formulation in the Kingdom of Saudi Arabia. The pediatric formulations with cost analysis can involve health insurance coverage. Targeting the cost analysis of all pediatric formulation is highly recommended to fit with Saudi vision 2030 in the Kingdom of Saudi Arabia.

}, keywords = {Analysis, Antihypertensive, Clinical, Compounding, Cost, Formulations, Pediatric, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.36}, author = {Yousef Ahmed Alomi and Fatimah Fouad Al Doughan and Faiz A. Bahadig and Malika Alhadab and Mona Lubbad and Ebtesam Nazal} } @article {200, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Anti-tuberculosis Pediatrics Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s15-s18}, type = {Research Article}, chapter = {s15}, abstract = {

Objectives: In this study, we explored the cost analysis of selected pediatric antituberculosis formulations available at the pharmacy of a pediatrics and maternity hospital in Riyadh city, Saudi Arabia. Methods: This is a retrospective cost analysis study of pediatric anti-tuberculosis formulations conducted at a pediatrics and maternity hospital having 300 beds in Riyadh city, Saudi Arabia. The pharmacy section of this hospital receives the specific formulation from the physician. Then the expert pharmacist provides the clinical compounding services to healthcare staff and patients over 8 hr per day for 5 days per a week. The pediatric formulations consisted of selected anti-tuberculosis medications. The cost analysis included variable expenses such as personal cost, material cost and supply cost. Fixed costs included direct cost, nonsalary cost and overhead cost. All costs were derived from the Ministry of Health information database. All costs were analyzed in terms of US dollar currency by using the Microsoft Excel software version 10. Results: The estimated average total standard cost of pediatric anti-tuberculosis formulations per hour was (53.82 USD), which included 58.58\% (31.53 USD) personal cost, 25.14\% (13.53 USD) overhead cost, 3.34\% (1.8 USD) material and supply cost and 12.93\% (6.96 USD) non-salary cost. The average estimated cost of rifampicin per preparation was (11.36 USD). The total annual cost of rifampicin was (1363.20 USD). The average estimated cost of pyrazinamide per preparation was (6.835 USD). The total annual cost of pyrazinamide was (68.35 USD). The average estimated cost of isoniazid per preparation was (8.515 USD). The total annual cost of isoniazid was (85.15 USD). Conclusion: Two anti-tuberculosis pediatric formulations (rifampicin and isoniazid) were available for various prices, whereas pyrazinamide was not available as pediatric formulation either locally or in USA and UK. The pharmacist should prepare all anti-tuberculosis pediatric formulation when needed. The cost analysis of all anti-tuberculosis pediatric formulations should be determined in order to meet health insurance and the strategies of New Saudi Vision 2030 in the Kingdom of Saudi Arabia.

}, keywords = {Anti-tuberculosis, Clinical compounding, Cost, Ministry of Health, Pediatric formulations, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.39}, author = {Yousef Ahmed Alomi and Faiz A. Bahadig and Malika Alhadab and Mona Lubbad and Ebtesam Nazal and Mayssa Ahmed Assiri} } @article {201, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Autoimmune and Gastrointestinal Pediatric Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s19-s23}, type = {Research Article}, chapter = {s19}, abstract = {

Objectives: To explore the cost analysis of selected autoimmune and gastrointestinal pediatric formulations in Riyadh city, Saudi Arabia. Methods: This is a retrospective cost analysis study of autoimmune and gastrointestinal pediatric formulations at a pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The extemporaneous pharmacy section regularly receive prescriptions with specific formulation from physician. The expert pharmacist applies the international standard of clinical compounding for all pediatric formulation related issue over 8 hr per days for 5 days per a week. The pediatric formulations consisted selected autoimmune and gastrointestinal medications. The cost analysis includes variable expenses such as personal cost, material cost and supply cost and fixed costs includes direct cost, non-salary cost and overhead cost. All costs were derived from the Ministry of Health information database. All costs were considered based on US dollar currency. In this study, we analyzed the cost of autoimmune and gastrointestinal pediatric formulations through the use of Microsoft Excel software version 10. Results: The estimated average total standard cost of pediatric formulations per hour was (53.82 USD). The average estimated cost of hydrocortisone per preparation was (12.896 USD). The total annual cost of hydrocortisone was (1547.52 USD). The average estimated cost of prednisolone per preparation was (4.6 USD). The average estimated cost of allopurinol per preparation was (6.99 USD) and the average estimated cost of sildenafil per preparation was (25.05 USD). The average estimated cost of omeprazole per each one preparation was (24.07 USD) and the total annual cost of omeprazole was (7221 USD). The average estimated cost of ranitidine per preparation was (5.248 USD) and the total annual cost of ranitidine was (2760.45 USD). The average estimated cost of baclofen per preparation was (21.266 USD) and the total annual cost of baclofen was (7655.76 USD). Conclusion: Based on the cost analysis, the cost of selected pediatric autoimmune and gastrointestinal pediatric formulations were higher than the ready-made products manufactured by pharmaceutical companies. The pharmacist should select the cheapest one among them. The cost analysis of pediatric formulation can be used to cover health insurance and meet the updated pharmacy strategic plan and New Saudi Vision 2030 in the Kingdom of Saudi Arabia.

}, keywords = {Autoimmune, Clinical, Compounding, Cost, Formulations, Gastrointestinal, Ministry of Health, Pediatrics, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.40}, author = {Yousef Ahmed Alomi and Malika Alhadab and Mona Lubbad and Faiz A. Bahadig and Ebtesam Nazal} } @article {204, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Excipients and Vehicles of Pediatric Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s32-s35}, type = {Research Article}, chapter = {s32}, abstract = {

Objectives: To explore cost analysis of excipients of pediatric formulations in Saudi Arabia. Methods: It is a retrospective cost analysis of pediatric formulations at 300-beds pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section received the specific formulation from physician then the expert pharmacist applied the international standard of clinical compounding through by providing to healthcare staff over eight hours per days for five days per a week. The pediatric formulations consisted selected excipients of pediatric formulations. The analysis of the cost included the variable expenses included personal cost, material and supply cost. Fixed costs including direct costs, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All cost was used US dollar currency. The study analyzed the cost of excipients of pediatric formulations through the Microsoft Excel sheet version 10th. Results: The estimated average total standard cost of pediatric formulations per hour was (53.82 USD and consisted of 58.58 \% (31.53 USD) for personal cost, 25.14 \% (13.53 USD) for overhead cost, 3.34\% (1.8 USD) for material and supply cost, 12.93 \% (6.96 USD) for non-salary cost. The average estimated cost of Simple Syrup per each preparation was (1.974USD). The total annual cost of simple syrup was (426.38 USD). The average estimated cost of methyl cellulose 1\% plus simple syrup per each preparation was (3.721USD). The total annual cost of methyl cellulose 1\% was (759.1USD). The average estimated cost of methyl cellulose 1\% per each preparation was (2.5 USD). The total annual cost of methyl cellulose 1\% was (584.8 USD). The average estimated cost of methyl cellulose 2\% per each preparation was (3.655 USD). The total annual cost of Methyl Cellulose 2\% (438.6 USD). Conclusion: This is the first of cost analysis of excipients of pediatric formulations in Saudi Arabia. Most of excipients of pediatric formulations products not registered in the famous countries. The hospital pharmacy updates annually all cost analysis of excipients pediatric formulations. The pharmacist should select the best and appropriate excipients for the formulations. The cost analysis project as part of updated the pharmacy strategic plan with new Saudi Vision 2030.

}, keywords = {Clinical, Compounding, Cost, Excipients, Formulations, Ministry of Health, Pediatrics, Saudi Arabia, Vehicles}, doi = {10.5530/ijpcs.2019.8.43}, author = {Yousef Ahmed Alomi and Malika Alhada and Faiz A. Bahadig and Mona Lubbad and Ebtesam Nazal} } @article {203, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Nephrology Pediatrics Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s28-s31}, type = {Research Article}, chapter = {s28}, abstract = {

Objectives: To explore cost analysis of selected renal pediatric formulations in Riyadh city, Saudi Arabia. Methods: It is a retrospective cost analysis of pediatric formulations at 300-beds pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section received the specific formulation from physician then the expert pharmacist applied the international standard of clinical compounding through by providing to healthcare staff over eight hours per days for five days per a week. The pediatric formulations consisted selected renal products. The analysis of the cost included the variable expenses included personal cost, material and supply cost. Fixed costs, including, direct costs, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All cost was used US dollar currency. The study analyzed the cost of Nephrology pediatrics formulations through the Microsoft Excel sheet version 10th. Results: The estimated average total standard cost of pediatric formulations per hour was (53.82 USD). The average estimated cost of Hydrochlorothiazide per each preparation was (5.204 USD) and the total annual cost of Hydrochlorothiazide was (2,071.2 USD). The average estimated cost of Acetazolamide per each preparation was (5.72 USD) the total annual cost of Acetazolamide was (366.1 USD). The average estimated cost of Spironolactone per each preparation was (2.513 USD) and the total annual cost of Spironolactone was (1,507.8 USD). The average estimated cost of Sodium citrate per each preparation was (1.23 USD) with a total annual cost of Sodium citrate was (599.01 USD). The average estimated cost of Citric Acid per each preparation was (1.136 USD) with a total annual cost of Citric Acid was (81.782 USD). Conclusion: Cost analysis of pediatrics formulation with emphasis on medications used for renal diseases is primary tool of pharmacoeconomic and health insurance. The pharmacist play role in the preparation of renal medications and cost analysis related issue. This is new study in Kingdom of Saudi Arabia and Gulf or Middle East countries with and meet the new Saudi vision 2030 in the Kingdom of Saudi Arabia.

}, keywords = {Clinical, Compounding, Cost, Formulations, Ministry of Health, Nephrology, Pediatrics, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.42}, author = {Yousef Ahmed Alomi and Malika Alhadab and Faiz A. Bahadig and Mona Lubbad and Ebtesam Nazal} } @article {202, title = {Cost Analysis of Clinical Compounding in Saudi Arabia: Oral Electrolyte Pediatrics Formulations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {November 2019}, pages = {s24-s27}, type = {Research Article}, chapter = {s24}, abstract = {

Objectives: To explore cost analysis of selected oral electrolytes pediatrics formulations in the Kingdom Saudi Arabia. Methods: It is a retrospective cost analysis of pediatrics formulations at 300-beds pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section received the specific formulation from physician then the expert pharmacist applied the international standard of clinical compounding through of providing to healthcare staff over eight hours per days for five days per a week. The pediatrics formulations consisted selected four selected electrolytes. The analysis of the cost was included the variable expenses like personal cost, material and supply cost. Fixed costs include direct cost, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All cost was used US dollar currency. This study analyzed the cost of anti-hypertension pediatrics formulations through the Microsoft Excel sheet version 10th. Results: The estimated average total standard cost of pediatrics formulations per hour was (53.82 USD). The average estimated cost of potassium chloride 10\% per each preparation was (2.053 USD) and the total annual cost of potassium Chloride 10\% was (172.452 USD). The average estimated cost of potassium chloride 7.5\% per each preparation was (1.342 USD) with the total annual cost of potassium chloride 7.5\% was (228.14 USD). The average estimated cost of sodium bicarbonate 8.4\% per each preparation was (0.7551 USD) with the total annual cost of sodium bicarbonate 8.4\% was (54.36 USD). The average estimated cost of calcium carbonate 200 mg/mL per each preparation was (5.45 USD) with the total annual cost of calcium carbonate 200mg/mL was (1,046.4 USD). The average estimated cost of sodium chloride 5.8\% per each preparation was (1.117 USD) which the total annual cost of sodium chloride 5.8\% was (167.55 USD). Conclusion: Most the electrolyte pediatrics formulations which are not available in the local or international market. Pharmacists should continue to prepare them with lower economic burden. The study was first done in KSA and meet new health strategic plan of Saudi vision 2030 in the Kingdom of Saudi Arabia.

}, keywords = {Clinical, Compounding, Cost, Electrolyte, Formulations, Ministry of Health, Pediatrics, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.41}, author = {Yousef Ahmed Alomi and Faiz A. Bahadig and Malika Alhadab and Mona Lubbad and Ebtesam Nazal} } @article {40, title = {Cost Efficiency of National Drug Information Center Services Through Ministry of Health Hotline Calling Center (937) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {17-20}, type = {Research Article}, chapter = {17}, abstract = {

Objective: Since January 2013, the national drug information center (NDIC) has started providing services and since December 2013, it is answering all the public and professional inquiries made through the Ministry of Health (MOH)-Hotline Calling Services (937). Therefore, in this study, we explored the cost avoidance analysis of national drug information inquiries by the hotline services in Saudi Arabia. Methods: We simulated the drug information inquiries related to the adults and children for the duration of 12 months of 2014 through MOH-hotline calling services (937). At least 10 on-call clinical pharmacists and expert trained pharmacists were receiving calls made from public and professionals inquiring about drug information. The data were collected in the drug information data collecting form through manual documentation system of drug information inquiries. Results: The drug information pharmacist implicated that the high-cost avoidance at the public side came from the dose standardization (30,310 USD (37.5\%)) of the total cost avoidance followed by the drug administration and adverse drug reaction (16,532 USD (20.45\%) and 9,347.5 USD (11.56\%), respectively), which represent more than 50\% of the total cost avoidance from the public side. With regard to professional inquiries, the drug information pharmacist implicated that the highest cost avoidance was through inquiries related to drugs in pregnancy, which was around 7,527.50 USD (26\%) of the total cost followed by the drug administration, drug{\textendash}drug interaction and drug identification (4,792 USD (16.5\%); 4,141.50 USD (14.3\%); and 4,135.50 USD (14.2\%), respectively), which represent more than 50\% of the total cost avoidance from the professional side. Conclusion: NDIC was the first in calculating cost avoidance from answering drug information inquiries from professional and public separately in the Middle Eastern countries. It is highly implicated in the drug information services in the healthcare organization in the Kingdom of Saudi Arabia.

