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• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 7 of 7

  Performance review and improvement

  A good way to test your process is by incorporating ongoing tracers, along with retrospective record review, for each of your medication administration sites to identify issues or vulnerabilities related to the first review of medication orders.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 6 of 7

  Provide 24/7 accountability

  Even when a pharmacy is not open 24/7 a “qualified” individual must perform a review prior to dispensing and, even then, a pharmacist must be on-call so that expertise is available. A retrospective review of orders must then be completed as soon as a pharmacist is available. There is also the expectation that any discrepancies be resolved prior to dispensing the medications.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 5 of 7

  Evaluate care sites

  There are care delivery areas in which medications are not typically needed urgently or are not LIP-controlled environments where it doesn’t make sense to bypass the pharmacist review requirement in the first place.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 4 of 7

  Meeting the requirements continued

  Pharmacist Access to Patient Information

  In order to provide the best recommendations, pharmacists need ongoing access to patient information. Pharmacist review is only as encompassing as the availability of patient-specific information.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 3 of 7

  Meeting the requirements

  Your goal should be to develop processes that do incorporate pharmacy review of all medications prior to administration except in an emergency situation, physician controlled area, or where established, approved guidelines exist.

• Greeley Reflections

  Each week, a senior consultant from The Greeley Company's Center for Healthcare Accreditation will discuss a hot-button topic or challenging issue facing hospitals in the areas of accreditation, survey preparation, and more. To learn more visit The Center for Healthcare Accreditation.

  

  Laure Dudley
  Senior Consultant
  

  Medication Management and pharmacist first-dose review

  Part 2 of 7

  The Hospital Requirements

  In the standards for medication management, The Joint Commission requires that prior to dispensing, a pharmacist reviews all newly ordered medications except in areas controlled by a Licensed Independent Practitioner (LIP) (e.g. Emergency Department) or in an urgent situation in which a delay would adversely affect the patient. It also requires that medications be dispensed in accordance with professional standards of practice.

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