Pakistan needs to make a development plan for Pharmacy Workforce-Henri Manasse

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 Pakistan needs to make a development plan
for Pharmacy Workforce-Henri Manasse

Do not point finger at individuals involved in medical
errors but try to set the system right

In the days to come reshaped devices will be embedded in
human body, hence we need to find what will make
an ideal pharmacist in that era-Musadik Malik

KARACHI: Pakistan needs to develop a plan for training of pharmacy work force. You may need to train two to three kinds of pharmacy professionals to serve in different areas. Do not point fingers at individuals involved in medical errors but try to set the system right as team work is critical to ensure patient safety.  In hospitals, pharmacy clinicians should be preferred. This was stated by Henri R. Manasse Jr Ph.D. Professor and Dean Emeritus at University of Illinois at Chicago, USA. He was speaking on Patient safety; Role of Pharmacists in Healthcare Advancements at the 2nd International conference of Pakistan Society of Health-System Pharmacists held here on October 14th2017.

He discussed in detail principles of patient safety learnt from others during his professional career spread over many decades. College of Pharmacy at University of Illinois Chicago, he said, was the sixth oldest college of Pharmacy in USA. Talking about freedom from harm, he asked are our hospitals safe today? Can we learn from other industries which have a very high reliability? We as health professionals are supposed to do no harm and we harm patients when they come back. Minor mistakes can cause greater harm. It requires different talents, skills as there is high dependency on other workers. It must always be safe and complex work. Everything must be carefully coordinated and managed at pharmacy department at the hospital.


Dr. Musadik Malik Advisor to the Prime Minister presenting Mementoes to Jacqueline
Surugue and Henri Manasse the two distinguished guest speakers from France and
USA at the at the Second International conference of Pakistan Society of
Health-System Pharmacists held here
on October 14th 2017.

Some of the more reliable industries include aviation industry, nuclear power generation, oil refinery, aircraft carrier. They all provide a very safe environment for their functioning but our hospitals even in USA are not safe. What makes the above more reliable industries is training for the tasks, common push for safety, specific standard performance, continuous evaluation and feedback, continuous process control, reporting system for process improvement, consistent training, and Re-training, strong team work with multiple talent. They all talk to each other and support each other. It is essential that we adhere to minimum principles for practice, have competent staff for diverse functions, Fail-safe medications use system, prescribing, transcription, preparation, administration and dispensing.


It is essential that we practice team based prospective decision making on therapy. We should have continue focus on training and performance improvement.   Are our pharmacy departments in Hospitals reliable? We have now Genomics and IT specialists. We have generic drugs for stem cell therapy, hence team based decision of drug therapy is important. It also depends to a great extent on culture of the organization where each individual treats them with respect and honour. Encourage speaking up stopping the line. Insist on reporting errors and learn from them. Reward reporting, differentiate person from system, correct system deficiencies, seek apologies administer restitution, minimize or remove blame and shame. Do not point finger at people. But at times there are people who behave badly. In case of medical error, the patient Mr. Henri stated seeks recognition of errors made, they wish that system should be improved so that such errors do not happen again. Hospital is apprised of real circumstances. Examine all processes and simplify them. Establish a reporting system, use reports to improve, repair, and re-think. There should be multidisciplinary safety teams in all areas. Make safety first priority and tell stories related to improvement.


Henri R. Manasse Jr Professor and Dean Emeritus at University of Illinois at Chicago, USA presenting 
mementoes to Dr. Asad Hafeez, Dr. Aslam Afghani and Javed Iqbal at the Second International 
conference of Pakistan Society of Health-System Pharmacists held here on October 14th 2017.

This was followed by a brilliant presentation by Dr. Musadik Malik, Minister of State and Advisor to the Prime Minister  who pointed out that systems and improvements should be there to measure the outcome. We do not know what will the requirements of Health-System pharmacists in Pakistan and in the world in the next twenty to thirty years and what will constitute to be an ideal pharmacist? We have to look at the market needs and actual realization. He talked about Nano technology, Biotechnology, Information in which tremendous developments are taking place. In the days to come we will have reshaped devices embedded in human body. From frozen cells to insensitivity, change is taking place with or without you. We have now Biosimilar or bio genomic science, there is cognitive revolution taking place focusing at how mind and brain works? Bits to telepathy means language as a mode of communication might die in next three to four hundred years. Now research scientists are talking of death to death and not age, design not inherit, regrow and not rehabilitate, cybros not robots, prevent and not treat, neurolink and telepathy, anti-aging platform but the questions remains are we ready for such a dramatic change, he asked? What illness, death will look like in next thirty to thirty five years is not known? We are not aware what qualities are needed in healthcare pharmacist for the future? We are seeing organs are being grown, babies are being designed, people talk about engineered humans and in not too distance future machines are going to replace man.


Ms. Umaimah Muzzamil, Syed Jamshed Ahmad, Jibran Bin Yousuf, Javed Iqbal, A. Latif Sheikh, Dr. Asad 
Hafeez, Jacqueline Surugue, Dr. Musadik Malik, Henri R. Manasse Jr, Dr. Aslam Afghani and Shamim 
Raza photographed at the Second International conference of Pakistan Society of Health-System 
Pharmacists held here on October 14th 2017.

Continuing Dr. Musadik Malik remarked that days are not far off when we may be able to communicate without speaking, that era is coming. What will be the role of health-system pharmacists in that era, he asked? Mapping of human genomes has been accomplished successfully. There was a time that it cost billions of dollars and three hundred days but now total genomes mapping require just three days and cost nine hundred US dollars. Keeping in view all the above developments, the participants of the meeting need to discuss what will form an ideal Health-System Pharmacist in the future, he remarked.

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