}, keywords = {Cost, Drug Information Center, Efficiency, Hotline, Ministry of Health, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.4}, author = {Yousef Ahmed Alomi and Hajer Yousef Almudaiheem} } @article {44, title = {Cost of Total Parenteral Nutrition Services at the Ministry of Health, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {39-44}, type = {Research Article}, chapter = {39}, abstract = {

Objectives: The estimation of cost of total parenteral nutrition (TPN) is a part of the pharmacoeconomic program at the Ministry of Health (MOH), Saudi Arabia. In this study, we explored the cost analysis of TPN services by using American Model with local cost. Methods: Simulation was performed for all 6 months of TPN services for neonate, pediatric and adult patients. King Salman Hospital in Riyadh, Saudi Arabia was chosen as the study site; it has 300 beds. The physician or the pharmacist prescribed TPN to their patients. The pharmacist reviews and prepares TPN. The nurse administers TPN and follows up with the doctor or the pharmacist. TPN was prepared through sterile 797 standards and automated compounding facilities. The costing was derived from MOH information database. The cost was calculated based on the variable expenses including personal cost, material cost and supply cost. Fixed costs included direct cost, non-salary cost and overhead cost. All costs were estimated in US dollar currency and local prices. Results: A total number of 112 patients were prescribed with (1631) TPN orders; the total volume of TPN was 619,161.90 mL. Of these, 103 (91.96\%), 6 (5.36\%) and 3 (2.68\%) were prescribed for neonatal, adult and pediatric patients, respectively. Of those with TPN orders, 1484 (90.99\%), 108 (6.62\%) and 39 (2.39\%) were prescribed for neonatal, adult and pediatric patients, respectively. The total average number of orders per day was 4.47. Of those, 4.07, 0.3 and 0.11 was for neonatal, adult and pediatric patients, respectively. The average duration of TPN for adults, neonatal and pediatric patients was 18, 14.4 and 13 days, respectively. The total average direct cost for active ingredient in the TPN was 61.81 USD. Of those, 38.54 USD (62.35\%), 16.63 USD (26.91\%) and 6.64 USD (10.74\%) was for pediatric, adult and neonatal patients. The estimated cost of TPN services for neonatal, adult and pediatric patients was 863.74 USD, 691.3 USD and 618.16 USD per day, respectively. The total annual and daily estimated expenditures of TPN orders were 629,865.02 USD and 212.22 USD; 44,795.24 USD and 207.39 USD; and 5,303.77 USD and 68.00 USD respectively for neonatal, adult and pediatric patients. The total annual and daily estimated cost were 314,764.70 USD and 3,055.97 USD; 22,398.12 USD and 3,733.02 USD; and 2,652.00 USD and 884.00 USD respectively for neonatal, adult and pediatric patients. Conclusion: In this study, we performed cost-estimation of the TPN in Saudi Arabia. This is the first study at MOH in Saudi Arabia. It is an essential basic element of pharmacoeconomic program and cost analysis of TPN-related healthcare services.

}, keywords = {Cost, Ministry of Health, Saudi Arabia, Total Parenteral Nutrition}, doi = {10.5530/ijpcs.2019.8.8}, author = {Yousef Ahmed Alomi and Aisha Omar Fallatah and Amjad Ahmad AL qahtani and Nesreen Al-Shubbar and Maha F Al-Yahya and Estiqlal Hussain Al-Smail} } @article {210, title = {Emergency Medications Order for Adults: Standardized Concentration System in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {204-205}, type = {Review Article }, chapter = {204}, abstract = {

The general administration of pharmaceutical care released several publications related to the administration of intravenous medications, which mention about the concentration of intravenous medications for adults, pediatrics and neonatal patients. The publications also include several emergency medications with their concentrations. This new initiative was started in order to guide physicians to select the primary emergency medications in intravenous drip administration. The medications were selected based on common evidence-based standardized concentration for adults. This project required to control high-alert medications and prevent drug-related errors. The list of medications may be covered as computerized physician order entry and this project may be implemented as pharmacy project management.

}, keywords = {Adults, Emergency, Medications, Saudi Arabia, Standardized Concentration}, doi = {10.5530/ijpcs.2019.8.44}, author = {Yousef Ahmed Alomi and Manal Mansour Al Nemari and Fatimah Al-Doughan and Yasir Ahmed Ibrahim and Hussam Saad Almalki and Nouf Alaza and Malika Alshamari} } @article {209, title = {Emergency Medications Order for Neonates and Pediatrics: A Standardized Concentration System in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {206-207}, type = {Review Article}, chapter = {206}, abstract = {

The national pediatric pharmacy program was founded in 2014. It is a part of the pharmacy strategic plan. This program has implemented several projects including preparation and administration of intravenous medication to neonates and pediatric patients. The complementary new initiatives program is the neonates and pediatrics standardized concentration of emergency medications with an emphasis on medications used to treat critically ill patients and in emergency department. This new project has physician order form with selected dilutions, concentrations and route of administration. The form may be converted to a computerized order form. The new initiatives of the project may be implemented through project management tools. The project prevents drug-related problem and decrease economic burden on healthcare system for neonates and pediatrics hospitals in the Kingdom of Saudi Arabia.

}, keywords = {Concentration, Emergency, Medications, Neonates, Pediatrics, Saudi Arabia, Standardized}, doi = {10.5530/ijpcs.2019.8.45}, author = {Yousef Ahmed Alomi and Fatimah Al-Doughan and Yasir Ahmed Ibrahim and Hussam Saad Almalki and Nouf Alaza and Malika Alshamari} } @article {227, title = {Forecasting (2018-2030) and the Demand of Clinical Pharmacy Technician Workforce at Over Twelve Years (2006-2017) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {186-189}, type = {Research Article}, chapter = {186}, abstract = {

Background: The workforce of clinical pharmacy technician is one the elements of pharmacy strategic plan in Saudi Arabia. Objectives: The purpose of this study is to explore the demand clinical pharmacy technician{\textquoteright}s workforce at Ministry of Health (MOH) hospitals and primary health care centers over the past twelve years (2006- 2017) and forecasting during the years (2018-2030) in the kingdom of Saudi Arabia. Methods: It is a retrospective analysis of twelve years (2006-2017) of MOH hospitals, Primary Health Care Center (PHCs) of the pharmacy technician{\textquoteright}s workforce and forecasting for future years (2018-2030). All data were derived from the Ministry of Health statistical year books and any missing appropriate information about pharmacy technician{\textquoteright}s workforce that will be estimated through allied healthcare professional{\textquoteright}s data in each region including gender. It included all types of pharmacy technicians included in the study while excluded all pharmacists or clinical pharmacist{\textquoteright}s workforce at MOH intuitions. All calculations were based on MOH workforce standards of hospitals or PHCs updated literatures. All calculation was done using Microsoft Excel version ten. Results: The total average of hospitals was 253.92 in the kingdom of Saudi Arabia. The total average demand of clinical pharmacy technician at MOH hospitals will be (4,579.08) over twelve years (2006-2017) with a range (2,899 to 6,619). The total average demand of clinical pharmacy technician at primary healthcare centers will be (1,303) over twelve years (2006-2017) with a range (891 to 1,623). The total average demand of clinical pharmacy technician at hospital forecasting will be (10,271.34) over thirteen years (2008-2030) with a range (8,797.44 to 11,887.11). The total average demand of clinical pharmacy technician at primary healthcare centers forecasting will be (14,270.87) over thirteen years (2018-2030) with a range (12,223.05 to 16,515.79). Conclusion: The Ministry of Health hospitals and primary care centers sectors will be with the highest demand for clinical pharmacy technician in the future. The ratio of pharmacist to clinical pharmacy technician needs to be standardized at hospitals and primary healthcare services. Further, the analysis of the clinical pharmacy technician workforce is required in the kingdom of Saudi Arabia.

}, keywords = {Clinical Pharmacy technician, Demand, Forecasting, Ministry of Health, Saudi Arabia, Workforces}, doi = {10.5530/ijpcs.2019.8.31}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {225, title = {Forecasting (2018-2030) and the Demand of Hospital Pharmacy Technician Workforce at Over Twelve Years (2006-2017) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {178-181}, type = {Research Article}, chapter = {178}, abstract = {

Objectives: The workforce of hospital pharmacy technician is one the elements of pharmacy strategic plan in Saudi Arabia.: The purpose of this study is to explore the demand workforce of pharmacy technician at MOH hospitals over the past twelve years (2006-2017) and forecasting during (2018-2030) in the kingdom of Saudi Arabia. Methods: It is a retrospective analysis of twelve years (2006-2017) of Ministry of Health pharmacy technician workforce demand and forecasting in the future (2018- 2030) at MOH organization practice. All data were derived from the Ministry of Health Statistical Year Books and any missing appropriate information about pharmacy technician workforce that will be estimated through allied healthcare professional{\textquoteright}s data in each region including gender or nationality. It included pharmacy technician and exclude all types of pharmacists or clinical pharmacist{\textquoteright}s workforce at MOH hospital setting. All calculations were based on MOH workforce standards of hospital with update literatures. All calculation was done used Microsoft Excel version ten. Results: The number of pharmacy technician demand based on optimum pharmacy and pharmacist. The pharmacy technician ratio (1:4) demand was (21,212.6-26,091) with an average (22,934.68). While with a ratio of (1:2) the number of pharmacy technician demand was (7,410-8,859) with an average (8,320.55). The number of pharmacy technician forecasting of a ratio (1:3) was (14,300-17,475) with an average (15,627.62). The forecasting number of pharmacy technician in the future within years (2018-2030) over thirteen years based on optimum pharmacy and pharmacist. The pharmacy technician ratio (1:4) forecast was (33,898.6-45,803) with an average (39,577.00). While with a ratio of (1:2) the number of the forecasting pharmacy technician was (16,303-22,028) with an average (19,034.31). The number of pharmacy technician forecasting of ratio (1:3) was (25,100 - 33,916) with an average (29,305.54). Conclusion: The demand of pharmacy technicians and forecasting in the future were determined. The ratio of pharmacist to pharmacy technician in the hospital practice should be standardized. An annual study on hospital pharmacy technician workforce is recommended in Saudi Arabia.

}, keywords = {Demand, Forecasting, Hospital, Ministry of Health, Pharmacy technician, Saudi Arabia, Workforces}, doi = {10.5530/ijpcs.2019.8.29}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {41, title = {Healthcare Professional{\textquoteright}s Perception and Attitude toward Pharmacist during Pharmacy Visit in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {21-25}, type = {Research Article}, chapter = {21}, abstract = {

Purpose: To explore the healthcare professional{\textquoteright}s perception and attitude toward pharmacist during pharmacy visit in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of the healthcare professional{\textquoteright}s perception toward pharmacist. The survey consisted of two parts: the first part collects demographic information and the second part has 49 questions divided into four domains: (1) the first domain captures information regarding healthcare professionals{\textquoteright} general perception of the pharmacist; (2) the second domain is regarding healthcare professionals{\textquoteright} perception of pharmaceutical care services; (3) the third domain is about healthcare professionals{\textquoteright} perception of visiting ambulatory care pharmacy; and (4) the fourth domain is regarding healthcare professionals perception of pharmacist{\textquoteright}s relationship and counseling skills. All type of healthcare professionals included in the study. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media, namely, WhatsApp to more than one thousand healthcare professionals throughout the Kingdom of Saudi Arabia. The survey was distributed in an electronic format and this study analyzes and presents data regarding domain three, that is, healthcare professionals{\textquoteright} perception of visiting ambulatory care pharmacy through the Survey Monkey system. Results: A total of 170 healthcare professionals responded to the survey. Of them, 150 (93.8\%) were Saudi and 10 (6.25\%) were non-Saudi professionals. There were 129 (75.9\%) female and 41 (24.1\%) male responders. Most of the healthcare providers were pharmacists (81 (47.65\%)), others (33 (19.41\%)), nurses (27 (15.88\%)) and physician (23 (13.53\%)). Most of the healthcare professional visited the pharmacy in the past 12 months (53 (31.36\%)) for more than 10 times, whereas the others 40 (23.67\%) visited at least 5{\textendash}9 times. Most of the patients (143 (87.2\%)) spent less than 16 min waiting for the medication from the pharmacy. The average score of healthcare professional{\textquoteright}s general perception toward a pharmacist during pharmacy visit was 3.51. The statement {\textquotedblleft}received all medications prescribed to me{\textquotedblright} received the highest score (4.05), whereas the statement {\textquotedblleft}pharmacy{\textquoteright}s waiting area is located at the convenient place{\textquotedblright} received the lowest score (3.07). The average score of healthcare professional{\textquoteright}s perception toward a drug monitoring pharmacist during the pharmacy visit was 2.58. The statement with the highest score was {\textquotedblleft}the patient revived a copy of prescription contained medications{\textquotedblright} (2.99), whereas the statement with the lowest score was {\textquotedblleft}the pharmacist gives follow-up call to the patient as prescribed{\textquotedblright} (1.86). The score for general evaluation of pharmacy visit was (3.31) with preference to visit the pharmacy or recommend it to patient{\textquoteright}s bothers or friends was (3.26). Conclusion: The healthcare professional{\textquoteright}s perception of a pharmacist during the pharmacy visit was good. Pharmacy{\textquoteright}s waiting area, medications reconciliation and adherences missed. Improving of healthcare providers{\textquoteright} needs will augment healthcare professional{\textquoteright}s perceptions and raise healthcare provider{\textquoteright}s satisfaction during pharmacy visit.

