Environmental monitoring continues to challenge pharmacy on some levels: one quarter of facilities are still operating without a plan, fewer are collaborating with their laboratory departments, and as more facilities conduct regular challenge tests of their media, they are discovering increasing rates of false negatives. These challenges are reflected in the growing trend of engaging outsourced service providers to conduct environmental monitoring: 38% of hospitals are currently taking this route, up from the 20% who outsourced this activity in 2008.
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