Tiêu đề 4th b hp.docx ✅

HOSPITAL FORMULARY AND THE GUIDELINES: Hospital Formulary is a continuously revised compilation of pharmaceuticals including important ancillary information that reflects the current clinical judgement of the medical staff. Origin *The first scientific hospital formulary in India was published in 1968 by the pharmacy department of CMC Vellore. *The first HF for a Government teaching hospital in India was published in 1997 at Govt.Medical College & Hospital, Trivandrum. The need for Hospital Formulary: *The increasing number of new drugs manufactured and marketed by drug companies. * Increasing complexity of untoward effects of modern potent drugs. *Newer sales promotion strategies of pharmaceutical industry. *The public interest in getting possible health care at lowest possible cost HOSPITAL FORMULARY SYSTEM: *It is a system whereby medical staff of the hospital can select and evaluate medicinal agents and their various dosage forms with the help of pharmacy and therapeutics committee (PTC). *It provides them the required information on procuring, prescribing, dispensing and administration of drugs under brand/generic names. Advantages of hospital formulary *1. It provides the practitioner with approved and efficacious medicines to treat disease. *2. Hospital formulary reduces the inventory cost of the drugs. It regulates the number of medicines by improving the procurement and inventory management. *3. It improves the quality assurance and easier dispensing. *4. It gives stress on medicine information and focused on patient's education efforts. *5. It removes the irrational combinations of drugs and also improves adverse drug reaction management. Disadvantages of hospital formulary *1.The hospital formulary system deprives the physician of the right and prerogative to prescribing and obtained the brand of his choice. *2. The system may sometimes permit the pharmacist to act as the sole judge to which the brands of the drugs to be purchased and dispensed *3. The system may allow buying inferior quality of drugs and it may also not reduce the cost of drug dispensed to the patient or the third party payer. Preparation of Hospital Formulary: 1. Introductory information: *Acknowledgement *List of abbreviations * Intended usage of the formulary manual. 2. Basic information of the drug : *Generic name *Dosage form
*Strength Indications *Pharmacological action * Precautions *Side effects *Frequency Instructions *Drug interactions. 3. Supplementary information on each drug : *Price Regulatory category Storage guidelines *Patient counselling information *Brand names 4. Prescribing and dispensing guidelines: *Principles of prescription writing Name and address of the patient Prescribed drug should be written in formulary terminology *Strength of prescribed medication must be given in accepted metric system. *Correct dispensing guidelines Prevention and reporting of ADRs 5. General drug use advice *Use of IV additives Prescribing in special situations Poisoning and antidotes 6. Other components: Formulas for various diagnostic stains *Diagnostic aids Table of common Lab values Posological tables *Index of the drugs included in the formulary Metric units Indexes (by generic name, brand name, therapeutic category) 7. The Format : *Pharmacist decides the format before commencing work on printing and publishing in the hospital * He/She has to collect formularies of some leading hospitals as well as their format. *Copies of finally published formulary may be sent to bodies like directorate general of health services, Govt of India, PCI etc. 8. Size: *It is sufficiently small in size so that it could be easily carried by clinicians, nurses etc, in the pockets of their uniform or lab coats. The hospitals may determine their own size of the formulary. 9. Type of format *Loose leaf or Bound Printed or Mimeographed Indexing and Assigning categories GUIDELINE FOR HOSPITAL FORMULARY: *1. The governing body of the hospital should appoint a pharmacy and therapeutic committee composed of physician and pharmacist which will prepare the hospital formulary system. *2. PTC shall sponsor and outline the purpose, organization function and scope of the hospital formulary system, it should adopt the principle as per the need of particular hospital. *3. PTC develop policies and procedures - medical staff adopt these - subject to administrative approval. *4. The policy and procedures shall afford guidance in the appraisal, selection, procurement, storage, distribution, use, safety procedures and other matter relating to drug in the hospital and shall be published in the hospital's formulary *5. Prescribers should be strongly encouraged to prescribe drugs by their nonproprietary names.
*6. Generic equivalents & therapeutic equivalents. a. Pharmacist is responsible for selecting from available generic equivalents. b. That the prescriber has the option, to specify the brand for that particular prescription. c. PTC is responsible for determining those drug products and entities. *7. Medical & nursing staffs are informed about the changes in the HF system. *8. Labeling of medicine with non-proprietary names, followed by decided formats. *9. To develop an effective formulary system, PTC has to consult various references on a drug regarding its pharmacokinetic profile, interactions, ADR, etc