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...Abstract objectives total parenteral nutrition tpn is the perilous component of nutritional care for neonatal pediatric and adult patients designated someone who cannot or should not consume nutrients through their regular oral pathway in this study we explored clinical outcomes pharmacist intervention at public hospital riyadh city saudi arabia methods prospective cohort studies simulated data months related to services most units hospitals works eight hours per day seven days a week has beds consisted an international model measure level activity rational recommendation patient with outcome impact were analyzed survey monkey system results number interventions recognized problems orders was prescribed majority neonates followed by pediatrics highest critical found be potentially serious significant documented rationale activities inappropriate dose drug therapy omission route administration laboratory value improved condition conclusion had essential vital role preventing problem imp...