}, keywords = {Attitude, Healthcare professional, Ministry of Health, Perception, Pharmacist, Saudi Arabia, Visit}, doi = {10.5530/ijpcs.2019.8.5}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {223, title = {Hospital Pharmacy Technician Workforce over 12 Years (2006-2017) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {163-170}, type = {Research Article}, chapter = {163}, abstract = {

Objective: To explore the workforce of pharmacy technician at Ministry of Health (MOH) hospitals over the past 12 years (2006{\textendash}2017) in the Kingdom of Saudi Arabia. Methods: This is a retrospective analysis of 12 years (2006{\textendash}2017) of MOH pharmacy technician workforce at hospital practice. All data were derived from MOH{\textquoteright}s Statistical Year Books and any missing appropriate information of pharmacy technician workforce was estimated through allied healthcare professional{\textquoteright}s data at each region including gender or nationality. It included pharmacy technician and excluded all types of pharmacists or clinical pharmacist{\textquoteright}s workforces at MOH hospital setting. All calculations were based on MOH workforce standards of hospitals. All calculations were performed using Microsoft Excel version 10. Results: A total of 8373 pharmacy technicians were employed with 6620 (79.06 \%) and 1623 (19.38\%) pharmacy technicians employed at various hospitals and primary healthcare centers, respectively; while in the medical administration sectors was 130 (1.55 \%). The total number of pharmacy technicians were 4578 (range: 2899{\textendash}6620). The average number of pharmacy technicians working per bed per region of the hospital was 0.25 (range: 0.08{\textendash}1.66). The average number of pharmacy technicians per pharmacist per region was 3.04 (range: 2.00{\textendash}5.57) annually. The average number of male pharmacy technicians was 195 (85.15\%) (range: 114{\textendash}285), whereas the number of female technicians was 34 (14.84\%) (range: 21{\textendash}46). An estimated average number of 211 (92.14\%) were Saudi nationals per region (range: 104{\textendash}319), whereas an average of 18 (7.86\%) were non-Saudi individuals (range: 10{\textendash}41). Conclusion: There are more number of pharmacy technicians working at MOH hospitals. The majority of them were Saudi nationals and there were more males than that of female technicians. The ratio of pharmacist to technician was acceptable. The annual assessment of pharmacy technician workforce in the MOH healthcare institutions is required in the Kingdom of Saudi Arabia.

}, keywords = {Hospital, Ministry of Health, Pharmacy technician, Saudi Arabia, Workforce}, doi = {10.5530/ijpcs.2019.8.27}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {51, title = {Medication Storage at Home among People in Al-Qassim Region, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {52-59}, type = {Research Article}, chapter = {52}, abstract = {

Objective: Storing medications at home is a global practice. By storing medications in an appropriate and safe environment, we can prevent accidental poisoning. Information is scarce regarding the storage of different types of medications at homes in Al-Qassim region, Kingdom of Saudi Arabia. Therefore, in this study, we aimed to explore the types of medications stored at homes among people residing in Al-Qassim region. Methodology: This is a descriptive, cross-sectional survey conducted through the random distribution of a pre-validated structured questionnaire among the public and private sector employees and people from all walks of life above the age of 18 years in Al-Qassim region. The survey was designed electronically through Survey Monkey system and was distributed through social media. Results: A total of 708 subjects responded to the survey. Most of the responders were females (485 (68.10\%)). About half of the responders were in the age group of 18{\textendash}29 years (393 (58.31\%)) with a significantly dominant female population as compared to males (p\<0.05). The most frequently stored medications were related to headache (462 (65.25\%)) and pain (445 (62.85\%)). Most of the responders stored their medications in the refrigerator (467 (65.96\%)) or in their bedroom (324 (45.76\%)). A total of 633 medications were found to be stored at homes during this survey. The top 20 most frequently stored medications were paracetamol (266 (42.02\%)) and ibuprofen (42 (6.64\%)). Conclusion: The results of this study show an alarming situation about the methods of storing medication and types of medicines stored among the residents of Al-Qassim region. More and more campaigns and awareness programs should be conducted through different types of social media to educate the people regarding the appropriate methods of storing medications at home. Such awareness programs should stress more regarding safe methods of storage and spread awareness regarding how to identify the appropriate method of disposal to prevent harmful impact on the environment.

}, keywords = {Al-Qassim, Home, Medication Storage, Pattern, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.10}, author = {Afaf Badr Alenazi and Mansour Saleh Alsharidah and Amal Hassan Al-Najjar and Suliman Abdulaziz Alghazy and Abdul-Aziz Abdullah Alqadi and Amir Marzouk} } @article {220, title = {National Antidote of Poisoning Distribution System: New Initiatives in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {141-155}, type = {Review Article }, chapter = {141}, abstract = {

Objective: To declare the national antidote of poisoning distribution system as new initiatives in the Kingdom of Saudi Arabia. Methods: It is a new initiative project, the national antidote of poisoning distribution system. The project drove the antidote of poisoning distribution guidelines and the international business model, pharmacy project guidelines project management institution guidelines of a new project. The initiative project is written through project management professionals and consisted of several parts, including the initial phase, the planning phase, the execution phase and the monitoring and controlling phase. Results: The antidote of poisoning distribution system with a defined vision, mission and goals was initiated. The services had various advantages with clinical and economic impacts on patients and healthcare services as illustrated in the review. The extension of the project was assured by risk management elements description. Furthermore, the monitoring and controlling of the services was demonstrated. The conversion to operation project though closing project stage was revealed in the analysis. Conclusion: The national antidote of poisoning distribution system is new initiative project and is considered as a part of the management of poisoning. There are multiple locations of antidote distribution services suggested and it is highly required in the Kingdom of Saudi Arabia.

}, keywords = {Antidote, Distribution, National, Poisoning, Saudi Arabia, System}, doi = {10.5530/ijpcs.2019.8.24}, author = {Yousef Ahmed Alomi and Amal Hassan Al-Najjar and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {221, title = {National Medication Utilization Evaluation Program in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {156-157}, type = {Review Article}, chapter = {156}, abstract = {

The national Medication Utilization Evaluation Program at the Ministry of health in Saudi Arabia with complimentary of physician order techniques is new system founded in the Kingdom of Saudi Arabia. The programming part of pharmacy strategic planning and national pharmacy practice at health care services at the Ministry of health. The Medication Utilization Evaluation program started with evidence-based medicine guidelines. The new project of Medication Utilization Evaluation physician order was one the outcome of the program. The program steps development through central committee by Pharmacy department at the most prominent hospital crossover regions in Saudi Arabia. The project is complementary of pharmaceutical concept and alerting system of misuse of medications and subsequences medication-related problems and avoids the unnecessary economic burden on the healthcare system. The new national Medication Utilization Evaluation project is new in Saudi Arabia, Gulf, and Middle East counties.

}, keywords = {Evaluation, Medication, Ministry of Health, Ministry of health in Saudi Arabia, Saudi Arabia, Utilization}, doi = {10.5530/ijpcs.2019.8.25}, author = {Yousef Ahmed Alomi and Abeer Hussin Almasoudi} } @article {66, title = {National Pharmacists On-the-Job Training program at the Ministry of Health in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {94-98}, type = {Review Article }, chapter = {94}, abstract = {

Objective: To explore the pharmacists on the job training at the Ministry of Health hospitals in the Kingdom of Saudi Arabia. Methods: It is a descriptive analysis of pharmacists on the job training at the Ministry of Health hospitals. It was within the pharmacy strategic plan 2012-2020. The study used the changed pharmacy business model system and Project Management Procedure. Results: The pharmacists on job training system reputable with a defined vision, mission and goals. The system had some properties including human or economic and other defined in the review. The continuation of the system guaranteed by risk management model explanation. Also, the monitoring and controlling of the system as exemplified. The convention to operation project though closing project stage established in the examination. Conclusion: The pharmacists on job training system well-known within the healthcare system and pharmacy regulations. The pharmacists on the job training system are regularly refining consequently at all Ministry of Health hospitals in the Kingdom of Saudi Arabia.

}, keywords = {Job, Ministry of Health, Pharmacists, Saudi Arabia, Training}, doi = {10.5530/ijpcs.2019.8.16}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alatty2} } @article {46, title = {National Pharmacy Inventory Management System at the Ministry of Health Institutions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {02-10}, type = {Review Article}, chapter = {02}, abstract = {

The National Pharmacy Inventory Management system is a new initiative program at the Ministry of Health hospital in the Kingdom of Saudi Arabia. The system designed by expert pharmacists and clinical pharmacist from different region cross Saudi Arabia. The system drove from national and International regulation and guidelines of pharmaceutical societies around the world. The system was starting from procurement phase through storage, dispensing and storage system at the logistic warehouse of the Ministry of Health. The system guides the end user how to request medications by group tender or direct purchase, medications inventory management, and close follow up procedures. The system had a vision, mission, and goals. The review discussed the full detail policy and procedures of the pharmacy inventory system. The topic addressed the risk management of the program, and key performance indicators to measure the impact of the program. The new initiative system was the first project at Ministry of Health hospital implemented to improve management availability and prevent over or under the stock of medications and subsequently the avoidance of additional economic burden on health care system at Ministry of Health in Kingdom of Saudi Arabia.

}, keywords = {Inventory, Management, Ministry of Health, Pharmacy, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.2}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {229, title = {National Survey of Pharmacokinetic Services in Saudi Arabia: Perceptions and Barriers of Service Implementations}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {194-198}, type = {Research Article}, chapter = {194}, abstract = {

Objectives: To explore the pharmacokinetic services at the Ministry of Health (MOH) hospitals in Saudi Arabia with an emphasis on perceptions and barriers of service implementation. Methods: This is a 2-month cross-sectional national survey of pharmacokinetic services with a focus on pharmacy management and resources at MOH hospitals in Saudi Arabia. The study consisted of two parts: the first part collected demographic information and the second part consisted of 43 questions divided into three domains. The questions were derived from the American Society of Health-System Pharmacists (ASHP) guidelines and from the literature. We used 5-point Likert response scale system with close-ended questions to obtain responses. An electronic questionnaire was distributed to the coordinators of the clinical pharmacy services or drug information centers at MOH hospitals and it analyzed the perceptions and barriers of pharmacokinetic service implementations section through the Survey Monkey system. Results: A total of 43 hospital pharmacies responded to the questionnaire, with the response rate of 86\%. The majority of pharmacokinetic services were provided to the adult patients (37 (86.05\%)) followed by the pediatric and geriatric patients (19 (44.19\%) and 13 (30.23\%), respectively) with most of the responding hospitals having less than 20 beds (23 (53.5\%)). The categories with most of the barriers of pharmacokinetic service implementation were lack of knowledge (20 (64.52\%)), lack of pharmacokinetic education (16 (51.61\%)) and lack of an expert pharmacist in pharmacokinetic services (16 (51.61\%)). Most of the responders agreed that clinical pharmacokinetic services were necessary for hospitals (23 (53.5\%)). The responders agreed that the clinical pharmacist through pharmacokinetic services had a positive financial impact and cost avoidance on healthcare system (23 (53.5\%)). Most of the responders stated that pharmacokinetic services improve the safety and efficacy of patient care (33 (89.2\%)). Most of the responders agreed that the pharmacokinetic services improved patients{\textquoteright} clinical outcome (33 (89.2\%)) and prevented drug-related problems (33 (89.2\%)), whereas few of the pharmacokinetic services were provided only 10 (29.4\%) over 24 hr per day. Conclusion: Despite the positive attitude of hospital management toward pharmacokinetic services, there was a lack of education and training regarding the same at MOH hospitals in Saudi Arabia. Revision of strategic planning of pharmacokinetic services with regard to their improvement and implementation are required at all MOH hospitals in Saudi Arabia.

}, keywords = {Barriers Ministry of Health, Perceptions, Pharmacokinetics, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.33}, author = {Yousef Ahmed Alomi and Ban Abdullah Aldosary and Rasha Abdelsalam Elshenawy} } @article {235, title = {National Survey of Pharmacy and Therapeutic Committee in Saudi Arabia: Evaluation of Drug Formulary and Decision-Making}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {232-236}, type = {Research Article}, chapter = {232}, abstract = {

Objective: Ministry of Health (MOH) hospitals in Saudi Arabia should develop, organize and administer a formulary system that follows the principles to optimize patient care by ensuring access to clinically appropriate, safe and cost-effective medications. This can be achieved through the Pharmacy and Therapeutic Committee{\textquoteright}s (PTC) role in the evaluation of hospital{\textquoteright}s drug formulary and decision-making. The primary purposes of the PTC are policy development, communication and education and formulary management. Therefore, in this study, we aimed to explore the hospital drug formulary evaluation and decision-making at MOH hospitals in Saudi Arabia. Methods: This is a 4-month cross-sectional national survey of PTC at MOH hospitals in Saudi Arabia. The survey consisted of two parts: the first part collected demographic information and the second part consisted on 93 questions divided into four domains. An electronic survey was distributed to all drug information centers at MOH hospitals and analyzed the evaluation of drug formulary and decision-making through the Survey Monkey system. Results: A total of 50 drug information centers responded to the questionnaire (100\%). Restricted drug usage (3.88), new drug entities (3.74), new dosage form (3.6) and new strength (3.6) were the majority of the requests for inclusion in the formulary. A total of 1-3 medications were evaluated monthly by the PTC at 41 (82\%) hospitals. Most of the healthcare providers were allowed to request for the addition or deletion of medications: PTC members 38 (76\%), attending medical staff 35 (70\%), pharmacy staff 10 (20\%) and formulary subcommittees 10 (20\%). The formal economic analysis of the drug formulary revision was rarely or never conducted at 26 (42\%) hospitals. The responsible person for the economic evaluation was drug information pharmacist (21 (42\%)), pharmacy department (nonspecific) (17 (34\%)) and the pharmacy and medical department (14 (28\%)). Conclusion: Evaluation of hospital{\textquoteright}s drug formulary and decision-making was not adequate at the majority of the hospitals. Education and training about drug evaluation with an emphasis on cost analysis and impact are mandatory. An electronic addition new medications with close formulary is required with close monitoring for all MOH hospitals in Saudi Arabia.

