Over the past 5 years, most Canadian provinces have enacted legislative changes allowing an expanded scope of practice for pharmacists. These changes, which are consistent with the objectives of the CSHP 2015 initiative, are intended to assist patients to achieve the best outcomes from their medications, as well as to improve medication safety. For hospital pharmacists, the expanded scope of practice includes activities such as changing drug dosages and other aspects of patients' prescriptions, therapeutic substitution, initiation of prescription drug therapy (including therapy for minor ailments), and ordering and interpretation of laboratory tests, all of which have further focused the pharmacist's role within a patient-centred model of care.
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