Pharmaceutical care concepts - clinical pharmacy ShaistaSumayya
The pharmaceutical care is defined as “the direct, responsible provision of medication-related care for the purpose of achieving definite outcomes that improve a patient’s quality of life.”
Pharmaceutical care involves the process through which a pharmacist cooperates with a patient and other professional in designing , implementation, and monitoring a therapeutic plan that will produce specific therapeutic outcomes for the patient
REVIEWING THE CLINICIANS PRESCRIPTION AND TREATMENT PROGRESSION IS THE FUNDAMENTAL RESPONSIBILITY OF PHARMACIST. THIS PRESENTATION WILL DEAL WITH VARIOUS ASPECTS OF REVIEWING PATIENT DRUGTHERAPY PLAN
Pharmaceutical care concepts - clinical pharmacy ShaistaSumayya
The pharmaceutical care is defined as “the direct, responsible provision of medication-related care for the purpose of achieving definite outcomes that improve a patient’s quality of life.”
Pharmaceutical care involves the process through which a pharmacist cooperates with a patient and other professional in designing , implementation, and monitoring a therapeutic plan that will produce specific therapeutic outcomes for the patient
REVIEWING THE CLINICIANS PRESCRIPTION AND TREATMENT PROGRESSION IS THE FUNDAMENTAL RESPONSIBILITY OF PHARMACIST. THIS PRESENTATION WILL DEAL WITH VARIOUS ASPECTS OF REVIEWING PATIENT DRUGTHERAPY PLAN
In the changing scenario of pharmacy practice in India, for successful practice of
Hospital Pharmacy, the students are required to learn various skills like drug distribution,
drug dispensing, manufacturing of parenteral preparations, drug information, patient
counselling, and therapeutic drug monitoring for improved patient care.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health.
Usually at least one ward round is conducted
everyday to review the progress of each
patient outcome.
Pharmacist’s participating in medical ward
rounds promotes health care
Participation of the Pharmacists in ward
rounds in various practice settings helps to
provide rational drug use.
Formulary is an official or authorised publication of an approved list of medicines for use in a hospital, a group of hospitals a society a state or a region a country or a number of countries.
Hospital Formulary is a continually revised compilation of pharmaceuticals dosage agents and their forms that reflects the current clinical view of the medical staff.
In the changing scenario of pharmacy practice in India, for successful practice of
Hospital Pharmacy, the students are required to learn various skills like drug distribution,
drug dispensing, manufacturing of parenteral preparations, drug information, patient
counselling, and therapeutic drug monitoring for improved patient care.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health.
Usually at least one ward round is conducted
everyday to review the progress of each
patient outcome.
Pharmacist’s participating in medical ward
rounds promotes health care
Participation of the Pharmacists in ward
rounds in various practice settings helps to
provide rational drug use.
Formulary is an official or authorised publication of an approved list of medicines for use in a hospital, a group of hospitals a society a state or a region a country or a number of countries.
Hospital Formulary is a continually revised compilation of pharmaceuticals dosage agents and their forms that reflects the current clinical view of the medical staff.
The hospital formulary is a continuously revised compilation of pharmaceutical dosage agent and their forms etc. which reflects the current clinical judgment of the medical staff.
2. Hospital Formulary.pdf unit 2 sem 7 b.pharmacyVedika Narvekar
Hospital formulary
Definition, contents of hospital formulary, Differentiation of hospital formulary and
Drug list, preparation and revision, and addition and deletion of drug from hospital
formulary
The formulary system is a method by which physicians and pharmacists, working through a Pharmacy and Therapeutics Committee of the medical staff, evaluate and select medications for use in a hospital.
the hospital formulary system provides the information for procuring,prescribing,dispencing and administrative of drug under non proprietary names and instance where drugs have both names.
Definition, contents of hospital formulary, Differentiation of hospital formulary and Drug list, preparation and revision, and addition and deletion of a drug from hospital formulary.
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
The global radiation oncology market size reached US$ 8.1 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 14.5 Billion by 2032, exhibiting a growth rate (CAGR) of 6.5% during 2024-2032.
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Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
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The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
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1. DEVELOPMENTOFHOSPITALFORMULARYFOR300
BEDDEDTEACHINGHOSPITAL
SUBMITTED BY UNDER THE GUIDANCE OF
A.SANDHYA RANI Dr. G.RAMESHPHARM.D
15AB1T0001 DEPARTMENT OF
IV PHARM. D PHARMACY PRACTICE
VIGNAN PHARMACY COLLEGE
(Approved by AICTE & PCI Affiliated to JNTU KAKINADA)
VADLAMUDI, GUNTUR DIST, ANDHRA PRADESH, INDIA, PIN: 522 213
2. contents
Definition
Guidelines
Objectives
Types of hospital formulary
Members involved in preparation of hospital formulary
Criteria in medicine selection
Steps involved in preparation of hospital formulary
Managing a formulary list
Role of pharmacist in hospital formulary
3. Definition:-
•The hospital formulary is a list of
pharmaceutical agents with its important
informations which reflects the current
clinical views of the medical staff.
5. ORIGIN OF HOSPITAL FORMULARY:
The first hospital formulary in india was published
in 1968 the department of pharmacy, CMC, Vellore.
The first hospital formulary for the development of
government hospital teachings was published in 1997
at government medical college , trivendrem,kerala.
6. GUIDLINE FOR HOSPITAL FORMULARY:
The medical staff in the governing body shall sponsored outline the purpose,
organization function and scope of the hospital formulary system. It should adopt the
principle as per the need of particular hospital.
The pharmacy and therapeutic committee shall develop policy and procedure
governing the hospital formulary and the medical staff shall adopt these policies and
procedures subject to administrative approval.
