Therapeutic committe and its functions

A Pharmacy and Therapeutics (P&T) Committee is a critical component in healthcare settings, particularly in hospitals and large clinics. It is responsible for overseeing the safe and effective use of medications within the institution. Here's an overview of its construction and functions:

Hospital and clinical Pharmacy,


Construction of the P&T Committee

  1. Composition:

    • Pharmacists: Typically includes clinical pharmacists who provide expertise on medication management and therapeutic protocols.
    • Physicians: Represents various specialties to ensure a broad perspective on medication use.
    • Nurses: Provide insights on the practical aspects of medication administration and patient care.
    • Other Healthcare Professionals: Depending on the institution, this may include members like dietitians, therapists, or quality improvement specialists.
    • Administrative Personnel: Includes individuals who manage hospital policy and procedure implementation.
  2. Leadership:

    • Chairperson: Often a senior physician or a chief pharmacist who leads the committee and coordinates meetings.
    • Secretary: Usually responsible for documentation, agenda setting, and record-keeping.

Functions of the P&T Committee

  1. Formulary Management:

    • Develops and maintains the institution's formulary, which is a list of approved medications available for use.
    • Review new medications and evaluate their efficacy, safety, and cost-effectiveness before adding them to the formulary.
  2. Policy Development:

    • Establishes and updates medication use policies and procedures.
    • Ensures policies comply with regulatory standards and best practices.
  3. Drug Utilization Review:

    • Monitors and reviews the use of medications to ensure they are used appropriately and effectively.
    • Identifies and addresses issues related to drug interactions, adverse effects, and therapeutic efficacy.
  4. Education and Training:

    • Provides education and training for healthcare professionals on new medications, policies, and best practices.
    • Keeps staff informed about changes in drug therapy and guidelines.
  5. Quality Improvement:

    • Analyzes data on medication-related outcomes to improve patient safety and care quality.
    • Implements strategies to address identified issues or gaps in medication use.
  6. Adverse Drug Reaction (ADR) Monitoring:

    • Reviews and monitors reports of adverse drug reactions and medication errors.
    • Develops strategies to minimize ADRs and improve patient outcomes.
  7. Cost Management:

    • Evaluate the cost-effectiveness of medications and make recommendations to manage pharmacy costs while maintaining quality care.
    • Engages in cost-benefit analyses and formulary decision-making to balance economic and clinical considerations.

The P&T Committee plays a vital role in ensuring that medication use is safe, effective, and aligned with best practices and institutional goals.

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