Abstract: In an Emergency department of a tertiary hospital, Time and motion study creates a method to determine the correct time required for completion of a certain task. It can be effective for performance evaluation, for planning purpose, to uncover problems and create solutions and can also be used for time cost analysis. This study was undertaken in emergency departments of different tertiary hospitals of Lahore to observe the time consumed in comparison to work done. Thus, fulfilling the learning objectives of respective study and knowing how it is being implemented in Pakistan. It was an observational study including several patients from different tertiary hospitals. The data collection form was developed and data collected was then observed, analyzed and graphically presented. Normal and standard times at each individual step were compared statistically. Although, the results of respective study conclude that Time and Motion study is nowhere found in the local tertiary level hospitals and need to be introduced to all health care professionals. Emergency department facilities can be greatly improved by time wastage reduction and by pharmacist presence in Emergency Department pharmacy as well as ward, performing his duties efficiently in improved patient care, decreasing Emergency Department workload and increasing productivity. This project summarizes that Time and Motion Study with involved pharmacist interventions has become a necessary tool for businesses to be successful today and can very effectively be employed in all public and private hospital setups of Pakistan for improved patient care.