}, keywords = {Decision-Making, Drug Formulary, Evaluation, Ministry of Health, National Pharmacy and Therapeutic Committee, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.51}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Rasha Abdelsalam Elshenawy and Faiz A Bahadig Rph} } @article {236, title = {National Survey of Pharmacy and Therapeutic Committee in Saudi Arabia: Meetings, Organization, and Management}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {237-241}, type = {Research Article}, chapter = {237}, abstract = {

Objective: Pharmacy and Therapeutic Committee (PTC) is required for the effective running of a hospital. In the beginning, there was no such concept of drug committee, but with the advent of time, the need for an effective PTC started increasing. In the PTC, the pharmacist, physicians and nurses play an important role, in addition to the presence of an administrative. This study aims to explore the importance of having effective meetings organization and management of PTC at Ministry of Health (MOH) hospitals in Saudi Arabia. The purpose of this study was to explore the meetings organization and management of PTC at MOH hospitals in Saudi Arabia. Methods: This is a 4-month cross-sectional national survey of PTC at MOH hospitals in Saudi Arabia. The survey consisted of two parts: the first part collected demographic information and the second part consisted of 93 questions divided into four domains: Domain 1: the scope, structure and responsibilities; domain 2: the formulary management system; domain 3: evaluation of drug formulary and decision-making; and domain 4: organization and management of committee meetings. This questionnaire was prepared in an electronic format and was distributed all drug information centers at MOH hospitals. It analyzed organization and management of committee meetings through Survey Monkey system. Results: A total of 50 drug information centers responded to the questionnaire (100\% response rate). The person leads the discussion in PTC was a Chairman of the Committee (29 (58\%)), Chief of Pharmacy (13 (26\%)) and Director of Drug Information (3 (6\%)). The number of scheduled meetings per year (1{\textendash}4) was 18 (36\%) per hospital with a duration (1-2 hrs) at 48 (96\%). Most of discussions were related to medications of infectious diseases (26 (52\%)) and cardiovascular diseases (21 (42\%)). Most of the challenging recommendations that needed implementation was a lack of resources (37 (74\%)), lack of hospital administrator support (23 (46\%)) and lack of pharmacist role (18 (36\%)). Conclusion: The PTC is a demanding scientific resource and administrative support. Total quality management system, workload analysis, positive outcomes of PTC were lacking. Special education and training needs to be provided to all the healthcare providers with hospital administrator{\textquoteright}s support.

}, keywords = {Meetings, Ministry of Health, National Pharmacy and Therapeutic Committee, Organization and Management, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.52}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Rasha Abdelsalam Elshenawy and Faiz A Bahadig Rph} } @article {237, title = {National Survey of Pharmacy and Therapeutic Committee in Saudi Arabia: Formulary Management System}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {227-231}, type = {Research Article}, chapter = {227}, abstract = {

Objective: Formulary management is an integrated patient care process which enables physicians, pharmacists and other healthcare professionals to work together to promote clinically sound cost-effective medication therapy and positive therapeutic outcomes. Effective use of healthcare resources can minimize overall medical costs, improve patient access to more affordable care and provide an improved quality of life. A formulary not only includes a list of medications and medication-associated products but also includes medication-use policies, important ancillary drug information, decision support tools and organizational guidelines. Therefore, in this study, we aimed to provide the guiding principles for the Formulary Management System at Ministry of Health (MOH) hospitals in Saudi Arabia. Methods: This is a 4-month cross-sectional national survey of Pharmacy and Therapeutic Committee at MOH hospitals in Saudi Arabia. The survey consisted of two parts: the first part collected demographic information and the second part contained 93 questions divided into four domains. The scope, structure and responsibilities, the formulary management system, the evaluation of drug formulary and decision-making and the committee meetings organization and management. The electronic survey was distributed to 50 drug information centers at MOH hospitals. It analyzed the formulary management system at MOH hospitals in Saudi Arabia through Survey Monkey system. Results: A total of 50 drug information centers responded to our questionnaire. The statement with highest score was related to the committee formulary system of medications usage through ensuring the safety of prescribing, distribution, administration and monitoring of medications (3.8); the process for managing drug product shortages (3.76); and the medications are requested for the addition or deletion from the drug formulary (3.68). Most of the hospitals had an open drug formulary (30 (60\%)), with remaining responders having closed drug formulary (20 (40\%)) with the total number of medications in the drug formulary (300{\textendash}899) at 32 (64\%) of the responded hospitals. The average score of type of method related to drug usage evaluation statements was 3.36, with the statement with high average score was review of medication error report (3.94) and review of medication sentinel incident reports (3.48), whereas the statement with lowest score was an investigational drug therapy approved (2.88). Conclusion: Two-thirds of the hospitals had open drug formulary. Drug utilization evaluation system should review for the majority of the hospital. update the formulary management system required with close monitoring for all MOH hospitals in Saudi Arabia.

}, keywords = {Formulary Management System, Ministry of Health, National Pharmacy and Therapeutic Committee, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.50}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Rasha Abdelsalam Elshenawy and Faiz A Bahadig Rph} } @article {215, title = {National Survey of Pharmacy and Therapeutic Committees in Saudi Arabia: Scope, Structure and Responsibilities}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {222-226}, type = {Research Article}, chapter = {222}, abstract = {

Objectives: The Pharmacy and Therapeutics (PTC) committee, sometimes aptly named the Formulary Committee. PTC is charged with determining the hospital formulary, decisions are made about the inclusion or exclusion of new pharmacotherapeutic and diagnostic agents for inpatients and outpatients. This committee is typically composed of a multidisciplinary team of pharmacy, physician, nursing and hospital clinical and administrative leadership. The aim of the study was to explore the Therapeutic Committee at MOH hospitals in Saudi Arabia: scope, structure and responsibilities. Methods: It is a 4-month cross-sectional survey of National Survey of Pharmacy and Therapeutic Committee at MOH hospitals in Saudi Arabia. The survey consisted of 93 questions divided in two parts: the first part collects the demographic information, the second part contains questions on 4 domains: (1) scope, structure and responsibilities, that is including questions about the pharmacy and therapeutic committee membership, clear mission, vision and values of the pharmacy and therapeutic committee, the responsibilities of the PTC committee and the Sub-committees of Pharmacy and Therapeutic Committee, (2) formulary management system, (3) evaluation of drug formulary and decision-making, (4) committee meetings organization and management. The survey was distributed to the fifty-drug information centers at Ministry of Health hospitals. The survey was in an electronic format with analyzed scope, structure and responsibilities through the survey monkey system. Results: The total number responders were fifty drug information centers. Of those, 48 (96\%) was Saudi and 2 (4\%) was non-Saudi. There were 16 (32\%) females and 34 (68\%) were males. Most of the PTC committee members consisted of a chief of pharmacy department 45 (90\%), medical director 41 (82\%), physician medical 40 (80\%) and head of drug information center 32 (64\%). The highest score statements related to committee were the functions of PTC (3.78), objectives (3.61), mission (3.57), with least one was a vision (3.56) and values (3.5). The most responsibility scoring statement was distributed the addition and deletion (4.08), all the departments receive the copy of the revised formulary (4.04), drug evaluation and selection for the hospital was (3.9), drug policy development was (3.9), while the lowest scores were Holds educational programs within the hospital (3.25) and drug monitoring system was (3.57). Most of the subcommittee existed antibiotic committee 38 (76\%), medication safety committee 38 (76\%), followed by drug utilization committee 9 (18\%) and therapeutic guidelines committee 9 (18\%). Conclusion: One-third of hospital missed drug information center pharmacist as the member of PTC committee and the pharmacy qualifications of committee members need to improve. Update the committee system and close monitoring required for all MOH hospitals in Saudi Arabia.

}, keywords = {Ministry of Health, National, Responsibilities, Saudi Arabia, Scope, Structure}, doi = {10.5530/ijpcs.2019.8.49}, author = {Yousef Ahmed Alomi and Sultan Mohammed Al-Jarallah and Rasha Abdelsalam Elshenawy and Faiz A Bahadig Rph} } @article {61, title = {National Survey of the Pharmacokinetics Services at the Ministry of Health Hospitals in Saudi Arabia: Drug Therapy Monitoring and Healthcare Professional Education}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {99-104}, type = {Research Article}, chapter = {99}, abstract = {

Objectives: A clinical pharmacist offers vital support in the expansion of a final prescription with improved patient management and enhanced safety. The aim of the current study to explore the Pharmacokinetics services at Ministry of Health (MOH) hospitals in Saudi Arabia with an emphasis on drug therapy monitoring and patient{\textquoteright}s education. Methods: This is a 2-months cross-sectional national survey related to the Pharmacokinetics services with a focus on drug therapy monitoring and education of pharmacist at MOH hospitals in Saudi Arabia. The study consisted of two parts; the first part captures demographic information and the second part contained 43 questions designed by the authors. It was derived from American Society of Health-System Pharmacists (ASHP) guidelines and from the literature. We used the 5-point Likert response scale system to obtain responses of the participants; there were close-ended questions. The electronic questionnaire was distributed to all the coordinators of the clinical pharmacy services or to the drug information centers at MOH hospitals. All analysis was done through survey monkey system. Results: A total of 43 hospital pharmacies returned the survey, for a response rate of 86\%. The most clinical pharmacokinetics services documented were drug quality reporting 34 (87.18\%), drug information inquiries 35 (83.33\%), adverse drug reaction 35 (81.40\%) and medication error 35 (81.40\%). Highest clinical impact and cost avoidance of clinical Pharmacokinetics services were drug information inquiries 25 (60.98\%), the drug quality reporting system 21 (53.85\%) and pharmacist intervention 21 (52.5\%). Analysis of monthly workload for clinical Pharmacokinetics services were a number of drug information inquiries 28 (70\%) and the number of prescriptions needs 25 (64.1\%). The clinical Pharmacokinetics services education and training for pharmacists were found at average 7.8 (20.89\%) hospitals with high percentages type of educations was short education course 1-5 days [15 (39.47\%)] and long training course 4-5 weeks [8 (21.05\%)]. While Pharmacokinetics services education and training for healthcare provider were found at main 6 (15.66\%) hospitals only with high percentages type of educations was short education course 1-5 days [8 (20.00\%)] and Pharmacokinetics competencies 7 (18.92\%). Conclusion: Pharmacokinetics services on drug therapy monitoring was not competent at half MOH hospital, while only few of the hospitals had pharmacokinetics education and training to offer. Implementing the MOH pharmacokinetics services strategy with an emphasis on the drug therapy monitoring with education and training is required at all MOH hospitals in Saudi Arabia.

}, keywords = {Education, Healthcare, Ministry of Health, Monitoring, Pharmacokinetics Services, Saudi Arabia, Therapy}, doi = {10.5530/ijpcs.2019.8.17}, author = {Yousef Ahmed Alomi and Rasha Abdelsalam Elshenawy and Sultan Mohammed Al-Jarallah} } @article {39, title = {National Survey of the Pharmacokinetics Services at the Ministry of Health Hospitals in Saudi Arabia: Prescribing and Dispensing Medication}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {11-16}, type = {Research Article}, chapter = {11}, abstract = {

Objectives: To explore the pharmacokinetics services at the Ministry of Health (MOH) hospitals in Saudi Arabia with an emphasis on prescribing and dispensing medication. Methods: This is a 2-month crosssectional national survey of pharmacokinetics services. The study consisted of two parts: the first part captures demographic information and the second part is a questionnaire with 43 questions divided into three domains. The questions are derived from the guidelines of the American Society of Health- System Pharmacists (ASHP) and from the literature. We used the 5-point Likert response scale system to obtain responses of the participants; there were close-ended questions. The electronic questionnaire was distributed to all the coordinators of the clinical pharmacy services or to the drug information centers at MOH hospitals, The data were collected through the Survey Monkey system. Results: A total of 43 hospital pharmacies responded to the survey; the response rate was found to be 86\%. The pharmacists and nurses had privileges of prescribing medication as per pharmacokinetics services in nearly 18 (46.15\%) and 16 (41.03\%) hospitals respectively. At 14 (37.84\%) hospitals, pharmacists have the privilege to request an estimation of patient{\textquoteright}s drug levels and at 12 (30.77\%) hospitals, they have the privilege to change drug sampling time. At 15 (38.46\%) hospitals, nurses have the privilege to request an estimation of patient{\textquoteright}s drug level and at 12 (31.58\%) hospitals, they have the privilege to change drug sampling time. The commonly prescribed medications via pharmacokinetics consultation were gentamicin (23 (71.88\%)), phenytoin (23 (71.88\%)), carbamazepine (22 (70.97\%)), sodium valproate (22 (70.97\%)) and warfarin (22 (70.97\%)). The pharmacokinetics altering system during an electronic prescription was found in 9 (26.5\%) hospital pharmacies and the pharmacist was found to participate in pharmacokinetics research in 8 (23.5\%) hospitals. Conclusion: Healthcare providers including the pharmacists and nurses have a significant role in providing pharmacokinetics services to the patients. Expanding these services with standard guidelines and the electronic prescription is required in order to prevent drug- Pharmacokinetics related problems, improve the clinical outcome of the patient and reduce the economic burden.

