Background: Saudi Center of Health care facilities accreditation launched the update stagnated of medication management and use for hospital pharmacy. The MOH pharmacy plan to accredit all hospital pharmacies and highly demand consultation visit. The clinical pharmacist required to visit hospitals to improve the services and get the accreditation. Objective: The goal of this study to explore the value of clinical pharmacist consultation visit with emphasis on medication safety (MS) and pharmacy research (PR) at Ministry of Health hospitals in Riyadh, Saudi Arabia. Methods: It is a twelve months cohort study of a regular visit to three major hospitals as public, pediatrics with maternity and emergency specialties at Riyadh region. The performance assessment used based on Saudi hospital pharmacy standards, MOH pharmacy strategic plan, and the 6-points Likert assessment scale system before the study and by the end of the study. Results: The total number of finished projects were twenty projects divided between ME (nine projects) and PR (eleven projects).The improvements range changes in ME from 16.7% to 100% with average positive improvement 37.04%. In the PR the improvements range changes were 33.3% to 100% with average positive changes was 39.4%.The highest score of the projects of ME was ISMPassessment medication safety for hospitals and ISMP-assessment anticoagulation medication safety for hospitals. The maximum score of the projects of PR was the patient satisfaction of ambulatory pharmacy services at three hospitals. Conclusion: The pharmacist showed the practical high impact on the medication safety and pharmacy research in Riyadh city, Saudi Arabia. The quality and quantity consultation visit with regular evaluation is required for continuous to keep pharmacy improvement at all hospital.
Key words: Outcomes, Clinical Pharmacist, Hospital Pharmacy, Ministry of Health, Saudi Arabia.