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

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Chapter 6 summarizes the specific recommendations in order to facilitate a speedy reference onvarious major tasks for priority implementation.As with the 2000 report, it is recommended that clusters’ and hospitals’ DTC should use this newreport as a framework to review their local practices, to promulgate and disseminate therecommended practices extensively and effectively to all staff concerned, and to carry out auditprogrammes on staff adherence to the recommended practices.Lastly, members of the Working Group would like to express their gratitude to all the hospital staffand professionals who had provided invaluable feedbacks and constructive proposals. It is only withthe collaborative efforts of the multidisciplinary team that this <strong>Report</strong> can be successfully published.3
TABLE OF CONTENTSReferenceParagraphsForewordExecutive SummaryAbbreviationsChapter 1 The Working GroupMembership of the Working Group 1.1Terms of Reference 1.2-1.3Objectives 1.4Chapter 2 The Progress <strong>Report</strong>Progress <strong>Report</strong> of HA Hospitals based on the 10 Recommendations of the<strong>Report</strong> on Drug Administration Procedures & Practices (2000 <strong>Edition</strong>) 2.1Chapter 3 Areas for Improvement in the Existing DrugAdministration ProceduresFlow Chart of Existing In-patient Drug Administration ProcedureExisting In-patient Drug Administration ProcedurePrescription PracticesPharmacy Drug Supply SystemDelivery of DrugsStorage of DrugsAdministration of Drugs in the Wards<strong>Report</strong>ing of Medication Incidents & Adverse Drug ReactionsDisposal / Return of DrugsChapter 4 Recommended Practices and RequirementsPrescription Practices / Procedures 4.3-4.50Pharmacy Drug Supply System 4.51-4.79Delivery / Storage Of Drugs 4.80-4.92Drug Administration Procedures In The Wards 4.93-4.127Handling Requirements For Specific Drugs 4.128-4.135Information Technology In Patient Care 4.136-4.137Quality Assurance Programmes 4.138-4.140Chapter 5 Quality Assurance ProgrammesMedication Incident <strong>Report</strong>ing Programme 5.1-5.5Adverse Drug Reactions <strong>Report</strong>ing Programme 5.6-5.8Quality Complaint on Pharmaceutical Items 5.9-5.11Drug Recall 5.12-5.154
Page 2 and 3: ForewordMedication safety and provi
Page 6 and 7: Chapter 6Conclusions and Recommenda
Page 8 and 9: CHAPTER ONETHE WORKING GROUPMEMBERS
Page 10 and 11: CHAPTER TWOTHE PROGRESS REPORT2.1 P
Page 12 and 13: CHAPTER THREEAREAS FOR IMPROVEMENT
Page 14 and 15: Existing In-patient Drug Administra
Page 22 and 23: CHAPTER FOURRECOMMENDED PRACTICES A
Page 24 and 25: Drug Name4.11 There should be a hos
Page 26 and 27: Electronic prescribing (Medication
Page 28 and 29: 4.46 When the use of CM is permitte
Page 30 and 31: cytotoxic and central intravenous a
Page 32 and 33: 4.72 Special precautions should be
Page 34 and 35: 4.84 To prevent mixing up medicatio
Page 36 and 37: The Principle of Three checks and F
Page 38 and 39: 4.111 Three-way (red and blue) and
Page 40 and 41: or their discharge or death, should
Page 42 and 43: operational requirement but also it
Page 44 and 45: Quality Complaints on Pharmaceutica
Page 46 and 47: LEVELSHAHOCE / DTOOLS & MECHANISMDU
Page 48 and 49: Medication Incident Report<
Page 50 and 51: Continuing Education6.18 In order t
Page 52 and 53: APPENDICESAppendix 1Appendix 2Appen
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Hospital Authority Hospital No. : I
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Sensitivity:Prescription/ routewith
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Appendix 3aLists of HA-wide Approve
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DRUGTeniposideABBREVIATIONVM-26Thia
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Appendix 3b“Do Not Use Abbreviati
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Appendix 4Schedule for the Administ
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Appendix 5Mechanism for the Managem
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4. As with all medications, there s
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Appendix 6HA Guideline on Safe Mana
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2.1 Concentrated potassium chloride
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Appendix 7Supply of Antidotes and D
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複本 Antidotes and emeg drug lis
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Appendix 8Guidelines for Supply of
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substitution with other drugs in ac
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Appendix 9Samples of the Line Label
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Appendix 10Guidelines on the use of
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Appendix 11Guidelines on Patient Se
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Operational Guidelines7. The operat
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COC(N) Paper 12/2004Approved by COC
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7.4 Evaluation Record and report th
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DISPOSAL OF HOSPITAL PHARMACEUTICAL
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Appendix 14Guidelines on the Handli
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Appendix 15Medication Incident <str
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Hospital Authority Medication Incid
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QUALITY ASSURANCE IN DRUG THERAPYHO
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Fig. 1: ADR voluntary reporting sys
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PROCEUDRE FOR QUALITY COMPLAINTSONP
Page 108:
Part II Procurement Section, CPO1.
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