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Operating rooms (ORs) and procedural areas present unique diversion risks due to fast paced workflows and the large quantity of controlled medications used therein. Staff in these settings tend to focus on their own tasks, presenting opportunities for colleagues to divert undetected. Because of this, developing a diversion audit plan for OR and procedural areas can be a frustrating task. Particularly... Read more
The financial management process for drugs and related services, referred to as the hospital pharmacy revenue cycle, can be categorized into four key areas: procurement, clinical review and documentation, dispensing, and charging. Historically, pharmacy departments had limited involvement in the process beyond dispensing, with a primary focus on cost containment. However, as drug expenses increasingly... Read more
The hazardous drug (HD) compounding facility design process can be fraught with challenges. Many variables affect what type of design will best meet a facility’s unique needs, including but not limited to operations, workflow, and equipment. Another major consideration of any renovation is how to maintain compliance under active working conditions. As such, designing an HD compounding facility... Read more
The addition of automation is becoming increasingly popular within hospital pharmacy and cancer care facilities as a means of improving the accuracy and safety of hazardous chemotherapy drug preparation. This focus on technology includes an expansion in the use of compounding robots for intravenous (IV) chemotherapy preparation and dispensing. The American Society of Health System Pharmacists (ASHP)... Read more
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