The policy and procedure shall afford guidance in the appraisal, selection
,procurment, storage,distribution, use, safety procedures and other matter relating to drug
in the hospital and shall be published in the hospital’s formulary .
To ensure the maintenance of the responsibility and procreative of the physician in the
exercise of his professional judgment.
The medical staff shall adopt the policy formula, and procedure for including drugs in
the formulary by the non proprietary name even though proprietary names continue to
being use in the hospital physicians .
7. Prescribers should be strongly encouraged to
prescribe drugs by their non-proprietary names :-
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.
d) Medical and nursing staffs are informed about the changes in the
HF system.
e) Labelling of medicine with non-proprietary names, followed by
decided formats.
8. Objective:
To set standards for best practice, promoting high quality,
evidence based prescribing.
To ensure rational drug therapy and control drug cost
To presice use by the physician and nursing staff.
To continually revise compilation of pharamaceuticals and
some important ancillary information that reflects the
current clinical judgement of medical staff.
9. Advantages:-
Most effective methods for ensuring rational drug therapy and controlling
drug coast.They can offer simple and cost-effective solutions for many medicines.
Formulary is a continually revised compilation of pharmaceuticals and some
important ancillary information that reflects the current clinical judgement of
medical staff.
Set standards for best practice, promoting high quality,evidence based
prescribing.
Reduces the variation in the level of treatment provided to the patients and
controlling drug cost.
Hospital formulary is the vehicle by which the medical, pharmacy and
nursing staffs make use of the system.
It is complete, concise, updated and easy to use.
It is complete, concise, updated and easy to use.
10. DISADVANTAGES:
Doesn’t promote good health /narrow view of health
Doesn’t encourage people to live healthy lives as they are
treated to fix problems as they arise.
The focus is on the condition and not the determinants that caused
it.
Not every condition can be treated
Cancer is an example – advances have been made, but treatment
not always successful
Affordability – not always affordable
Not all countries can afford the medical technologies and
resources that are part of the biomedical model of health –an important
factor contributing to differences experienced in health status.
11. TYPES OF HOSPITAL FORMULARY:
There are three basic types of formularies
1. Open formulary
2. Closed or restricted formulary
3. Incentive based formulary
OPEN FORMULARY:
An open formulary serves merely as a guide; a physician may
prescribe any drug, but is encouraged to use the formulary list in
prescribing decisions.
12. CLOSED OR RESTRICTED FORMULARY:
In contrast, a closed or restricted formulary lists the drugs
that will be reimbursed by the health care provider; non-
formulary drugs will be reimbursed only if they are authorised
prior to prescribing.
INCENTIVE BASED FORMULARY:
formularies; patients pay a higher price for non formulary
drugs An incentive-based formulary represents a hybrid
between the open and closed
13. MEMBERS INVOLVED IN THE PREPARATION OF HOSPITAL
FORMULARY:
In most hospitals, the membership includes:
A representative clinician from each major specialty,including surgery,
obstetrics and gynaecology, internal medicine, paediatrics, infectious diseases, and
general practice (to represent the community).
A clinical pharmacologist, if available.
A nurse, usually the senior infection control nurse, or sometimes the matron.
A pharmacist (usually the chief or deputy chief pharmacist),or a pharmacy
technician where there is no pharmacist.
An administrator, representing the hospital administration and finance
department.
A clinical microbiologist or a laboratory technician where there is no
microbiologist.
A member of the hospital records department.
14. CRITERIA IN MEDICINE SELECTION :
Selection of drugs depends on many factors such as the Pattern of
prevalent diseases.
• Treatment facilities.
• Training and experience of available persons.
• Financial resources.
• Genetic.
• Demographic and environmental factors
15. WHO (1999) has developed the following selection criteria:
Only those medicines should be selected for which sound and adequate
data on efficacy and safety are available from clinical studies, and for which
evidence of performance in general use in a variety of medical settings has
been obtained.
Each selected medicine must be available in a form in which adequate
quality, including bioavailability, can be assured; its stability under the
anticipated conditions of storage and use must be established.
When two or more medicines appear to be similar in the above
respects, the choice between them should be made on the basis of a careful
evaluation of their relative efficacy, safety, quality, price and availability.
In cost comparison between medicines, the cost of the total treatment,
and not only the unit cost of the medicine must be considered. Where drugs
are not entirely similar, selection should be made on the basis of a cost
effectiveness analysis.
17. Contents of the monograph:
The drug monograph consists of following subheadings such as
• Non – proprietary name of drug
• Synonyms
• Available brands
• Cost
• Reconstitution
• Administration
20. • Formulary may become a collection of older, less effective drugs.
• The entire formulary should be reviewed every 2–3 years.
• This can be done by evaluating all the formulary medicines
within each therapeutic class in a systematic way on a regular basis
and comparing them to other new non-formulary medicines within
that class
• Requests for the addition of new medicines and deletion of old
medicines.
• Systematic review of a therapeutic class of medicines.
• Review of programmes to identify and resolve medicine use
problems.
• All decisions of the DTC should be documented (minuted).
21. Examples of formulary:
• 1. WHO Formulary, British National Formulary, Indian
National Formulary are some of the formularies used as
standard references in many hospitals.
• 2. Many hospitals in India have developed their own
Hospital Formularies like Kasturba Hospital at Manipal,
Christian Medical College Hospital at Vellore and KLE
Hospital at Belgaum etc.
22. Role of pharmacist in the hospital pharmacy:
Pharmacist in the DTC has a key role in developing
policies and procedures governing the hospital formulary.
The chief pharmacist has the primary responsibility for
the preparation of hospital formulary.
Pharmacist with the advice and guidance of DTC shall as
certain the quantity and source of supply of all drugs,
chemicals, biological and pharmaceutical preparations used
for the diagnosis, and treatment of patients.