Objective: To constitute a Pharmacy Therapeutic Committee (PTC) and compile, design, develop and publish Owaisi Hospital and Research Centre (OHRC) Hospital Formulary for a tertiary care multi speciality hospital as a patient safety drug delivery system in promoting rational use of drugs. Methodology: PTC Committee was constituted and a descriptive form was designed for acquisition of data for drugs prescribed in respective departments and information pertaining to treatment modalities. The content of monographs to be incorporated was approved by PTC. The latest drug list was obtained from central pharmacy, respective departments/specialties and nursing stations. Subsequently, drugs were classified therapeutically along with USFDA pregnancy risk category; individual drug monographs were prepared, required ancillary information was added and lastly compared with WHO Essential Drugs List (EDL). Copies of the formulary were given to Medical Superintendent, Chief Medical Officer, and Chief Pharmacist and all the departments of Owaisi Group of Hospitals for implementation in the hospital as a tool to promote rational drug use. Results: PTC approved OHRC Hospital Formularyas a handy desk reference was compiled in 530 pages containing 306 generic drugs and FDCs. About 58 drugs were identified as Category A and B, 138 drugs as Category C, D, B/D, A/C and C/D and 7 drugs as Category X. Conclusion: Hospital formulary reflects the current clinical judgment of medical staff ensuring rational drug therapy, controlling drug costs, evidence based prescribing to reduce variation in the levels of treatment; additionally it helps in better inventory control by avoiding zero stock level and to limit the number of brands for each generic drug..

Surveillance is defined as providing security in critical situations or monitoring certain places where safety and security are important. Surveillance takes the lead in healthcare departments or sections. Surveillance is also helpful in diagnosing the errors that occur in the automated systems and happening of adverse events in patient care. The main objective of patient surveillance is to observe the changes that occur in any patient's health to provide appropriate medication through automation process. Initially, the comparison is made between surveillance and monitoring. Later the chapter discusses the wireless technologies and mobile applications used for patient surveillance. Using mobile healthcare systems surveillance data that includes not only patient's clinical information but also analyses clinical scenario periodically, the clinical information gathered is disseminated among various teams of specialists for decision making. The advancement in wireless devices not only monitors the patient's conditions but also provides required information or data. This is possible only when sensed data is communicated at an appropriate time to avoid unexpected events in critical care units. This wireless technology helps the nursing staff in improving the surveillance and guaranteeing patient's safety. This chapter explores mobile patient surveillance.