Implementation of safety standards of compounded sterile preparations in hospital pharmacies: a multinational cross-sectional study

ObjectivesTo evaluate implementation of safety standards of compounded sterile preparations in different hospitals.MethodsThis cross-sectional study included 124 hospitals from 19 countries. A survey was developed based on the guidelines and safety practices of the Institute for Safe Medication Prac...

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Bibliographic Details
Published in:European journal of hospital pharmacy. Science and practice 2016-11, Vol.23 (6), p.339-342
Main Authors: Al-Fadel, Nouf, Mahmoud, Mansour A, Dabliz, Rabih, Tabbara, Osama, Aljadhey, Hisham
Format: Article
Language:English
Subjects:
Automation
Drug stores
Electrolytes
Medical errors
Original
Patient safety
Pharmacists
Safety standards
Studies
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Summary:ObjectivesTo evaluate implementation of safety standards of compounded sterile preparations in different hospitals.MethodsThis cross-sectional study included 124 hospitals from 19 countries. A survey was developed based on the guidelines and safety practices of the Institute for Safe Medication Practices (ISMP) for sterile preparations compounding, and was sent to the members of the Intravenous and Parenteral Nutrition experts’ network (IV PN experts’ network) in the Gulf region and beyond using SurveyMonkey software.Results124 pharmacists were invited to participate in this study. Only 39 (31.5%) pharmacists from seven countries responded: 16 (41%) of the participants were pharmacy supervisors, and 23 (59%) had >10 years of work experience. However, a majority, 27 (69%), of the respondents were from Saudi Arabia. Written policies and procedures for sterile preparations compounding were available in 37 (95%) hospitals. The concentrated electrolytes were removed from all patient care areas in 28 (72%) hospitals, and 30 (77%) hospitals clearly labelled those as high-alert medications. The use of advanced technologies, such as bar code verification or IV robotics, for compounding sterile preparations were not implemented in 27 (69%) hospitals.ConclusionsMinimum standards and best practice recommendations to ensure safety of sterile preparation compounding were implemented in many hospitals of different countries. However, advanced technologies were not implemented by the majority of the hospitals.
ISSN:2047-9956
2047-9964
DOI:10.1136/ejhpharm-2015-000872