Background: The clinical pharmacist plays a significant role in the improvement of pharmacy services in Saudi Arabia. The objective of this study to explore the impact of clinical pharmacist consultation visit with emphasis on Intravenous Admixture services (IVDS) and pharmacy total quality management (PTQM) at Ministry of Health hospitals in Riyadh, Saudi Arabia. Methods: It is 12-months cohort study of a regular visit to three major public, pediatrics with maternity, and emergency hospital at Riyadh region. The assessment used based on Ministry of Health (MOH) pharmacy plan, Saudi hospital pharmacy standards, and the 6-points Likert assessment scale system before and end of the study periods. The total number of finished projects were sixteen projects divided between IVDS (nine projects) and PTQM (seven projects). Result: The improvements range changes in IVDS from 16.7% to 44.59% with average positive improvement 26.6%. In the PTQM the improvements range changes were16.7% to 100% with average positive changes was 69%. The highest score of the projects of IVDS was total parenteral nutrition standard formulation for adults and total parenteral nutrition standards formulation for pediatrics. Followed by total parenteral nutrition standards formulation for neonates. The highest score of the projects of PTQM was patient satisfaction program, an update of the medication errors reporting system, adverse drug reaction intervention system. Followed by an update of the patient counseling intervention notification system, and medication reconciliation intervention reporting system. Conclusion: The pharmacist showed clinical significance impact on the Intravenous services and pharmacy total quality management services in Riyadh region, Saudi Arabia. The contained consultation visit with quantity and quality manner with periodic assessment highly recommended for all hospitals.
Key words: Value, Clinical Pharmacist, Hospital Pharmacy, Ministry of Health, Saudi Arabia.