30 Questions
What is the purpose of a formulary system in healthcare?
To provide a continually updated list of approved medicines for use in the health care system
What is the role of a formulary in healthcare?
To establish policies on the use of drug products and therapies
How are drugs selected for the formulary list?
Based on the most medically appropriate options
What are the key principles of formulary management?
Efficacy and Safety
What is the significance of the formulary list having a limited number of drugs?
To ensure only the most effective and safe products are included
Who is involved in the ongoing process of establishing policies on the use of drug products and therapies?
Physicians and Pharmacists
What determines the inclusion of drugs in the formulary list?
Explicit criteria that include proven quality and cost
What does the formulary system aim to provide to the health care system?
A continually updated list of medicines approved for use
What is the role of a formulary in drug selection?
To identify drug products and therapies that are the most medically appropriate and cost-effective
What is the primary focus when selecting drugs for the formulary list?
The health interests of a given patient population
What is the purpose of the second part of the formulary?
To list drug entries in a specific sequence
Where should the information on hospital policies and procedures for the use of drugs be found?
Title Page
What is the purpose of Appendix 2?
To provide an alphabetical list of hepatotoxic & nephrotoxic drugs
What is the main purpose of the first part of the formulary?
To contain the main text where major therapeutic categories are listed with drug information for each individual drug
What is the purpose of Appendix 4?
To contain a list of drugs that should be avoided in patients with 11G6PD deficiency
Where should the guidance on how to effectively prescribe drugs in special conditions and cases be found?
Introductory information (First part of the formulary)
What is the purpose of Appendix 6?
To offer guidance on therapeutic drug monitoring of drugs
What is the purpose of the Title Page in the formulary?
To provide information on hospital policies and procedures for the use of drugs
Where should the alphabetical list of clinically important drug interactions for the drugs be found?
Medical wards
What is the purpose of Appendix 1?
To provide therapeutic equivalents
What specific information is required for a request to add or remove a drug from the formulary?
Pharmacological actions and literature support
Which drug information resource provides compatibility information for IV medications and safety ratings for drugs in pregnancy and lactation?
Trissel’s Handbook of Injectable Drugs
What type of information does the Drug Information Handbook provide?
Drug monographs and cytochrome P450 enzymes
What does quality assurance of drugs involve?
Ensuring identity, purity, potency, uniformity, stability, bioavailability, and pharmacokinetics
What factors are considered in formulary recommendations?
Medication and non-medication related costs
What does off-label use of formulary drugs involve?
Using medications outside of specified populations, diseases, routes, or dosing schedules
Why might non-formulary drugs be necessary for some patients?
For patients stabilized on drugs from outside practitioners or requiring specialized treatments
What type of formulary system allows the introduction of non-formulary drugs on a limited basis for specific patient needs?
Open system
What resources are involved in the process of selecting a new drug for the formulary?
Efficacy, quality, safety, cost, and availability of resources
What do tertiary sources like Cochrane Library and Lexi-Comp Online offer information on?
Drug interactions, pharmacokinetics, and FDA-approved uses
Study Notes
Hospital Formulary Systems and Drug Information Resources
- Hospital formulary systems select "drugs of choice" through systematic evaluation.
- The formulary benefits hospitals by reducing costs, improving outcomes, and ensuring consistent drug supply.
- A request for addition or deletion of a drug to the formulary requires specific information from physicians or pharmacists, such as pharmacological actions and literature support.
- Drug information resources like Trissel’s Handbook of Injectable Drugs provide compatibility between IV medications and offer safety ratings for drugs in pregnancy and lactation.
- The Drug Information Handbook provides information on drug monographs, cytochrome P450 enzymes, and oral medications that should not be altered.
- Tertiary sources like Cochrane Library and Lexi-Comp Online offer information on drug interactions, pharmacokinetics, and FDA-approved uses.
- The process for selecting a new drug involves evaluating efficacy, quality, safety, cost, and availability of resources like health system personnel and lab facilities.
- Quality assurance of drugs involves ensuring identity, purity, potency, uniformity, stability, bioavailability, and pharmacokinetics.
- Formulary recommendations consider medication and non-medication related costs, including administration, monitoring, prolonged hospital stay, and operational costs.
- Off-label use of formulary drugs involves using medications outside of specified populations, for different diseases, routes of administration, or dosing schedules.
- Non-formulary drugs may be necessary for patients stabilized on drugs from outside practitioners or those requiring specialized treatments.
- Most formulary systems are designed as an "open" system, allowing the introduction of non-formulary drugs on a limited basis for patients with specific needs.
Test your knowledge of hospital formulary systems and drug information resources with this quiz. Explore the selection process, benefits, and considerations for adding or removing drugs from the formulary. Learn about drug information resources and the quality assurance of medications. Understand the concepts of formulary recommendations, off-label use, and non-formulary drugs in hospital settings.
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