Hospi lab m2

• The Pharmacy and Therapeutics Committee (P&TC) is a medical staff committee responsible for managing the formulary system
• The P&TC provides an evaluative, educational, and advisory service to the medical staff and organizational administration pertaining to the use of available medications
• The P&TC is responsible for overseeing policies and procedures related to all aspects of medication use within an institution
• Responsibilities of the P&TC include establishing and maintaining the formulary system, selecting medications for formulary inclusion, evaluating medication use and related outcomes
• The P&TC prevents and monitors adverse drug reactions and medication errors, evaluates or develops drug therapy guidelines, and educates health professionals on the optimal use of medications
• Roles of the P&TC involve planning future agendas, gathering data to create drug monographs, evaluating medications for formulary adoption or deletion
• The formulary is a list of medications available for use at a hospital or health-system, including the dosage forms, strengths, and package sizes of each medication
• Diligent management of the formulary list has patient care and financial implications, considering medication efficacy, safety, and costs associated with stocking the medication
• Medication entries on the formulary may be arranged alphabetically by generic name, trade name, therapeutic class, or combination
• Each drug entry on the formulary should include the generic name of the primary active ingredient, dosage form, strength, size stocked by the pharmacy, and active ingredients for combination products
• Additional information that may be added to drug entries includes special precautions, pediatric or adult dosage ranges, and cost information
• Medication use policy and procedures should include information on prescribing, dispensing, and administration of medications, formulary policy, P&T committee policy, and organizational regulations regarding medication use
• Medication use guidelines approved or endorsed by the P&TC should detail guidelines for antibiotic use, surgical prophylaxis, community-acquired pneumonia, weight-based heparin orders, among others
• Special information in the formulary should be health-system specific and tailored to the needs of professional and medical staff based on the services provided by the health system and the pharmacy
• Special information topics may include nutritional products approved for use, equivalent dosage tables, parenteral nutrition formulas, pediatric dosages, antidote list, among others
• Formulary updates, revisions, and distribution involve considering agents for addition or deletion, providing rationale for requests, and including the impact on cost and quality of patient care