Hospital and other institutions and facilities, such as outpatient clinics, drug?dependency treatment facilities, poison control centres drugs information and long?term care facilities, may be operated by the government or privately. While many of the pharmacist's activities in such facilities may be similar to those performed by community pharmacists they differ in a number of ways. Additionally, the hospital or institutional pharmacist:
has more opportunity to interact closely with the prescriber and therefore, to promote the rational prescribing and use of drugs;
in larger hospital and institutional pharmacies, usually one of several pharmacists, has a greater opportunity to interact with others, to specialise and to gain greater expertise;
having access to medical records, is in a position to influence the selection of drugs and dosage regimens, to monitor patient compliance and therapeutic response to drugs, and to recognise and report adverse drugs reactions;
can more easily than the community pharmacist assess and monitor patterns of drugs usage and thus recommend changes where necessary
serves as a member of policy making committees, including those concerned with drug selection, the use of antibiotics, and hospital infections (Drug and Therapeutics Committee) and thereby influences the preparation and composition of essential ?drug list of formulary; 0 is in a better position to educate other professionals about the rational use of drugs
more easily participates in studies to determine the beneficial or adverse effects of drugs, and is involved in the analysis of drugs in body fluids
can control hospital manufacture and procurement of drugs to ensure the supply of highquality products;