Drug committe
- 1. Malla Reddy college of Pharmacy
- 2. Goal of DTC • To ensure that patients are provided with the best possible cost-effective and quality of care through determining what medicines will be available, at what cost, and how they will be used. Objectives : • To ensure the best possible drug safety through monitoring, evaluating and thereby preventing, as far as possible, adverse drug reactions (ADRs) and medication errors • To ensure that only efficacious, safe, cost-effective and good quality medicines are used. • To develop and implement an efficient and cost-effective formulary system which includes consistent standard treatment protocols, a formulary list and formulary manual
- 3. Role of DTC in Drug Management Cycle • The drug management cycle illustrates the necessity for coordination of managerial and technical support with appropriate drug policies and guidelines, in order for any drug system to run smoothly . • The figure highlights the coordination between the DTC and the drug purchasing and inventory control body
- 4. Role of DTC in Drug Management Cycle • The DTC would not normally do the procurement itself. • Its role would normally be to ensure that the formulary system and other drug policies developed by the DTC are implemented by the procurement department. Section use Procurement Distribution
- 5. Structure and organization of a drug and therapeutics committee • Administrative support can provide the executive authority needed,to gain the cooperation of senior medical staff. • The administration can also provided the funds needed to undertake many of the DTC’s activities.
- 6. Steps in setting up & managing of DTC committee • 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.
- 7. STEP2: Determine the objectives and functions of the committee • The first thing a DTC should do is to agree its terms of reference, which specify the DTC’s place in the organizational structure of the hospital, its goals, objectives, scope of authority, functions and responsibilities. Once basic functions, such as a formulary system, are implemented, the DTC can move on to other activities
- 8. STEP3: Determining how the committee will operate • Regular meetings of the DTC, at least quarterly and preferably monthly. • Regular attendance. • The agenda, supplementary materials and minutes of the previous meeting should be prepared by the secretary. • These documents should be kept as permanent records of the hospital and should be circulated to chairpersons/directors of all clinical departments. • All DTC operating guidelines, policies and decisions should be documented
- 9. • Liaison of the DTC with other hospital committees and regional or national committees is important, for two reasons: To harmonize related activities (for example, surveillance of(AMR) and antimicrobial use) To share information concerning common activities (for example, monitoring of adverse drug reactions and educational strategies such as continuing medical education).
- 10. STEP4: Seeking a mandate • The mandate of a DTC should specify: Its roles and functions Its place in the organizational structure Its membership Its scope and lines of authority.
- 11. STEP 5: Identifying budgetary sources STEP 6: Forming subcommittees to address specific issue STEP 7: Assessment of the DTC’s performance
- 12. Managing the formulary process • The formulary list (essential medicines list) • Criteria in medicine selection • Developing and implementing a formulary list • Managing a formulary list (EML): adding and deleting drugs. • Maintaining a formulary. • Assessing new medicines • Ensuring medicine safety and quality
- 13. Getting started • The way to get started will depend on the varying circumstances and context in different countries, health-care systems and hospitals. • Many countries do not have DTCs in their hospitals or facilities. • Three areas are covered: How to start a DTC where none exists How to improve the functioning of an existing DTC How to use this manual in solving problems
- 14. Stepwise approach to starting a DTC where none exists STEP 1: Do your groundwork STEP 2: Gain a friend in authority STEP 3: Meet all the senior staff and stakeholders STEP 4: Measure your medicine use problem STEP 5: Present your findings and plan next steps with your stakeholders STEP 6: Undertake a detailed drug use investigation STEP 7 :Present your detailed findings and plan an intervention STEP 8: Implement and evaluate an intervention to correct the problem STEP 9 :Present the results of your intervention to senior prescribers STEP: 10 Plan the start of a DTC