Sterile compounding and technology: New guidance

The now infamous RaDonda Vaught case, in which a nurse was criminally convicted of making fatal medication error, has demonstrated that health care professionals, including pharmacists, must continue to be diligent by engaging safe practices. One area safety is particularly relevant the pharmacy profession sterile compounding; from chemotherapy eyedrops, professionals play role preparing medications for patients all types settings. In May 2022, Institute Safe Medication Practices (ISMP) released new set guidelines on compounding: ISMP Guidelines Sterile Compounding and Use Technology. “Since technology plays such an important capturing errors, these focus specific recommendations improve use I.V. workflow management systems incorporate barcode scanning, image capturing, and/or gravimetrics, as well automated compounding devices robotics,” said President Rita Jew. 2013, its first practices response several errors ended up being fatal. These were revised 2016 but, 6 years since revision, advancements have boomed become increasingly complex. Because this, assembled stakeholders virtually September 2021 summit technology. Much work resulted current guidelines. 24-page guideline document highlights topics like workflow, devices, robotics with over 160 bullet points containing easily digestible information ways support practice. Safety gaps are identified throughout guidelines, along associated best can implemented close those gaps. addition, addresses general potential future consideration when revisited. There been some key changes this time relative last updated 2016. Many call steps ensuring used safest way possible, compared previous didn't always list out steps. example addressed related tubing very broadly, only noting should simply labeled traced each change source container. go into much more detail assign connecting products, having established policies procedures defining required setup, using code verification during up, additional person verifying documenting proper taken setting devices. This just one shows advances made recognizing resolving years. available anyone who creates free account accesses PDF through their website. From there, downloaded easier accessibility. intends alongside developed American Society Health-System Pharmacists, United States Pharmacopeia, Parenteral Enteral Nutrition. Looking toward future, anticipates will regular basis every two or three keep pace further Guideline themesSince so detailed comb through, themes highlighted below. ▪View Large Image Figure ViewerDownload Hi-res Download (PPT)One common theme benefits interfacing electronic records. section point how type preventing occur order transcription.▪View (PPT)There emphasis placed vendor's maintaining compounding. Vendors encouraged collaboration teams designing workflows maximize patient safety, they also urged ensure any updates installed timely manner.▪View (PPT)Understanding why ever. capture close-call events incorrect drug scans, thereby collecting documentation element continuous quality improvement error analysis.▪View (PPT)Some pieces timeless. Barcoding technology-based measures compounding, newly double down effective it while declaring necessary practice institutions engage. Gravimetrics reaffirmed process accurate preparation. Since ▪One