2005 Edition Report on Drug Administration Procedure & Practices ...
2005 Edition Report on Drug Administration Procedure & Practices ...
2005 Edition Report on Drug Administration Procedure & Practices ...
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No. Recommendati<strong>on</strong>s Current Status (December 2004)VI (c<strong>on</strong>tinued) distributi<strong>on</strong> and drug procurement was developed al<strong>on</strong>g the lineof the cluster development plan to improve the efficiency of thedrug distributi<strong>on</strong> systems.• The current IT system was c<strong>on</strong>tinuously updated to facilitate drugadministrati<strong>on</strong> processes in patient care: -‣ Individual patient dispensing for in-patients including CARS,n<strong>on</strong>-CARS and Aseptic Dispensing (TPN dispensing,Cytotoxic dispensing and CIVAS)‣ Ward stock processes including barcode topping up system‣ Discharge / Out-patient dispensing (GOPD, SOPD, Staff,A&E ) including PMS-OP, MOE system, EDS, RefillPrescripti<strong>on</strong>, Pre-pack Label and MOEMET‣ Computer-linked automated dispensing system, namely BakerCell Dispensing System (introduced in various hospitalpharmacies) and Robotic Prescripti<strong>on</strong> Dispensing System(introduced in LKSSC and YOOPD in Mar 2002)‣ With the introducti<strong>on</strong> of the CDDH in PMS & CMS in 1996and 1999 respectively, patient’s medicati<strong>on</strong> dispensing historycan be made readily available in PMS and CMS.VIIMedical, nursing and pharmacystaff should keep abreast of thefast changes in the field ofmedicine, drug therapy &related technology, to enablethem to be competent inproviding a professi<strong>on</strong>al service.VIII Hospitals should comply withthe Medicati<strong>on</strong> Incident<str<strong>on</strong>g>Report</str<strong>on</strong>g>ing Programme (MIRP)with the aim ofminimizing/preventing theoccurrence of medicati<strong>on</strong>incidents.• On-going educati<strong>on</strong> in the form of seminars, lectures andworkshops has been organized, and various drug informati<strong>on</strong>leaflets have been produced by HAHO and local hospitals.• <strong>Drug</strong> bulletins such as <strong>Drug</strong> Educati<strong>on</strong> Bulletin and New ProductBulletin are published <strong>on</strong> an <strong>on</strong>-going basis; and <strong>Drug</strong>Informati<strong>on</strong> Leaflets <strong>on</strong> Asthma, Cardiovascular Disease,Diabetes, Parkins<strong>on</strong>’s Disease and Renal Disease have beenpublished by the HAHO.• MIRP Bulletins are published <strong>on</strong> an <strong>on</strong>-going basis at half-yearlyinterval by the HAHO, and 19 bulletins have been published atpresent.• “Insulin Administrati<strong>on</strong> / Blood Glucose M<strong>on</strong>itoring Form” and“Intravenous Insulin Administrati<strong>on</strong> Form” were recommendedby the insulin working group c<strong>on</strong>vened by HAHO to the hospitalDTCs with the aim of minimizing medicati<strong>on</strong> incidents.• Electr<strong>on</strong>ic reporting of medicati<strong>on</strong> incidents through AIRS isbeing implemented in phases since 2002.IXXA standard reportingmechanism/format to beestablished to collectinformati<strong>on</strong> <strong>on</strong> Adverse <strong>Drug</strong>Reacti<strong>on</strong>s (ADR) fromhospitals.Individual hospitals to set upaudit programmes to m<strong>on</strong>itorstaff adherence to the variousguidelines.• The ADR <str<strong>on</strong>g>Report</str<strong>on</strong>g>ing Programme was established andimplemented in October 2001.• Hospitals are required to report the level of compliance to therecommendati<strong>on</strong>s of the <str<strong>on</strong>g>Report</str<strong>on</strong>g> <strong>on</strong> <strong>Drug</strong> Administrati<strong>on</strong><strong>Procedure</strong>s and <strong>Practices</strong> (2000) as stipulated in HA Annual PlanSecti<strong>on</strong> 3 Standard 29 (Medicati<strong>on</strong> Use) supported by DTCminutes and evidence of relevant audit programmes / documents.• Compliance of hospitals to the <str<strong>on</strong>g>Report</str<strong>on</strong>g> will be m<strong>on</strong>itoredperiodically in the Service Management Meeting (Pharmacy).10