Pharmacy & Therapeutic Committee

(PTC)
• Organization, Composition, and
Operation
• Objectives and Functions
• Role of Pharmacist in the PTC
 Pharmacy & Therapeutic Committee
(PTC)
is an advisory group that considers
essentially all the matters related to the use
of drugs in a hospital including evaluation of
drugs & dosage forms and safe use of
investigational drugs.
It is responsible for framing policies and
procedures for selection, procurement,
dispensing, labeling, availability,
administration, and control of drugs
throughout the hospital.
OBJECTIVE:

• The pharmacy and therapeutics have

three major roles to play. These are:
1. ADVISORY
2. EDUCATIONAL
3. SAFE AND RATIONAL USE OF DRUGS
1. ADVISORY

• The committee serves in an advisory

capacity to medical staff and hospital
administration in all matters pertaining to
the use of drugs, including the
investigational drugs.
2. EDUCATIONAL

• The committee recommends or assists in

the formulation of functions, designed to
meet the needs of professional staff like
the physicians, nurses, pharmacist and
other health care practitioners, for the
complete current knowledge of the matter
related to the drugs and their use.
 3. SAFE AND RATIONAL USE OF
DRUGS
• This function is assigned to or taken up by
the PTC and it should be continuous
scheme of exerting vigilence
Other responsibilities of the P&T
committee include:
• medication-use evaluation (MUE),
• adverse-drug-event monitoring and
reporting,
• medication-error prevention, and
• development of clinical care plans and
guidelines.
Composition of PTC:

• At least three physicians

• A pharmacist
• A representative of the nursing staff
• A hospital administrator or his/her
designated person and ex-officio member
of the committee
• The physician may be appointed as the
“ Chairman ” of P.T.C.
• The pharmacist is designated as the
“ Secretary ” of the committee.
OPERATIONS OF P. T. C.:

• 1. Minimum 6 meetings yearly and any

additional meetings whenever necessary.
• 2. Agenda and Supplementary material
should be prepared by secretary and
circulate to members in advance.
• 3. Every member must study agenda
thoroughly before coming to the meeting.
• 4. All members should be present for
meeting and should be actively involved
in the same.
 A typical agenda may consists of the
following categories in general:
• 1) Minutes of the previous meeting.
• 2) Review of the contents of the Hospital
Formulary for purpose of bringing it up to date,
and deleting of products not considered
necessary for use;
• 3) Information regarding new drugs which may
have become commercially available. 4) Review
of side effects, adverse drug reactions, toxic
effects, drug interactions of drugs reported by
various units of the hospital and brought to
notice of the committee by DIC.
• 6) Review of Drug Safety in the hospital. 7)
Reports of various sub-committees.
• 8) Report of medical audit.
• 9) Any other matter with the permission of
chair.
• 10) Vote of thanks. The minutes of all
meeting hold should be prepared by the
secretary and a permanent records of
these minutes should maintained in the
hospital.
FUNCTIONS OF P.T.C.:
• Setting up of Moral, Legal and Ethical guidelines
for the Hospital Policy.
• Advice Medical, Admin. and Pharmacy Dept. on
drug related issues.
• Developing Drug Policies and Procedures.
• Evaluating and providing drugs for formulary and
providing for its periodic revision.
• Managing ADRs.
• Managing medication errors.
FUNCTIONS OF P.T.C.:
• Promoting overall health benefit to the patients.
• Periodic education to medical and non-medical
staff about current situations and issues.
• Regulating the Drug inventory of the Hospital
Pharmacy.
• Specifically controlling Narcotic Medications.
• Control over OTC Medications.
• Deciding drugs list of EMERGENCY,
OPERATION THEATER and other Depts.
• Effective implementation of Drug Policy in
Hospital.
• Detect and Prevent Drug Interaction
One of the most important functions of PTC is to
prepare and update hospital formulary, which
provides information on various drugs to be used
in the hospital.
Role of PTC in Drug-Safety

• Drug safety includes responsibility from

dispensing of drugs to drug-administration
and then to observe possible adverse
effects.
• PTC can play a major role in ensuring the
drug-safety Following guidelines may
subserve the committee in asertaining the
adequate safety factor of the hospital
pharmacy.
safety factor of the hospital
pharmacy.
• 1) A registered pharmacist – chief pharmacist -diploma holders
• 2) Not permit non-pharmacist perssonel
• 3) A sufficient numbers of qualified perssonel
• 4) Adequate safe, work space, and storage facilities
• 5) Have equipment necessary
• 6) Automatic stop order-narcotics, hypnotics, anti coagulants
• 7) Firm policy-research drugs
• 8) Drug formulary
• 9) Out side its working hours
• 10) Poisonous materials- non poisionous materials
• 11) External use drugs-internal use drugs
• 12) Quality control measures, GMP during processing
• 13) Teaching programme
• 14) Periodical inspection
• 15) Adequate reference library
formulary

• A formulary is a continually updated list of

medications and related information,
representing the clinical judgment of
physicians, pharmacists, and other experts
in the diagnosis, prophylaxis, or treatment
of disease and promotion of health.
ROLE OF PHARMACIST IN THE PTC :

• Patient Counseling.
• Awareness for Recent advances in
Medicines.
• Detection of Prescription errors.
• Convey patient need to doctors.
• Organizing Health camps for patients in co-
ordination with doctor(s).
• Distribution of Information Pamphlets.
• Promoting Safe drug use.
• Demonstration of medical devices.
PTC is the backbone of the hospital
pharmacy and its services, and therefore,
it should properly organized
Reference:

• https://www.slideshare.net/apollojames/ph
armacy-and-therapeutic-committee-
81224362

• https://www.slideshare.net/faysalahmed35/
pharmacy-and-therapeutic-committeeptc
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