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Nicole Mittmann
Sandra Knowles


Pharmacy and Therapeutic committees, Canada, survey, formulary decision making



Pharmacy and Therapeutics (P&T) committees have traditionally evaluated and developed policies for the clinical use of medications and for ensuring safe and effective drug use and administration.


The objective of this study was to determine the current activities of hospital P&T committees across Canada.


Surveys were mailed to 856 (693 English, 163 French translations) Canadian hospitals (acute, chronic or rehabilitation)  across  Canada.  Questions  consisted  of  information  on  P&T  membe rship,  scope  and responsibilities. Completed surveys were returned by fax.  All data was entered into Excel and analyzed for descriptive statistics.


123  surveys  were  returned,  representing  207  hospitals,  for  an  effective  response  rate  of  24%.  Four hospitals  returned  incomplete  surveys.  Surveys  were  returned  from  all  areas  of  Canada,  except  the territories. On average, P&T committees met six times per year. The average size of the committees was 11  members,  with  physicians  comprising  half  the  membership.  Pharmacists  and  nurses  had  equal representation;  other members were community representatives,  dieticians,  quality assurance personnel and/or  administrators.   The  top  responsibilities   of  the  P&T  committee   were  inpatient   formulary management  (93% of respondents),  drug-use  policy making (92%), adverse drug reaction  monitoring (83%), patient safety (80%) and drug-use monitoring (80%). Subcommittees  were utilized by 46% of P&T committees including antimicrobial (38%), medication safety (25%) and nutrition (14%). Economic evaluations were most frequently completed by a pharmacist who had some previous pharmacoeconomic experience.


This survey reports on the current status and responsibilities, namely formulary management and policy making, of P&T committees in Canada.

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