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

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Chapter 6Conclusions and RecommendationsTeam Approach to the Promulgation, Dissemination and Implementationof Procedural Guidelines6.1-6.7Recommended Development ProgrammesStandardization on Medication Administration Processes 6.8Information Technology in Patient Care 6.9-6.11Medication Incident <strong>Report</strong>ing Programme 6.12Adverse Drug Reactions <strong>Report</strong>ing Programme 6.13Implementation of MAR, CARS, & Barcode Topping Up Systems 6.1424 hours or Extended Pharmacy Service 6.15Aseptic Dispensing Services 6.16Clinical Pharmacy Service 6.17Continuing Education 6.18-6.19Audit Programme 6.20-6.21List of ReferenceAppendicesAppendix 1Appendix 2Appendix 3aAppendix 3bAppendix 4Appendix 5Appendix 6Appendix 7Appendix 8Appendix 9Appendix 10Appendix 11Appendix 12Appendix 13Appendix 14Appendix 15Appendix 16Appendix 17IV Fluid and Drug Additives Administration FormInsulin Administration MAR FormsLists of HA-wide Approved / Standard Abbreviations in Prescribing“Do Not Use Abbreviations”Schedule for the Administration of “tds” DrugsMechanism for the Management of Drug Samples in the HAHA Guideline on Safe Management of Potassium Chloride IV SolutionsSupply of Antidotes and Detoxifying Agents in HA HospitalsGuideline for Supply of Medication for Patients during Inter-Hospital TransferSamples of the Line LabelsGuidelines on the use of Three-way / Four-way StopcocksGuidelines on Patient Self Medication for General PatientsGuidelines on Patient Self Medication for Psychiatric In-patientGuidelines on the Disposal of Pharmaceutical Chemical WasteGuidelines on the Handling of Dangerous Drugs in HA HospitalsMedication Incident <strong>Report</strong>ing ProgrammeAdverse Drug Reaction <strong>Report</strong>ing ProgrammeProcedure for Quality Complaints on Pharmaceutical ItemsUpdated in Oct 08 5
AbbreviationsThe abbreviations used in this book are listed in the table below for your easy reference.ADR Adverse Drug Reactions HCE Hospital Chief ExecutiveA&E Accident and Emergency ICP Intra-cranial PressureAIRSAdvanced Incidents <strong>Report</strong>ingSystemITInformation TechnologyCARSComputerized Automatic RefillSystemIVIntravenousCCE Cluster Chief Executive KCl Potassium ChlorideCDDH Corporate Drug Dispensing History LKSSC Li Ka Shing Specialist ClinicCE Chief Executive MAR Medication Administration RecordCIVASCentralized Intravenous AdmixtureServiceMIMedication IncidentCM Chinese Medicine MIRP Medication Incident <strong>Report</strong>ingProgrammeCMS Clinical Management System MOE Medication Order EntryCOS Chief of Service MOEMET Medication Order Entry MajorEnhancement TaskCPO Chief Pharmacist’s Office NCR No Carbon Required Multi-partCarbonless PaperCSC Clinical Service Coordinator PMH Princess Margaret HospitalCVP Central Venous Pressure PMS Pharmacy Management SystemD Director PMS-OP Pharmacy Management System –Out-patientDM Department Manager PYNEH Pamela Youde Nethersole EasternHospitalDTC Drug and Therapeutics Committee QMH Queen Mary HospitalDURC Drug Utilization Review Committee SOPD Specialist Out-patient DepartmentEDS Express Dispensing System TKOH Tseung Kwan OGM(N) General Manager (Nursing) TMH Tuen Mun HospitalGOPD General Out-patient Department TPN Total Parenteral NutritionHA Hospital Authority YOOPD Yan Oi Out-patient DepartmentHAHOHospital Authority Head Office6
Page 2 and 3: ForewordMedication safety and provi
Page 4 and 5: Chapter 6 summarizes the specific r
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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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
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Part II Procurement Section, CPO1.
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