}, keywords = {Dispensing, Medication, Ministry of Health, Pharmacokinetics, Prescribing, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.3}, author = {Yousef Ahmed Alomi and Rasha Abdelsalam Elshenawy} } @article {211, title = {Neonates and Pediatrics Electrolyte Replacement Therapy Order: New Initiative and Implementation System in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {211-212}, type = {Review Article}, chapter = {211}, abstract = {

The national medications safety program founded in 2013 at the Ministry of Health hospitals and primary care centers in the Kingdom of Saudi Arabia. The program focused on adults, pediatrics and neonatal populations. The program was part of the pharmacy strategic plan. The electrolyte replacement therapy preparation and administration for neonates and pediatrics published and distributed as required of the medication safety program. The new initiatives as complementary project was a standardized concentration of electrolyte replacement therapy for neonates and pediatrics implemented at specific hospitals of the Ministry of health. The new project as regular physician{\textquoteright}s order form and coveted to computerized physician order entry. The new project prevents neonates and pediatrics medication errors of electrolyte replacement therapy. The project is a new initiative at Ministry of Health hospitals in the Kingdom of Saudi, Gulf and Middle East countries.

}, keywords = {Electrolyte, Ministry of Health, Neonates, Pediatrics, Saudi Arabia, Standardized Concentration}, doi = {10.5530/ijpcs.2019.8.47}, author = {Yousef Ahmed Alomi and Fatimah Al-Doughan and Yasir Ahmed Ibrahim and Hussam Saad Almalki and Nouf Alaza and Malika Alshamari} } @article {67, title = {Patient Satisfaction of Ambulatory Care Pharmacy Services in Pediatric and Maternity Hospital in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {129-134}, type = {Research Article}, chapter = {129}, abstract = {

Objective: The ambulatory pharmacy practice is a crucial part of the healthcare system that delivers pharmaceutical care to the patients who are not admitted to the hospital. The aim of the study to explore the patient satisfaction of ambulatory care pharmacy services in Pediatrics and Maternity Hospital in Riyadh, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient satisfaction of ambulatory care pharmacy services in Pediatrics and Maternity Hospital, Saudi Arabia. The survey consisted of forty-eight (48) questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability, (2) patient counseling, (3) pharmacist and patient relationship, (4) medication reconciliation, (5) medication aberrance, (6) pharmacy location, (7) pharmacy waiting area, (8) pharmacy communications, (9) pharmacy waiting time, (10) pharmacy recommends to others, (11) overall patient satisfaction of pharmacy services. The survey was distributed to the hospitals in Riyadh city, included pediatrics and maternity hospitals ambulatory care patient. The survey was in an electronic format and it analyze the results through the Survey Monkey system. Results: A total of 237 patients responded to the survey. Out of 237 patients, 217 (91.6\%) was Saudi and 20 (8.4\%) was non-Saudi. There were 151 (63.7\%) female and 86 (36.3\%) male responders. Most of them were in age group of 18-44 years (70\%) without any significant differences in the age groups among the hospitals. The highest level of education was high school 91 (38.4\%) followed by the Bachelor{\textquoteright}s degree 93 (39.2\%) and an intermediate school 44 (18.6\%). The mean [{\textpm}standard deviation (SD)] waiting time to get the medications was 13.6{\textpm}4.75 min. The average scores of domains 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were 3.11, 3.1, 3.61, 1.87, 1.72, 3.4, 2.77, 1.93, 3.68 and 3.56, respectively. With a total of 231 (97.4\%) responders, general evaluation of pharmacy services was found to be very good to excellent, whereas 228 (96.2\%) responders recommend the pharmacy to their family or friends and 224 (95.3\%) responders prefer to revisit pharmacy. Conclusion: More than two-thirds of the patients were pleased with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy waiting area domains were not found to be satisfied. Improving ambulatory care pharmacy services will avert drug misadventures, avoid additional cost and surge patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care, Ministry of Health, Patient, Pediatrics, Pharmacy, Riyadh, Satisfaction, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.22}, author = {Yousef Ahmed Alomi and Malika Alshamari and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and Mohanad Imad Al-Hennawi} } @article {43, title = {Patient Satisfaction of Ambulatory Care Pharmacy Services in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {32-38}, type = {Research Article}, chapter = {32}, abstract = {

Purpose: To explore the patient satisfaction of ambulatory care services at Riyadh, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient satisfaction of ambulatory care pharmacy services at Riyadh, Saudi Arabia. The survey consisted of 48 questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability, (2) patient counseling, (3) pharmacist and patient relationship, (4) medication reconciliation, (5) medication aberrance, (6) pharmacy location, (7) pharmacy waiting area, (8) pharmacy communications, (9) pharmacy waiting time, (10) pharmacy recommends to others and (11) overall patient satisfaction of pharmacy services. The survey was distributed to the three hospitals in Riyadh city, included public, pediatrics and emergency hospitals ambulatory care patient. The survey was in an electronic format and it analyze the results through the Survey Monkey system. Results: A total of 606 patients responded to the survey. There were 338 (55.8\%) female and 268 (44.2\%) male responders. Most of them were in age group of 18{\textendash}44 years (65.3\%) without any statistically significant differences in the age groups among the three hospitals (p\<0.5). The highest level of education was high school (232 (38.4\%)) followed by the Bachelor{\textquoteright}s degree (191 (31.6\%)) and an intermediate school (117 (19.4\%)). Most of the patients visited the ambulatory care pharmacy 3 to 4 times in the past 12 months (239 (41.1\%)), whereas the others (105 (18.1\%)) visited the ambulatory care pharmacy for the first time. The mean ({\textpm}standard deviation (SD)) waiting time to get the medications was 18.36{\textpm}11.32 min and there were statistically significant differences among the three hospitals (p\<0.5). The average scores of domains 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were 3.35, 3.2, 3.7 and 1.96, 1.8, 3.7, 3.25, 2.14, 3.61, 3.54, respectively. With a total of 381 (62.87\%) responders, general evaluation of pharmacy services was found to be very good to excellent, whereas 369 (60.9\%) responders recommend the pharmacy to their family or friends and 315 (52.5\%) responders prefer to revisit pharmacy. Conclusion: More than half of the patients were satisfied with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy communication domains were not found to be satisfied. Improving ambulatory care pharmacy services will prevent drug misadventures, avoid additional cost and increase patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care services, Ministry of Health, Patients, Riyadh, Satisfaction, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.7}, author = {Yousef Ahmed Alomi and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and M. Mohanad Imad Al-Hennawi and Malika Alshamari and Nahedh Rashed Alotaibi and Nesreen Al-Shubbar} } @article {214, title = {Patient{\textquoteright}s General Perception and Attitude toward Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {242-245}, type = {Research Article}, chapter = {242}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception and attitude toward pharmacists in Saudi Arabia. Methods: It is a 4-month cross-sectional survey of patient perception of pharmacists. The survey consisted of 49 questions divided in two parts: the first part collects demographic information and the second part contains questions on 4 domains: (1) patient general perception of pharmacist, (2) patients perception of pharmaceutical care services, (3) patient perception of visiting ambulatory care, (4) patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling. The 5-point Likert response scale system was used. The questions were open and closed-ended. The survey was distributed through social media at a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey was in an electronic format and it analyze domain one primary or necessary information about patient medication through the survey monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. In the past 12 months, most of the patients [222 (36\%)] visited the pharmacy more than 10 times, whereas the others [122 (19.8\%)] visited the pharmacy at least 5{\textendash}9 times. Most of the patients 481 (83.5\%) spent less than 11 min with the pharmacist. The highest score was obtained for the statements related to pharmacy job vital in our society (4.63), the pharmacist had a very significant role in preventing medication errors (4.4), the necessity of present pharmacist schools (4.09) and the pharmacist is the first person ask him about drugs (4.01). More 60\% of responders will choose the pharmacy as professional specialty or suggest the family members or friend select the pharmacy professional. The pharmacist shared in public education through the television and media (3.7) and newspaper (3.65) followed by schools (3.56) and public education exhibitors (3.48). Most of the patients visited the pharmacist to seek help in health diseases 429 (73.1\%), the pharmacist knows more about drug doses and adverse drug reaction 224 (38.16\%, followed by free consultation and 166 (28.28\%) and no need for an appointment for pharmacy visit. Also, the patient refused to utilize the pharmacy just for cosmetics 404 (67\%). Conclusion: According to our results, patient{\textquoteright}s perception during pharmacy visit was found to be acceptable. Majority of patients had a good perception of a pharmacist and his role with patients and the general public. The pharmacist should expand pharmaceutical care services overall healthcare institutions in Saudi Arabia.

}, keywords = {Attitude Pharmacists, Patient, Perception, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.53}, author = {Yousef Ahmed Alomi and Abeer Hussin Almasoudi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Yousef Aboshalaf and Mytham Al-Ethan} } @article {42, title = {Patient{\textquoteright}s Perception of a Pharmacist{\textquoteright}s Relationship and Counseling Skills in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {26-31}, type = {Research Article}, chapter = {26}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception of a pharmacist{\textquoteright}s relationship and counseling skills in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of the patient{\textquoteright}s perception of the pharmacist. The survey consisted of two part: the first part gathers demographic information and the second part contains 49 questions divided into four domains: (1) the first domain captures data regarding the patient{\textquoteright}s general perception about the pharmacist; (2) the second domain captures data regarding the patient{\textquoteright}s perception of pharmaceutical services; (3) the third domain was regarding the patient{\textquoteright}s perception of visiting ambulatory care; and (4) the fourth domain captures the data regarding the patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media at a 500-bed general hospital in Alhassa region, at an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey was distributed in an electronic format. In this study, we analyzed domain four, that is, about the patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills through Survey Monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. Most of the patients (222 (36\%)) visited the pharmacy more than 10 times in the past 12 months, whereas the others (122 (19.8\%)) visited the pharmacy at least 5{\textendash}9 times. Most of the patients (481 (83.5\%)) spent less than 11 min with the pharmacist. The average score of patient perception of a pharmacist with communication and relationship skills was 3.66. The following statements received highest scores: {\textquotedblleft}the pharmacist politely delivers the medication{\textquotedblright} (4.09) and {\textquotedblleft}the pharmacist answers the questions in an excellent way{\textquotedblright} (3.87). The statement with lowest score was {\textquotedblleft}communication with pharmacy by phone at any time{\textquotedblright} (3.04) (Table 2). The average score of patient{\textquoteright}s perceptions of pharmacists with medications counseling skills was 3.6. The statement with highest score was {\textquotedblleft}all the medications received were packed{\textquotedblright} (4.35) and {\textquotedblleft}the patient understands what the pharmacist was saying{\textquotedblright} (4.1). The statement with lowest score was {\textquotedblleft}the pharmacist provides you information about the proper storage of your medication{\textquotedblright} (3.04) and {\textquotedblleft}the pharmacist explains all the possible side effects{\textquotedblright} (3.12). The statements with highest scores of patient relationship with drug information centers were {\textquotedblleft}the pharmacist answers patient{\textquoteright}s question through drug information center{\textquoteright}s hospital over 24/7{\textquotedblright} (3.44) and {\textquotedblleft}poisonous cases first contact the national drug information center or any hospital drug information center any time through MOH hotline 937 over 24/7{\textquotedblright} (3.37). Conclusion: Patient{\textquoteright}s perception toward pharmacist{\textquoteright}s communication and counseling skills need to improve with an emphasis on patient{\textquoteright}s privacy, contacting facilities and instructions to drug-related problems. Improvement of patient demand will raise patient{\textquoteright}s perceptions and avoid the unnecessary additional cost.

}, keywords = {Counselling, Ministry of Health, Perception, Pharmacist, Relationship, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.6}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Yousef Aboshalaf and Mytham Al-Ethan} } @article {228, title = {Patient{\textquoteright}s Perception of Pharmaceutical Care Services; Challenges and Improving in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {190-193}, type = {Research Article}, chapter = {190}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception of Pharmaceutical care services; challenges and developments in Saudi Arabia. Methods: It is a 4-months cross-sectional survey of patient perception of pharmacists. The survey consisted of two-part demographic information and second part forty-nine questions divided into four domains. It included domain 1: Patient general perception of pharmacist domain 2: patients{\textquoteright} perception of pharmaceutical care services, domain 3: patient perception of visiting ambulatory care and domain 4: Patient{\textquoteright}s perception of the pharmacist{\textquoteright}s relationship and counseling. The 5-point likert response scale system was used. The questions were open and closed-ended. The survey was distributed through social media and as a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors did the patients interview with electronic survey documentation. The survey was made an electronic format and it analyzed domain two about patient perception of pharmaceutical care services; challenges and developments in Saudi Arabia through the survey monkey system. Results: The total responders were 617 patients. Of those, 536 (87.7\%) was Saudi and 75 (12.3\%) was non-Saudi. The gender distribution 457 (74.1\%) were females and 160 (25.9\%) were males. The majority of patients visited the pharmacy in the past 12-months was 222 (36\%) more than ten times while 122 (19.8\%) attended (5-9 times). Most of the patient visited the pharmacy at evening 395 (64.6\%). Most of the patients{\textquoteright} 481 (83.5\%) spent less than 11 min with the pharmacist. The most pharmaceutical care services provided to patients were dispensing of prescribed medication 390 (70.8\%), medication consultation 262 (47.5\%), dispensing of non-medications, supplements 233 (42.3\%) and dispensing of over the counter medications 229 (41.6\%). The high scores of the pharmaceutical care services provide to the patients were in private{\textquoteright}s hospitals (3.71) and community pharmacies (3.63). The most current experience of perception and challenges with high propriety scores were some pharmacy crowding, medication labels missed and patient privacy missed. The most future perception suggestion with high propriety and opportunity scores were published the pharmacy location through social media and implementation of adverse drug reaction reporting for patients. Conclusion: Patients{\textquoteright} perception is a crucial tool to improve pharmaceutical care. Monitor implementation of the patient medication education system with private places, monitoring of drug-related problems will support the future vision of patient perception and attitude towards the pharmacist.

