A multidisciplinary process to determine, communicate, and manage an antibiotic formulary.
This article describes a collaborate process developed by the Pharmacy & Therapeutics Committee to define, determine, communicate, and manage an effective antibiotic formulary. Multiple professional disciplines represented by the antibiotic subcommittee evaluated each classification of antibiotics and recommended a preferred drug(s) for each classification. Decisions were based on relative safety, efficacy, and cost with minimal duplication of therapeutic equivalent antibiotics. A therapeutic interchange policy was unnecessary because extensive communication measures developed by the committee proved effective. The strategy used strengthened pharmacist/physician working relationships. This process permitted rationality and understanding by the medical staff, which resulted in unanimous formulary acceptance.
Cook
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Valley Baptist Medical Center, Harlingen, TX.
Sanchez
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D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use*; D003142:Communication; D003659:Decision Making, Organizational; D004363:Drug Utilization; D005568:Forms and Records Control; D005572:Formularies, Hospital as Topic; D006745:Hospital Bed Capacity, 300 to 499; D006801:Humans; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D010606:Pharmacy and Therapeutics Committee; D013781:Texas; D013810:Therapeutic Equivalency