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Drugs which the patient did not need. There were instances when medication was prescribed by the physician, but the treatment chart was not updated and the omission error was detected by the pharmacist. Over 10% of the interventions was deemed to have reduced the probability of re-admission of the patient due to potential ADR and drug interaction. Similarly, cases, where dosage was sub-optimal, over-dosage or presence of indication but no medication would have either caused treatment failure, disease relapse or prolonged hospital stay, were also observed and documented. Therefore, clinical pharmacist interventions can have a positive impact on reducing drug-related errors in overall patient care. Physicians were receptive to the recommendations to resolve drug related problems, suggesting that a joint effort between physicians and pharmacist is possible. Acknowledgments.

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Ensuring good governance and transparency in implementing regulations, norms, and processes related to procurement is a persistent problem in both developed and developing countries. Therefore, establishing policies and clear procedures to improve transparency and accountability in the procurement process, quality control, and information flow is a critical step toward ensuring that procurement decisions can withstand outside scrutiny. These measures also raise public confidence in public sector management of the health system. A number of strategies have been adopted within the region to improve transparency and safeguard good governance in the procurement process. They include the following: Using independent procurement agents Peru, El Salvador, the Dominican Republic, and Honduras ; . Independent procurement agents such as UNFPA and UNDP help improve transparency in the contraceptive procurement process. For example, because of concerns about corruption in the use of loan funds, the World Bank and the IDB require governments to use procurement agents to manage commodity procurement processes. In Honduras, UNDP acts as a procurement agent for the IDB loan. Countries in other regions have used commercial agents Crown Agents, SGS, International Dispensary Association IDA ; , Charles Kendallto procure drugs BOX 2. A LESSON FROM COSTA RICA--ENSURING and contraceptives as procurement TRANSPARENCY IN QUALITY CONTROL agents for sectorwide health loans. Establishing autonomous agencies to manage the procurement process. As described in box 1, CENABAST, an autonomous agency in Chile, is in charge of procurement for the government. In Costa Rica, an autonomous agency, the Costa Rican Social Security Fund CCSS, Caja Costarricense de Seguro Social ; , procures all essential drugs for the public sector, leaving little room for political pressure, while enabling the CCSS to gain stronger leveraging power with commercial suppliers, despite Costa Rica's relatively small market. Although first steps have been taken to remove political.
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T h e Chairman said the compiling of a list of journals with symbols could it t not be very difficult since each service must have its o w n and keep i up to date. It was agreed that a list of periodicals for Medicine and Biology should be prepared and the discussion on ways and means continued. The following points were m a d general structure : the list should be kept u p to date by six-monthly or yearly supplements and revisions ; only abstracting services with world coverage should be indicated; symbols for such services should be used ; these indications would be extremely useful to librarians ; the list would be more useful to librarians if the names of the publishers and the prices of the publications were included. O n h compile the list, Mr. R i suggested the best w a y would be to ed ask all the abstracting services to be included for a list of the periodicals received and or abstracted. These would give a combined list including only journals important enough to abstract. T h e symbols for abstracting services after the n a m journal would indicate the breadth of its field of interest. Later, the Chairman proposed the following amendment to the second part of Professor Justin-Besanqon'sresolution : "In the published list of medical and biological journals and their abbreviations, there should be added symbols opposite each title to indicate the agencies which abstract the journals listed." It was adopted by 8 votes to 5. Dr. Findlay asked whether Unesco would bear the expense of preparing the list and Professor Auger replied that if Unesco were asked to provide for the work it would ask the General Conference for the necessary funds. T h e question of including a list of libraries where the journals listed could be consulted was rejected on the grounds that the task was impossible for instance, the Annales de Z'lnstitut Pasteur was sent to 1, 000 libraries that it would be misleading, even if possible, because not all journals received were kept or kept intact, and m a n sets were incomplete; and that i course of n t national centres for bibliographical information would be able to supply ie the information as required and periactin. Can the breathing machine always be given once she's on allergy medication.

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