}, keywords = {Challenges, Patient, Perception, Pharmaceutical Care, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.32}, author = {Yousef Ahmed Alomi and Abeer Hussin Almasoudi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Yousef Aboshalaf and Mytham Al-Ethan} } @article {230, title = {Patient{\textquoteright}s Satisfaction of Pharmacy Ambulatory Cares at the Emergency Hospital in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {199-203}, type = {Research Article}, chapter = {199}, abstract = {

Purpose: To explore the patient satisfaction of pharmacy ambulatory care services at the Emergency Hospital in Riyadh city, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patients{\textquoteright} satisfaction of ambulatory care pharmacy services at the Emergency Hospital, Saudi Arabia. The survey consisted of 48 questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability (2) patient counseling (3) pharmacist and patient relationship (4) medication reconciliation (5) medication aberrance (6) pharmacy location (7) pharmacy-waiting area (8) pharmacy communications (9) pharmacy-waiting time (10) pharmacy recommends to others (11) overall patient satisfaction of pharmacy services. The survey was distributed to the Emergency Hospital in Riyadh city, included public, pediatrics and emergency hospitals ambulatory care patient. The study was in an electronic format and it analyze through the survey monkey system. Results: A total of 202 patients responded to the survey. Of those, 144 (71.6\%) was Saudi and 57 (28.4\%) was non-Saudi. The gender distribution 105 (52\%) were females and 97 (48\%) were males. The majority of them were in age group of 18-44 years (62\%), while more than 44 years old was 68 (33.7\%). The highest level of education was high school 81 (40.3\%) followed by the Bachelor{\textquoteright}s degree 51 (25.4\%) and an intermediate school 44 (21.9\%). The mean [{\textpm}standard deviation (SD)] waiting time to get the medications was 19.36{\textpm}11.02 (minute). The average scores of domains medication availability was 3.71, patient counseling was 3.48, pharmacist and patient relationship were 4.1 and medication reconciliation was 1.99. The medication adherence was 1.88, pharmacy location was 4.13, the pharmacy-waiting area was 3.31, pharmacy communications was 2.18, pharmacy-waiting time was 3.74 and pharmacy recommends to others was 3.69. The General evaluation of pharmacy services was found to be very good to excellent with 155 (76.7\%) of responders, while 186 (92.1\%) responders recommend the pharmacy to their family or friends and 176 (88.44\%) responders prefer to revisit pharmacy. Conclusion: More than half of the patients were satisfied with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy communication domains were not found to be satisfied. Refining ambulatory care pharmacy services will avoid drug misadventures, avoid extra cost and surge patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care, Emergency, Ministry of Health, Patient, Pharmacy, Satisfaction, Saudi Arabia}, doi = {10.5530/ijphs.2019.8.34}, author = {Yousef Ahmed Alomi and Nahith Alotaibi and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and Mohanad Imad Al-Hennawi} } @article {57, title = {Perceptions and Knowledge of Storing Medications at Home in Al-Qassim Region, Saudi Arabia}, journal = {International Journal of Pharmacy and Health Sciences}, volume = {8}, year = {2019}, month = {Feburary 2019}, pages = {79-85}, type = {Research Article}, chapter = {79}, abstract = {

Objective: Globally people store medications at home, which is also common among the residents of Al-Qassim Region, Saudi Arabia. They should be stored safely to prevent the accidental ingestion or unintended use. However, the method of storing medications at homes in Al-Qassim region, Kingdom of Saudi Arabia is unknown. Therefore, in this study, we aimed to explore the perception and knowledge of medications stored at Al-Qassim region, Saudi Arabia. Methodology: This is a descriptive, cross-sectional survey which was conducted through the random distribution of a pre-validated structured questionnaire with the public and private sector employees and with general population from all walks of life above the age of 18 years in Al-Qassim region. The survey was designed electronically through the Survey Monkey system and was distributed through social media. Results: A total of 708 participants responded to this survey. Most of the responders (485 (68.10\%)) were females. About half of the responders were in the age group of 18{\textendash}29 years (393 (58.31\%)) with a significantly dominant female population compared to males (p\<0.05). Most of the responders checked or almost checked the instructions of storing medications (192 (28.24\%) and 273 (40.15\%), respectively) without any significant difference between education level (p\>0.05). Most of the responders checked the expiry date of stored medications (496 (70.06\%)). Most of the responders did not receive instructions on storage of medications from pharmacist or physician (597 (84.32\%)). Most of the resources regarding storage of medications were obtained from the physician (388 (54.8\%)), drug leaflet (320 (45.2\%)) followed by pharmacist (318 (44.92\%)) and self-learned (154 (21.75\%)). Therapeutic classes of stored medication were analgesics and antipyretics (322 (41.87\%)) followed by cardiovascular drugs (64 (8.32\%)) and oral anti-diabetic drugs (58 (7.54\%)). Conclusion: The results of this study showed that people at Al-Qassim region tend to store medication at home not just over the counter medications but also medications of chronic illnesses. They should be educated on the need of medications, safety of medications and requirements of storing medications at home. Educational activities should be conducted through all possible channels to increase the awareness and to educate people on the proper method of storing medications.

}, keywords = {Al-Qassim, Home, Knowledge, Medication Storage, Perceptions, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.14}, author = {Afaf Badr Alenazi and Mansour Saleh Alsharidah and Amal Hassan Al-Najjar and Suliman Abdulaziz Alghazy and Abdul-Aziz Abdullah Alqadi and Amir Marzouk} } @article {52, title = {Pharmacist{\textquoteright}s Awareness and Knowledge of Reporting Adverse Drug Reactions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {60-65}, type = {Research Article}, chapter = {60}, abstract = {

Objectives: Pharmacovigilance is considered a useful tool in detecting, assessing, understanding and preventing Adverse drug reactions (ADRs) to ensure the safety of medications and protect consumers from ADRs. Consequently, the progression and expansion of pharmacovigilance is urgent for safe and effective clinical practice; therefore, in this study, we aimed to compare the awareness and knowledge of the community and hospital pharmacists toward reporting ADRs in different regions of Saudi Arabia. Methods: This cross-sectional study was conducted from January 2016 to March 2016 in Saudi Arabia. A validated and structured questionnaire was distributed by hand or via Internet to 263 hospital and community pharmacists. The questionnaire collected pharmacists{\textquoteright} demographic information and pharmacists{\textquoteright} understanding and knowledge of the pharmacovigilance system and reporting of ADRs. Results: A total of 263 pharmacists responded to the questionnaire with 208 (79.09\%) pharmacists from hospital pharmacy sites and 55 (20.91\%) pharmacists from community pharmacy responding to the questionnaire. There is a significant difference in the pharmacovigilance concept (p\<0.05) between the hospital and community pharmacists. Most community pharmacists were unfamiliar with the existence of a pharmacovigilance center in Saudi Arabia. Furthermore, community pharmacists were unaware of where they could get an ADR reporting form, but hospital pharmacists were aware of this (p\<0.05). Conclusion: The results of this study demonstrated that pharmacists who work at hospitals among different regions in Saudi Arabia had a higher awareness of the pharmacovigilance system than that of community pharmacists who worked at the community pharmacy.

}, keywords = {Adverse drug reactions, Awareness, Knowledge, Pharmacists, Pharmacovigilance, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.11}, author = {Fatimah Fouad Al Doughan and Yousef Ahmed Alomi and Mais Hasan Iflaifel} } @article {65, title = {Pharmacist{\textquoteright}s Intervention and Medication Errors Prevention at Pediatrics, Obstetrics and Gynecology Hospital in East Province, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {June 2019}, pages = {122-128}, type = {Research Article}, chapter = {122}, abstract = {

Objectives: Medication errors have a large impact on patient safety and on healthcare cost. Errors occur due to a combination of human and system-related failure. The pharmacist prevents all drug related problems. The objective of this study was to explore pharmacist intervention and prevented medication errors in Pediatrics, Obstetrics and Gynecology at a Tertiary Hospital in East Province, Saudi Arabia. Methods: This article describes 12 months retrospective cohort study of pharmacist intervention and prevented medication errors in year of 2015. This was a retrospective study conducted at 500-bed Pediatrics, Obstetrics and Gynecology in a Tertiary Hospital in East Province, Saudi Arabia. This system was a part of medication safety program. A tertiary hospital had medication safety officer with medication safety committee. All errors or unexpected events related with the medication system or a step in the medication process shall be reported using the medication error from/sheet. The form consisted of patient information, the sources of medication errors and qualification of committing errors. The type of medication errors, description of errors, causes of errors, approval to prevent the errors and the consequence of medication errors by using National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) system. Results: The total number of prevented medication errors were 1654 within 827 patients{\textquoteright} prescriptions. The medication errors had been made by physicians followed by nurses. The sources of errors were general practitioner 631 (38.15 \%) followed by consultant 554 (33.5\%). The most common error was made in Pediatrics (1-month to 6 years) followed by young adults (18-40 years). An occurred error, most of the time was afternoon 872 (52.72\%) errors followed by morning duty 685 (41.4\%) errors. The majority kind of mistakes were prescriber-related 1216 (73.52\%) followed by patient-related errors 426 (25.75\%). The outcome of medication error was 1651 (99.82\%) occurred which did not reach the patient. The most common medications involved in errors were Paracetamol syrup, iron tablet, folic acid tablet and calcium tablet. There were three errors for high-risk medication prohibited for instant: insulin, enoxaparin and heparin. Conclusion: This article presented the pharmacist{\textquoteright}s role in preventing medication errors, especially with pediatrics populations. Pharmacists have a crucial system-level role in planning and important medication safety programs and enhancement initiatives within health care organizations. The expanded role of pharmacists in preventing medication errors associated with patient safety programs and avoid the needless cost

}, keywords = {East Province, Errors, Gynecology, Intervention, Obstetrics, Pediatrics, Pharmacist, Prevention, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.21}, author = {Amal Ahmad Alanazi and Yousef Ahmed Alomi and Mohammed Mohsen Almaznai and Marzook Aldwihi and Ibrahim Abdul Karim Aloraifi and Fatimah Ali Albusalih} } @article {55, title = {Pharmacist{\textquoteright}s Perception of Pharmacovigilance and Reporting of Adverse Drug Reactions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {February 2019}, pages = {73-78}, type = {Original Article}, chapter = {73}, abstract = {

Background: Pharmacists{\textquoteright} perception toward their role in reporting of Adverse Drug Reactions (ADRs) and their understanding of the importance of reporting ADRs are essential keys to be assessed and studied in order to determine the factors that may predispose to underreporting of ADRs in Saudi Arabia. Therefore, in this study, we aimed to asses and compare the perception of community and hospital pharmacists toward reporting of ADRs in different regions of Saudi Arabia. Method: A structured, validated questionnaire was used to conduct a cross-sectional study. A total of 263 pharmacists were enrolled. The questionnaire included the demographic data of the pharmacists and 11 questions to measure pharmacists{\textquoteright} perceptions of ADRs reporting of reporting ADRs. All statistical analysis done by using Statistical Package for the Social Sciences (SPSS) version 21 and Survey Monkey system. Result: the result shows that community and hospital pharmacists strongly agree about that reporting of ADRs allow to measure the incidence of ADRs 29 (55.77\%), 121 (58.45) and to identify previously unrecognized ADRs 30 (57.69\%), 116 (56.59\%) and enable safe drugs to be identified 39 (70.91\%), 129 (62.32\%), respectively with no significant difference (p\>0.05). Besides, both hospital pharmacists 116 (55.77\%) and community pharmacists 31 (60.78\%) strongly agree about their important role in the pharmacovigilance system. However, only 67 (32.52\%) of hospital pharmacists strongly agreed about the physician{\textquoteright}s responsibility in reporting ADRs compared to community pharmacists 29 (52.73\%) with a significant difference between groups (p\<0.05). However, 37 (17.87\%) of hospital pharmacists were uncertain about drug companies{\textquoteright} role in pharmacovigilance system with a significant difference between community pharmacists with (p\<0.05). Conclusion: The result of this study demonstrated that both community and hospital pharmacists among Saudi Arabia had a very goods of perception about the importance of ADRs reporting and their role in reporting ADRs.

