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Compliance by Hospitals and Healthcare Facilities with the Revised United States Pharmacopeia Chapter <797>
Author(s): McElhiney Linda F
Issue: Mar/Apr 2009 - Sterile Compounding
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Abstract: All hospitals and healthcare facilities, JCAHO-accredited and non accredited, must comply with the revised United States Pharmacopeia Chapter <797> standards. For those facilities that met the January 2008 JCAHO deadline, compliance with the revised standards should be relatively simple to accomplish. The revised chapter should be read and a new gap analysis performed to determine the facility’s compliance. Investments should be made in good training programs to make sure that everyone, compounding personnel and other hospital staff, is properly trained. The revised American Society of Health-System Pharmacists’ guidelines for sterile compounding that will be published and available by 2010 should be obtained and read. This document will be a compliment to United States Pharmacopeia Chapter <797>. Finally, the assessment tools and detailed information from United States Pharmacopeia Chapter <797> should be utilized to develop a good quality-assurance program for your hospital or healthcare facility.
Related Categories: STERILE PREPARATIONS, QUALITY CONTROL, UNITED STATES PHARMACOPEIA CONVENTIONS, HOSPITAL PHARMACY