engleski

Clinical pharmacy in Croatia

Continuous practice of clinical pharmacy was started at the University Hospital Dubrava Zagreb in 1996, in the Department of Cardiac and Transplantation Surgery of the Clinic of Surgery. The pilot-project "Unit Dose Drug Distribution System" was then started in collaboration with the Texas Heart Institute of Houston, USA. Following an elaborated protocol, pharmacists had to supervise the prescribed therapy with regard to the appropriateness of chosen medications. Suitability of the dosage form, dose, dosing intervals were checked on daily base. Therapies were analysed in order to identify, avoid or manage clinically significant drug drug interactions. Pharmacists became visible and active members of the health team. The pilot- project resulted in reduced drug consumption and establishment of good quality pharmaceutical care for hospitalized patients (1). Later, the pilot project spread and now encompasses almost all departments of the Surgery Clinic. Written forms of pharmaceutical interventions have been introduced in practice, which are largely accepted by physicians (2). In 1997, a seminar in clinical (hospital) pharmacy with international participation was held at the Clinical Hospital Dubrava. In the following year, Clinical Pharmacy was introduced as a course at the Faculty of Pharmacy and Biochemistry, University of Zagreb. It was the first time that the students were shown and taught on real cases from clinical practice. In 2006, a graduate course in Pharmacotherapy was added to the Faculty curriculum, as part of the Tempus project, in collaboration with the faculties of pharmacy of the Universities of London, Brighton and Navarra. The postgraduate specialist study course "Clinical Pharmacy" was introduced in the academic year 2010/2011. It lasts two semesters and has 300 hours of mandatory and elective subjects, in which students have to achieve a total of 60 ECTS points (40 for mandatory and 20 ECTS points for elective courses). The course is intended for pharmacists from hospital and community pharmacies and is aimed at promotion and provision of a rational, correct and safe application of drugs. The postgraduate specialist study course in Clinical Pharmacy is also the theoretical part of the clinical pharmacy specialization programme – hospital and community pharmacy, which the Ministry of Health Croatia approved in 2008. In 2012, the Clinical Pharmacy Section was founded within the Croatian Pharmaceutical Society. First Croatian Congress of Clinical Pharmacy with international participation was held in Zagreb in 2014. Through this congress awareness on clinical pharmacy was raised and this has been an ongoing process that continued through 2017 when Second Croatian Congress of Clinical pharmacy with international participation was also held in Zagreb. In our healthcare system there are currently about twenty clinical pharmacy specialists and about so much residents. So far more than 200 pharmacists have enrolled in postgraduate specialist studies in clinical pharmacy at the Faculty of Pharmacy and Biochemistry, University of Zagreb. Clinical pharmacy practice in Croatia is still modest. Beside clinical pharmacy practice and research activities at the University Hospital Dubrava Zagreb, only few hospitals carry out the activities of clinical pharmacy. The activities of clinical pharmacists at community pharmacies are slowly being introduced in practice. As members of the multidisciplinary healthcare team, clinical pharmacists can ensure healthcare integrity from the hospital to the community and vice versa, taking heed of the benefits and risks of each particular pharmacotherapy.

clinical pharmacy ; University Hospital Dubrava ; Croatia

nije evidentirano