Physicians, Hospital Pharmacists, Diagnostic Professionals & Pharmaceutical Chemists Bulletin ISSN 2381-4357 Volume 1 (2016) M. Luisetto, B. Nili-Ahmadabadi, L. Cabianca, M. Ibne Mokbul, Steps and Impacts of Pharmaceutical Care and Clinical Pharmacy Development on Clinical Outcomes 2016: A Historical Analysis Compared with Results, Clinicians Teamwork , 2016, 1:4-8 http://nanodd.com/cliniciansteamwork.htm Submitted 02/7/2016; Published 03/12/2016 ©2016 M. Luisetto et al 1 Steps and Impacts of Pharmaceutical Care and Clinical Pharmacy Development on Clinical Outcomes 2016: A Historical Analysis Compared with Results Mauro Luisetto 1 , Behzad Nili-Ahmadabadi 2 , Luca Cabianca 3 , Mobin Ibne Mokbul 4 1. Mauro Luisetto, PharmD/PhD, maurolu65@gmail.com, Hospital Pharmacist, Pharmacologist, European Specialist in Laboratory Medicine: Via Stradella, 26, Piacenza, ER, Italy 2. Behzad Nili-Ahmadabadi, PharmD, Nano Drug Delivery, behznili@nanodd.com, Chapel Hill NC 27514, USA, +1 (919) 617-NANO 3. Luca Cabianca, Biomedical Laboratory, lcabianca@cittadellasalute.to.it 4. Mobin Ibne Mokbul, Founder & President, International Light of Neuroscience Foundation House: 32/A, Road-03, Prianka Housing, Turag City, Mirpur-1, Dhaka-1216, Bangladesh mobin.glab@gmail.con Abstract. This article investigates the observations over some relevant steps and the resulting effects obtained in clinical pharmacy and pharmaceutical care discipline in improving further clinical outcomes (as member of medical team). With the emerging innovative forms such as macromolecules, delivery systems and nanoparticles, there will be a much greater role for those professionals who understand the science of pharmacokinetics, pharmaceutical chemistry and pharmacodynamics. Particularly for these costly products, clinical and hospital pharmacists, imaging and laboratory professionals’ active and interactive role is crucial. Our conclusion: the medical system needs flexibility and adjustments. Keywords: Pharmaceutical Care, Clinical Pharmacist, Imaging, Medical Laboratory, Hospital Settings, Medication Cost, Clinical Outcomes, Innovative Therapy Introduction The introduction in practical clinical activity of pharmaceutical care and clinical pharmacy instruments has given positive effect further in some patient’s clinical outcomes. Materials and Methods We observed some steps in evolution of the discipline involved in pharmaceutical care and clinical pharmacy and the studies over results of some relevant clinical outcomes enhancement. Period under observation: 1928-2016: Clinical pharmacy developed as autonomous discipline from classic pharmacy. In USA in hospital settings, long ago, back in the 1928, the pharmacists at the Hospital University of Iowa began participating in patient rounds in medical team. Eugene White pharmacist in USA, known as the father of clinical pharmacy, way back in the early 60s, remodeled his commercial drugstore into an office style practice. He was the first to