The safety of pharmacotherapy can be monitored at different levels of the health system and the quality of health care provided can be assessed from different points of view. The Ministry of Health, the health insurance companies, the State Institute for Drug Control, the Institute of Health Information and Statistics, and the health care facilities themselves fulfill their roles. Safety is assessed differently at each level. Based on current knowledge, it follows that the monitoring of adverse effects is not only of safety but also of economic importance for health care facilities. At this point the proactive way of working of clinical pharmacist can play a major role specifically when they get involved in direct care of the patient.
Keywords: adverse reactions; clinical pharmacist; safety of pharmacotherapy.