}, keywords = {Adverse drug reactions, Community, Hospital, Perception, Pharmacist, Pharmacovigilance, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.13}, author = {Fatima Fouad Al Doughan and Yousef Ahmed Alomi and Mais Hasan Iflaifel} } @article {56, title = {Pharmacist{\textquoteright}s Practice of Reporting of Adverse Drug Reactions in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {February 2019}, pages = {86-93}, type = {Research Article}, chapter = {86}, abstract = {

Objectives: To assess and compare the practice of reporting Adverse Drug Reactions (ADRs) and related factors between community and hospital pharmacists in Saudi Arabia. Methods: This is a cross-sectional study. We used a structured, validated questionnaire to collect the data. A total of 263 pharmacists participated in the survey. The questionnaire captures demographic data of the participants and had 26 questions related to the practice of reporting ADRs and factors that encourage and discourage pharmacists from reporting ADRs. Results: Community pharmacists did not know the location of the ADR form, but hospital pharmacists did know about it, which was significantly different (P\<0.05). Despite the increased awareness of ADR form among the hospital pharmacists{\textquoteright}, the overall reporting rate was found to be meager among both the group of pharmacists. We found that several reasons led to the low reporting rate of ADR, for example, community pharmacists were unaware of how to report ADR and they considered that the ADR is too trivial to be reported compared to hospital pharmacists (P\<0.05). in addition, community pharmacists were not know whom to report the ADRs compared to the hospital pharmacists, which was significantly different (P\<0.05). Conclusion: The results of this study demonstrated that pharmacists who work at hospitals had a higher awareness of practicing system of reporting ADRs than that of community pharmacists. Increasing awareness among community pharmacists regarding the pharmacovigilance and ADR reporting systems is highly recommended in the Kingdom of Saudi Arabia.

}, keywords = {Adverse drug reactions, Community, Hospital, Pharmacist, Pharmacovigilance, Practice, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.15}, author = {Fatima Fouad Al Doughan and Yousef Ahmed Alomi and Mais Hasan Iflaifel} } @article {222, title = {Pharmacy Technician Workforce in Saudi Arabia over Twelve Years (2006-2017)}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {158-162}, type = {Research Article}, chapter = {158}, abstract = {

Objectives: To explore the workforce of pharmacy technician at Ministry of Health (MOH) institutions over the past twelve years (2006-2017) in the Kingdom of Saudi Arabia. Methods: It is a retrospective analysis of twelve years (2006-2017) of Ministry of Health pharmacy technician workforce at hospital practice. All data derived from the Ministry of Health Statistical Year Books and any missing appropriate information about pharmacy technician workforce, that{\textquoteright}s will be estimated through allied healthcare professional{\textquoteright}s data in each region including gender or nationality. It included pharmacy technician and exclude all types of pharmacists or clinical pharmacist{\textquoteright}s workforces at MOH hospital and Primary Health Care Centers (PHCs) settings. All calculations were based on MOH workforce standards of hospitals and PHCs. All calculation was done using Microsoft Excel version ten. Results: The total number of pharmacy technician in all sectors, hospitals, primary healthcare centers and medical affairs administration increased from 4,289 to 8,373 over twelve years to 1.96-fold increments (2006- 2017). The number of Saudi pharmacy technician increased from 3,064 to 8,061 to 2.63-fold increments while non-Saudi pharmacy technician decreased from 1,225 to 312 to 3.92-fold reductions. The rate of pharmacy technician to pharmacist decreased from 6.7 to 2.2 to 3.05-fold ratio reductions while the pharmacy technician per 10,000 population increased from 2.67 to 4.29 to 1.61-fold incremental ratio over the past twelve years. Conclusion: The pharmacy technician worked at the Ministry of Health institutions increased over the past twelve years. The Saudi pharmacy technician was increased with reduction of non-Saudi nationality. The male gender more than female. The ratio of pharmacy technician to pharmacist was reduced by time. The pharmacy technician workforces needed to explore at all healthcare institutions in the Kingdom of Saudi Arabia.

}, keywords = {Centers, Health, Hospital, Ministry of Health, Pharmacy technician, Saudi Arabia, Workforce}, doi = {10.5530/ijphs.2019.8.26}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {233, title = {The Physician Order for Standardized Concentration of Adult{\textquoteright}s Electrolyte Replacement Therapy: New Initiative in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {208-210}, type = {Review Article}, chapter = {208}, abstract = {

The electrolyte replacement therapy consternation considered one of the high alert drugs. Most of the medication safety organizations have established preventive guidelines for the prescription of electrolyte therapy. The General Administration of Pharmaceutical Care at the Ministry of Health in the Kingdom of Saudi Arabia also has established guidelines for the preparation and administration of electrolyte replacement for adult patients. This new initiative is regarding the standardized concentration of electrolyte preparation and administration for adult patients. The electrolyte therapy may be prescribed via a physician order form, which may be easily converted as computerized physician order entry. This from is designed to prevent all electrolyte-related errors and improve patient outcomes. This project is a new tool implemented for electrolyte safety at the Ministry of Health hospitals in the Kingdom of Saudi Arabia.

}, keywords = {Adult, Electrolyte, Ministry of Health, Physician order, Saudi Arabia, Standardized Concentration}, doi = {10.5530/ijpcs.2019.8.46}, author = {Yousef Ahmed Alomi and Manal Mansour Al Nemari and Fatimah Al-Doughan and Yasir Ahmed Ibrahim and Hussam Saad Almalki and Nahedh Rashed Alotaibi and Mona Mustafa Jadkarim} } @article {53, title = {Poisoning Due to Stored Medications at Home in Al-Qassim Region, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {66-72}, type = {Research Article}, chapter = {66}, abstract = {

Objective: Storing medications at home is a global practice. By storing medications in an appropriate and safe environment, we can prevent accidental poisoning. Information is scarce regarding the storage of different types of medications at homes in Al-Qassim region, Kingdom of Saudi Arabia. Therefore, in this study, we aimed to explore the cases of poisoning due to stored medications at home in Al-Qassim region. Methodology: This is a descriptive, cross-sectional survey conducted through the random distribution of a pre-validated structured questionnaire among the public and private sector employees and people from all walks of life above the age of 18 years in Al-Qassim region. The survey was designed electronically through the Survey Monkey system and was distributed through social media. Results: A total of 708 subjects responded to the survey. Most of the responders (485 (68.10\%)) were females. About half of the responders were in the age group of 18{\textendash}29 years (393 (58.31\%)) with females being significantly dominant than males (p\<0.05). Majority of the responders stored their medications separated from households{\textquoteright} chemicals (524 (77.06\%)). Most of the responders did not store multiple medications in the same container without any significant difference related to gender or educational level (p\>0.05). The total number of poisonous cases were 41 (5.79\%) without any significant difference related to gender or educational level (p\>0.05). Poisoning due to medications were mostly caused due to the medications stored in refrigerator (15 (40.54\%)) and bedroom (10 (27.03\%)). Most of the stored medications were disposed into the trash after their expiry dates (463 (65.4\%)) while 189 items remained at home (26.69\%). A total of 33 different types of stored medications caused poisoning in 44 cases. Paracetamol caused 6 cases of poisoning (18.18\%), followed by ibuprofen 3 (9.09\%) and multivitamins 3 (9.09\%). Conclusion: The results of this study revealed an alarming setting of poisoning cases due to stored medications in Al-Qassim region. Awareness campaigns and more educational sessions should be conducted through social media. By doing so, people can be educated regarding the proper storage of medications to prevent poisoning. Thus, public awareness programs stressing on the safe storage and identification of the right ways to dispose of medication are highly recommended.

}, keywords = {Al-Qassim, Home, Medication Storage, Poisoning, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.12}, author = {Afaf Badr Alenazi and Mansour Saleh Alsharidah and Amal Hassan Al-Najjar and Suliman Abdulaziz Alghazy and Abdul-Aziz Abdullah Alqadi and Amir Marzouk} } @article {224, title = {Primary Healthcare Centers Pharmacy Technician Workforce over Twelve Years (2006-2017) in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {September 2019}, pages = {171-177}, type = {Research Article}, chapter = {171}, abstract = {

Objectives: To explore the workforce of pharmacy technician at MOH Primary Healthcare Centers over the past twelve years (2006-2017) in the kingdom of Saudi Arabia. Methods: It is a retrospective analysis of twelve years (2006-2017) of Ministry of Health pharmacy technician workforce at Primary Healthcare Centers (PHCs) practice. All data derived from Ministry of Health Statistical Year Books and any missing appropriate information about pharmacy technician workforce, that{\textquoteright}s will be estimated through allied healthcare professional{\textquoteright}s data at each region including gender or nationality. It included pharmacy technician and exclude all types of pharmacists or clinical pharmacist{\textquoteright}s workforces at MOH PHCs setting. All calculations were based on MOH workforce standards of Primary Healthcare Centers. All calculation was done using Microsoft Excel version ten. Results: The total numbers of pharmacy Technician were 8.373 and who distributed at the hospital were 6,620 (79.06\%), at primary care centers 1,623(19.38 \%) while administration regions 130 (1.55\%). The total number of pharmacy technician was (1,623) with rage (891-1,623 and average (1,292). While the average numbers per region of PHCs pharmacy technician were (65) with a range number of (32-84). The average numbers of pharmacy technician per pharmacist per region (9.11) with a range number of (0.83-14.83) annually. The estimated average rage gender distribution of PHCs pharmacy Technician per region were male (31-72) with average 56 (86.15\%), while the female was (6-12) and average 9 (13.84\%). The estimated average rage nationality distribution of PHCs pharmacy Technician per region was Saudi (30-80) with average 61 (93.84\%), while the non-Saudi was (1-13) and average 4 (6.16\%). Conclusion: One fifth of the pharmacy technician worked at the Ministry of Health PHCs. The majority of pharmacy technician was Saudi and the male gender. The ratio of pharmacy technician was very high related shortage of pharmacists. The analysis of pharmacy technician workforces at PHCs is highly recommended annually in Saudi Arabia.

}, keywords = {Ministry of Health, Pharmacy technician, Primary Healthcare Center, Saudi Arabia, Workforce}, doi = {10.5530/ijpcs.2019.8.28}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {234, title = {The Top Influence Pioneer Pharmacy Leaders in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {December 2019}, pages = {213-221}, type = {Research Article}, chapter = {213}, abstract = {

Objective: To explore the top influence, pioneer pharmacy leaders (1970-2015) in the Kingdom of Saudi Arabia. Methods: It is a retrospective analysis of the history of most influencing pharmacy leaders in the Kingdom of Saudi Arabia; in the past fortyfive years. It revised the top twenty pharmacists in the date period included from 1970-2015. The letter had been sent to some experts{\textquoteright} pharmacist to nominate the top influence pharmacy in the same period. The updated resumes had been revised. The interview had been done with all pharmacy leaders. The analysis consisted of twopart. The first section about a brief history of demographic data. The second section about most achievements during pharmacy career life. Results: There are almost 15 pioneer pharmacy leaders in Saudi Arabia. They changed the face of pharmacy practice through achievement projects, published research and consultations. They worked at several governmental and private sectors. The governmental sections included the Ministry of Health institution, University or National Guard and Military organization. Besides, the pharmaceutical companies. Conclusion: There were excellent pioneer pharmacy leaders in the Kingdom of Saudi Arabia. They changed the image of pharmacy practice at all healthcare institutions. Further studies demand to explore more different of pharmacy field in Saudi Arabia.

}, keywords = {Pharmacy, Pioneer, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.48}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {26, title = {Healthcare Professional{\textquoteright}s Perception of Pharmacist{\textquoteright}s Relationship and Counseling Skills in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {11-16}, type = {Research Article}, chapter = {11}, abstract = {

Purpose: To explore the healthcare provider{\textquoteright}s perception of pharmacist{\textquoteright}s relationship, communication, and counseling skills in Saudi Arabia. Methods: This is a 4-month crosssectional survey of the healthcare professional{\textquoteright}s perception of the pharmacist. The survey consisted of two parts: first part gathers demographic information and the second part contains 49 questions divided into four domains. (1) the first domain captures data regarding the healthcare provider{\textquoteright}s general perception about the pharmacist; (2) the second domain captures data regarding the healthcare professional{\textquoteright}s perception of pharmaceutical services; (3) the third domain was regarding the healthcare professional{\textquoteright}s perception of visiting ambulatory care; and (4) the fourth domain captures the data regarding the healthcare professional{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills. All healthcare professionals responded to the 5-point Likert response scale system. The survey was distributed through social media to more than 1000 healthcare professionals across the Kingdom of Saudi Arabia. Because the survey was in an electronic format, we were able to analyze and discuss the four domains with respect to the healthcare professional{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills through the Survey Monkey system. Results: A total of 170 healthcare providers responded to our survey. Of all the responders, 129 (75.9\%) were females and 41 (24.1\%) were males. Most of the healthcare providers were pharmacists (81 (47.65\%)), others (33 (19.41\%)), nurses (27 (15.88\%)), and physicians (23 (13.53\%)). Most of the healthcare providers (143 (87.2\%)) spent less than 16 minutes waiting for the medication from the pharmacy. The average score of the healthcare professional{\textquoteright}s perception of the pharmacist{\textquoteright}s communication and relationship skills was around (3.41). The highest score with respect to the pharmacist{\textquoteright}s and patient{\textquoteright}s relationship was obtained for the following statements: {\textquotedblleft}The pharmacist politely delivers the medication{\textquotedblright} (3.96) and {\textquotedblleft}The pharmacist answers questions in an excellent manner{\textquotedblright} (3.67). The average score of healthcare professional{\textquoteright}s perceptions of pharmacists with medication counseling skills was around (3.42). Highest scores were obtained for the following statements: {\textquotedblleft}All the medications received were packed{\textquotedblright} (4.28) and {\textquotedblleft}The patient understands what the pharmacist was saying{\textquotedblright} (4.14). The highest score with respect to the patient{\textquoteright}s relationship with the drug information center was obtained for the statement: {\textquotedblleft}The pharmacist answers patient{\textquoteright}s questions through drug information center of the hospital over 24/7{\textquotedblright} (3.44) and {\textquotedblleft}Poisonous cases first contact the national drug information center or any other hospital drug information center any time through MOH hotline 937 service over 24/7{\textquotedblright} (3.37). Conclusion: The results of this survey revealed that healthcare professionals had an acceptable perception of the pharmacist with respect to communication and patient counseling skills. The healthcare professional{\textquoteright}s privacy, easy contact with the pharmacist, and drug-related problems information improve the p

