When designing a new cleanroom—be it for USP compliance or to improve compounding efficiency—one of the first decisions is whether to install a modular design or the more traditional stick-built compounding facility. Because cleanroom construction has historically been stick-built, this continues to be the most common choice for new cleanroom installations, accounting for 85% of total... Read more
A key tenet of highly reliable organizations is the recognition that errors and near misses typically result from system and process breakdowns, rather than individuals. Medication management processes are among the highest risk components of care delivery in the inpatient setting. In fact, the US Department of Health and Human Services estimates that approximately 13.5% of hospitalized Medicare... Read more
Sterile compounding is one of the most dangerous tasks performed in a hospital pharmacy. To best manage this risk, the Institute for Safe Medication Practices (ISMP) provides recommendations for strong processes that are bolstered by technology, which emphasize that a pharmacist’s check of the technician’s work via the syringe pull-back method is inadequate for ensuring patient safety.1... Read more
The introduction of biosimilars to the market creates an opportunity to reduce the cost of expensive biologic agents (see the SIDEBAR). At Mayo Clinic, an integrated health system comprising three destination medical centers in Rochester, Minnesota, Jacksonville, Florida, and Phoenix, Arizona, and a regional health system within the Midwest, we recognize that pharmacy sits in a unique position... Read more
Pharmacy Purchasing & Products recently held a webinar entitled: Identifying Sources of Contamination in the Cleanroom presented by Jim Wagner The following questions were submitted by attendees. The webinar slides and full presentation can be downloaded at pppmag.com/webinars.
Q: What role does poor aseptic technique play in introducing contamination to engineering controls?
A: The most... Read more