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PJ Online homeThe Pharmaceutical Journal
Vol 278 No 7437 p132
3 February 2007

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Letters to the Editor

Pharmacy practice

Common sense may not be common practice

From Mr D. P. Sharma, MRPharmS

John Sharp highlights some of the differences between the pharmaceutical industry and the NHS in dress codes (PJ, 16 December 2006, p736). The difference in the industry and hospital pharmacy mindsets is massive.

For someone who practised as a hospital pharmacist, the focus would be on patient safety by ensuring the right dose of the right drug at the right time, that there are no interactions and that the patient understands what he or she has been prescribed. I do not doubt the commitment of some NHS staff and nearly all hospital pharmacists I know work hard — and in response to an increased workload, most would work even harder cutting back on breaks or lunch. But the industry has provided me with another viewpoint: working harder does not imply working smarter. Many in the industry have taught me to take a step back. Only by becoming somewhat detached from all the issues an individual faces can one really see what is most important and therefore what one’s highest priority should be.

Those who are genuinely concerned about good hospital practices (that should be everyone) should have a go at joining the dots and seeing the bigger picture. Before anyone responds declaring how much it will cost, I would ask him or her to consider the costs of not doing anything. More importantly, it is the necessary change in mindsets of everyone involved in good practices that will ultimately reduce costs. Although all this appears common sense, what is common sense is not necessarily common practice.

Dave Sharma
Cambridge

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