Outpatients Pharmacy
Old Habits vs New Responsibilities
After two years in hospital pharmacy, I recently rotated into Outpatients Pharmacy. Coming from a busy community pharmacy background, it felt familiar—fast paced, high volume, with limited time and staff. Sometimes I slip back into old habits, prioritising workflow efficiency over clinical review.
A couple of near misses reminded me of the importance of our role as the last line of defence against errors before they reach the patient.
A Case in Point
I once received an IV vancomycin order for 2.5g daily. After reviewing the patient’s documentation and pathology, I believed 1.5g daily would be more appropriate. I raised this with our Antimicrobial Stewardship (AMS) team, who agreed. The prescribing team initially resisted, but after further discussion the AMS team convinced them to adjust the dose.
This case reinforced the value of persistence, teamwork, and speaking up when something doesn’t look right.
Why Outpatients Matter
Some junior pharmacists may view Outpatients Pharmacy as a glorified community role—but the reality is very different. In Outpatients, we have access to resources we could only dream of in community practice: medical documentation, pathology results, and direct contact with colleagues across the hospital.
We are a key part of the healthcare team. Our work is valuable because it ensures safe patient care in collaboration with other professionals. To do this well, we need to stay up to date with guidelines and evidence. Prescribing culture is real, and shifting established habits can be challenging—but that’s where pharmacists add value.
Practical Tips for Outpatients Pharmacists
Perform a clinical check using available documentation and pathology.
Do a product check to ensure accuracy and safety.
Educate the patient so they understand their medicines.
Outpatients pharmacy isn’t just about dispensing—it’s about vigilance, collaboration, and patient-centred care
.