2005 Edition Report on Drug Administration Procedure & Practices ...

CHAPTER SIXCONCLUSIONS AND RECOMMENDATIONSThis report attempts to address the very important issues of patient safety, system efficiency andquality improvement related to the in-patient drug administration process, which includes drugprescribing, dispensing and administration. The majority of activities related to the assessment ofthe in-patient drug administration process are driven by HAHO but promulgated and implementedin the individual hospitals. In order to achieve the objectives of this report, effective teamwork isessential particularly in the promulgation, dissemination and implementation of the proceduralguidelines and recommended practices to all HA hospitals.Team Approach to the Promulgation, Dissemination and Implementation ofProcedural Guidelines6.16.2It is recommended that a team approach involving the HAHO, individual hospitals’top management such as the CCE / HCE, COS and the professional front-line staff,should be used in the promulgation, dissemination and implementation of theprocedural guidelines in this report.Doctors, nurses and pharmacists have different but integrated roles to play in the wholeprocess of drug administration. They should work together as a team with an ultimateaim of providing quality patient care. Such team work is particularly important inHospital DTC, Department Quality Assurance Programme/Risk ManagementForums and Review Panels on medication incidents.The Mechanism of the Team Approach to the Promulgation, Dissemination andImplementation of Procedural Guidelines6.3 The following flow chart illustrates an example of the mechanism of the team approachand provides a structural accountability framework for the effective promulgation,dissemination and implementation of the procedural guidelines in hospitals.44