}, keywords = {Counseling skills, Healthcare professional, Ministry of Health, Perception, Pharmacist, Relationship, Saudi Arabia}, doi = {10.5530/ijpcs.2018.7.4}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {28, title = {National Survey of Drug Information Centers{\textquoteright} Practice: Evidence-Based Medicine-Therapeutics Guidelines (EBM-TG) System at Ministry of Health Hospitals in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {26-30}, type = {Research Article}, chapter = {26}, abstract = {

Objective: To explore the practice at the National Survey of Drug Information Centers in Saudi Arabia with an emphasis on Evidence-Based Medicine-Therapeutics Guidelines (EBM-TGs) System at Ministry of Health hospitals. Methods: This is a 4-month crosssectional national survey of the Drug Information Services at MOH. The survey contains 10 domains with a total of 181 questions designed by the authors. The questions were derived from the International Pharmaceutical Federation, American Society of Health- System Pharmacists best practice guidelines. The survey was distributed to 40 hospital pharmacies that run drug information services. In this study, the domain Medication- Use Evaluation System was explored and analyzed. It consisted of seven questions about the written policies and procedures and application methods for EBM-TG in the drug information centers. The data were analyzed through the Survey Monkey system. Results: The response rate was found to be around 88.88\%. According to the results, written policies and procedures for EBM-TGs existed only in 18 (45\%) hospitals and approximately 25{\textendash}100\% of the elements implementations. EBM-TG monitoring system is available live in only 17 (42.5\%) hospitals applying approximately 25{\textendash}100\% of the elements. According to our results, in only 18 (45\%) hospitals, the patients receive appropriate care due to EBM-TGs. There is evidence that the EBM-TG Indicators existed in only 19 (45.5\%) hospitals applying approximately 25{\textendash}100\% of the elements. Process for improving EBM-TG system exists in 20 (50\%) hospitals applying approximately 25{\textendash}100\% of the elements. Conclusion: There a poor application of EBM-TGs in the practice of drug information centers. Implementation of EBM-TG system improves patient outcomes which avoids unnecessary additional costs in the healthcare system.

}, keywords = {Drug Information Centers, Evidence-Based Medicine, Saudi Arabia, Therapeutics Guidelines}, doi = {10.5530/ijpcs.2018.7.6}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {24, title = {National Survey of the Pharmacokinetics Services at Ministry of Health Hospitals in Saudi Arabia: Pharmacy Management Practice}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {4-10}, type = {Research Article}, chapter = {4}, abstract = {

Objectives: To explore the pharmacokinetics services at Ministry of Health (MOH) hospitals in Saudi Arabia with an emphasis on pharmacy management practice. Methods: This is a 2-month cross-sectional national survey related to the pharmacokinetics services with a focus on pharmacy management and resources at MOH hospitals in Saudi Arabia. The study consisted of two parts: the first part gathers demographic information and the second part contained 43 questions divided into four domains that were derived from the guidelines of the American Society of Health- System Pharmacists and from the literature. We used the 5-point Likert response scale system to obtain the responses of the participants, which consisted of closeended questions. An electronic questionnaire was distributed to the coordinators of all the clinical pharmacy services or drug information centers at MOH hospitals; it captures the data regarding education and training through a Survey Monkey system. Results: There were 43 total responders from hospital pharmacies; the response rate was found to be 86\%. The majority of pharmacokinetics services were provided to the adult patients (37 (86.05\%)) followed by the pediatric and geriatric patients (19 (44.19\%) and 13 (30.23\%) respectively, with most of the hospitals covering less than 20 beds (23 (53.5\%)). Most of the pharmacokinetics services were provided through inpatient pharmacy (27 (62.79\%), outpatient pharmacy and through discharge (9 (20.93\%)). Most of the administration and management sections of the pharmacokinetics services were with the mission of pharmacokinetics services (68.8\%) followed by the total quality management (67.6\%) and policy and procedures (64.8\%), whereas the least of the administration of pharmacokinetics services was found in the annual pharmacokinetics plan (60\%), the pharmacokinetics strategic plan and pharmacokinetics technician competency (62.6\%). Conclusion: Although there is a daily demand for the pharmacokinetics services, only one-third of the hospitals had pharmacokinetics services to offer. Implementing the MOH pharmacokinetics services strategy is required at all MOH hospitals in Saudi Arabia.

}, keywords = {Management, Ministry of Health, Pharmacokinetics, Pharmacy resources, Saudi Arabia}, doi = {10.5530/ijpcs.2018.7.3}, author = {Yousef Ahmed Alomi and Rasha Abdelsalam Elshenawy} } @article {27, title = {National Workload Analysis of Network of Drug Information Centers at Ministry of Health Hospitals in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {17-25}, type = {Research Article}, chapter = {17}, abstract = {

Objectives: To analyze the workload of the network of drug information centers at the Ministry of Health institutions, Saudi Arabia. Methods: This is a 2-month cross-sectional survey of all drug information centers at MOH hospitals. Any drug information center that has been recently opened or has provided services to the healthcare professionals and the public participated in the survey. The national, regional, and local drug information centers at healthcare institutions were included in the survey. In addition, hospitals or primary care centers (e.g., public, pediatric, maternity, and psychiatry) were also included in the survey. The survey consisted of two parts: demographics data and workload of drug information centers. The clinical activities were driven by the American College of Clinical Pharmacy model. Results: The questionnaire was distributed to around 60 drug information centers. A total of 46 centers responded to the questionnaire, with a response rate of around 76.66\%. Most hospitals (11 (23.9\%)) had 100{\textendash}199 beds and others (11 (23.9\%)) had 200{\textendash}299 beds. A total of 1022.5; 22,495; and 269,940 drug information queries were received daily, monthly, and annually, respectively. The greatest demand for a full-time employee (FTE) to preform drug information activities was at the central drug information activities (20.95 FTE) followed by the administration-related drug information activities (17.98 FTE) and patient-specific drug information activities (8.41 FTE). Among the central drug information activities, the highest amount of activity was observed for in-service training (10.95 FTE), whereas among the administration-related drug information activities, the highest amount of activity was observed for attending lectures/courses/symposium/training (2.46 FTE). Among the patient-specific drug information activities, the highest amount of activity was observed for patient counseling services (3.43 FTE). Conclusion: The workload of drug information centers was found to be very high. The services were needed to be revised within basic and advanced requirements of drug information centers at the Ministry of Health, Saudi Arabia.

}, keywords = {Drug Information Centers, Ministry of Health, Network, Saudi Arabia, Workload}, doi = {10.5530/ijpcs.2018.7.5}, author = {Yousef Ahmed Alomi and Saeed Jamaan Alghamdi and Radi Abdullah Alattyh} } @article {29, title = {Patient{\textquoteright}s General Perception and Attitude toward Pharmacists in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {31-37}, type = {Research Article}, chapter = {31}, abstract = {

Purpose: To explore the patient{\textquoteright}s perception and attitude toward pharmacists in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient perception of pharmacists. The survey consisted of two parts: the first part gathers demographic information and the second part has 49 questions divided into four domains: (1) the first domain captures patient{\textquoteright}s general perception of the pharmacist; (2) the second domain is regarding patient{\textquoteright}s perception of pharmaceutical care services; (3) the third domain is about patient perception of visiting ambulatory care; and (4) the fourth domain is regarding patient{\textquoteright}s perception of pharmacist{\textquoteright}s relationship and counseling skills. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media to a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey analyzed domain one, which is the primary or necessary general perceptions about pharmacists and the data were analyzed through the Survey Monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. In the past 12 months, most patients (222 (36.04 \%)) visited the pharmacy more than 10 times, followed by 122 (19.81\%)) visited the pharmacy at least 5{\textendash}9 times. Most of the patients (481 (83.5\%)) spent less than 11 min with the pharmacist. The statements with highest scores were related to the pharmacist{\textquoteright}s perceptions such as pharmacy job is vital in our society (4.63); the pharmacist has a very significant role in preventing medications errors (4.4); the necessity of present pharmacist schools (4.09); and the pharmacist is the first person ask about drugs (4.01). More than 60\% of the responders chose pharmacy as the professional specialty or suggest their family members or friend to select a professional pharmacy. The majority of pharmacists shared information in public education through the television and media (3.7) and newspaper (3.65) followed by schools (3.56) and public education exhibitors (3.48). Most of the patients (429 (73.1\%)) visited the pharmacist to seek help, and due to the pharmacists knew more about medication doses and their adverse effects (224 (38.16\%), and free consultation 166 (28.28\%) Conclusion: Majority of the patients had a good perception about the pharmacist and his role with patients and the public. The pharmacists should expand their services across all healthcare institutions in Saudi Arabia.

}, keywords = {Attitude, Patient, Perception, Pharmacist, Saudi Arabia}, doi = {10.5530/ijpcs.2018.7.7}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {30, title = {Patient{\textquoteright}s Perception and Attitude of Pharmacist during Pharmacy Visits in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {38-43}, type = {Research Article}, chapter = {38}, abstract = {

Purpose: To explore patient{\textquoteright}s perception and attitude during pharmacy visit in Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient perception regarding pharmacists. The survey consisted of two parts: the first part captures demographic information and the second part is a questionnaire with 49 questions divided into four domains: (1) The first domain is regarding patient{\textquoteright}s general perception of the pharmacist; (2) the second domain captures data of patient{\textquoteright}s perception regarding pharmaceutical care services; (3) the third domain is regarding patient{\textquoteright}s perception of visiting ambulatory care; and (4) the fourth domain captures information on patient{\textquoteright}s perception regarding the pharmacist{\textquoteright}s relationship and counseling skills. We used the 5-point Likert response scale system to obtain responses of the participants. There were open- and close-ended questions. The survey was distributed through social media to a 500-bed general hospital in Alhassa region, an ambulatory care pharmacy. The authors interviewed the patients with an electronic survey documentation. The survey analyzed domain three, which is about the patient{\textquoteright}s perception of visiting ambulatory care through Survey Monkey system. Results: A total of 617 patients responded to the survey. Of them, 536 (87.7\%) were Saudi and 75 (12.3\%) were non-Saudi nationals. There were 457 (74.1\%) female and 160 (25.9\%) male responders. In the past 12 months, most of the patients (222 (36\%)) visited the pharmacy more than 10 times, whereas the others (122 (19.8\%)) visited the pharmacy at least 5{\textendash}9 times. Most of the patients (481 (83.5\%)) spent less than 11 min with the pharmacist. The average score of patients{\textquoteright} general perception of the pharmacist during pharmacy visit was 3.74. The highest score was obtained for the statements received all medications prescribed to me (4.16) and pharmacy convenient located (4.0).4 The lowest score was obtained for the statement pharmacy waiting area convenient located (3.38). The average score of patient perception of the pharmacist with drug monitoring during the pharmacy visit was 3.74. The highest score was obtained for the statement{\textemdash}the patient revived a copy of prescription-contained medications (3.4), whereas the lowest score was obtained for the statement{\textemdash}the pharmacist gives a follow-up call to the patient as medications prescribed (2.09). The score for general evaluation of pharmacy visit was found to be 3.67 with a score of (3.55) for the preference to visit the pharmacy or recommendation to other patients or friends. Conclusion: According to our results, patient{\textquoteright}s perception during pharmacy visit was found to be acceptable. Pharmacy communication methods and counseling place missed. Corrections of patient needs will improve patient{\textquoteright}s perceptions and raise patient satisfaction during visiting of pharmacy.

}, keywords = {Attitude, Ministry of Health, Patient, Perception, Saudi Arabia, Visit}, doi = {10.5530/ijpcs.2018.7.8}, author = {Yousef Ahmed Alomi and Sarah Abdullah Al-Hathlool and Maryam Ibrahim Almulhim and Amal Ali Alashaq and Yousef Aboshalaf and Mytham Al-Ethan} } @article {31, title = {Schizophrenia Treatment Physician Order: New Initiatives at the Mental Hospital of Ministry of Health in Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {7}, year = {2018}, month = {November 2018}, pages = {2-3}, type = {Review Article}, chapter = {2}, abstract = {

The general administration of pharmaceutical care at the Ministry of Health in Saudi Arabia has released several pharmacy practice programs. The national pharmacy psychiatric program was one among them. This program has been established for the psychiatric management with an emphasis on schizophrenia. The guidelines inthis program have been implemented in the form of a physician order form. This form consists of the best therapeutic choice for the conventional type of schizophrenia, or schizophrenia with comorbid disease. The schizophrenia guidelines have been approved by the medical staff and have been implemented at the hospital. This type of management of schizophrenia will prevent drug-related problems and improve clinical outcome of the patients. It is the first new initiative project at the Ministry of Health and in the Middle Eastern countries.

}, keywords = {Ministry of Health, Physician Oder, Saudi Arabia, Schizophrenia treatment}, doi = {10.5530/ijpcs.2018.7.2}, author = {Yousef Ahmed Alomi and Nora Alsolami and Nada Alqahtani and Dalal Alqahtani and Saeed Alqahtani} }