Safety

July 1 marked new JCAHO requirements

Hospital Safety Connection, July 6, 2005

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July 1 is historically an important mid-year date for new Joint Commission on Accreditation of Healthcare Organizations' requirements to go into effect, and this year is no exception.

As of July 1, hospitals needed to

  • establish criteria for those people who complete their Statement of Conditions under environment of care (EC) standard EC.5.20
  • institute any interim measures that offset deficiencies identified by the hospital under the United States Pharmacopeia (USP) standard USP 797--for EC fans, this provision should prompt sites to check whether the pharmacy has a compounding area if renovations are necessary to the normal preparation room to comply with USP 797
  • apply updated procedures for environmental control, gowning, and equipment use for pharmacy compounding, also under USP 797

USP 797 discusses a variety of provisions that relate to the EC, mainly stemming from the physical environment in which sterile drug preparation occurs.



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