Preparation for USP <800> compliance is an ongoing effort in pharmacy; results from PP&P’s USP <800> survey (pppmag.com/article/2416) demonstrate a strong concentration on facility upgrades. As a result, compliance rates are strong in areas such as external ventilation of sterile HD CPECs, continuous pressure monitoring, and HD storage segregation. Unfortunately, many facilities report significantly lower success rates in their quality control efforts surrounding HD handling; wipe analysis efforts and spill simulations, for example, have yet to be adopted by a majority of pharmacies.
HD Spill Simulation Frequency
Given the inevitability of spills—be they from broken vials, device failure, or human error—spill simulations should be conducted regularly to ensure staff is prepared to respond safely and effectively. Unfortunately, spill simulations in the pharmacy are conducted by a small minority of facilities and that practice is even more rare in receiving and patient care areas.
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