Clinical Risk Area – Hospital Pharmacy

Description

Implementation of the Ministerial Recommendations

PA 16 Correct use of concentrated potassium chloride-KCL- and other concentrated solutions containing potassium – Ministerial Recommendation No. 1
PA 23 Ministerial recommendation no. 7 – prevention of death, coma or serious harm resulting from errors in drug therapy Recommendation no. 12 – prevention of errors in therapy with “look-alike/sound-alike” drugs Recommendation no. 18- prevention of errors in therapy resulting from the use of abbreviations, acronyms, acronyms and symbols

Attachment 1 “LASA Drugs and Patient Safety” Project – LASA Drug List (31/12/2015) – LASA ATNO Drug List Supplement from Local Health Authority 12 (29/12/2017)
Attachment 2 Department pharmaceutical cabinet management check
Attachment 3 Prescription of antibiotics in combination for intravenous use in the paediatric population
Attachment 14 Report of expired drugs without secondary packaging (.xls version) (.pdf version)

Information on the reconstitution, dilution, administration, use and storage of medicinal products

Attachment 4 Information on reconstitution, use and storage of intravenous antibiotics (PAEDIATRIC and CONGENITAL ADULT sectors)
Attachment 5 Information on how to reconstitute and administer certain intravenous medicinal products
Attachment 10 Information on reconstitutions, use and storage of intravenous antibiotics (ADULT sector)
Attachment 11 Information on the methods of reconstitution and dilution of galenic preparations and medicinal products (PAEDIATRIC sector)

Attachment 6 Validity table for multidose liquid pharmaceutical forms/syrups
Attachment 7 Validity table for multidose liquid pharmaceutical forms/eye drops, eye ointments and ear drops
Attachment 8 Validity table for multidose liquid pharmaceutical forms/oral drops
Attachment 9 Validity of disinfectants after first opening

PA 59 Hospital/territory continuity – shared pathway for the discharge of paediatric and adult patients with congenital heart disease to guarantee continuity of care – Ministerial Recommendation No. 17 “Reconciliation of drug therapy” Dec 2014

Attachment 1 Prescription of magistral galenic treatments at discharge
Attachment 2 Patient information sheet on the therapeutic care pathway for patients discharged with galenic therapy from the Massa Heart Hospital – Tuscany Region Territory – Extra-Regional Territory
Attachment 3 Anti-platelet therapy in patients undergoing an interventional procedure
Attachment 4 Network of collaboration with the Hospital Pharmaceuticals Units of the various Tuscan and Italian Regional Local Health Authorities

PA 61 Recognition and reconciliation of drug therapy to ensure continuity of care and patient safety – Ministerial Recommendation No. 17/2014;

Attachment 1 Definition of Intentional and Unintentional Discrepancies
Attachment 2 Flow-chart on the computerised system for the Recognition and Reconciliation of drug therapy
Attachment 3 Recognition/Reconciliation Survey Form at Discharge
Attachment 4 Information note for the patient upon delivery of the drugs at discharge

PA 75 Ministerial Recommendation n.19 – Recommendation for the handling of solid oral dosage forms

Attachment 1 Table of dilutions from galenic preparations and medicinal specialities – Paediatric sector

Attachment 1 Monthly refrigerator temperature measurement sheet
Attachment 2 Monthly freezer temperature measurement sheet
Attachment 3 Monthly refrigerator temperature measurement sheet – Critical areas

PA 74 Acknowledgement of Regional Resolution No.127 of 12/02/2018: Guidelines for regional healthcare agencies for the administration of prescription medicines in a setting similar to a hospital setting as per GRT Resolution No.132 of 21/02/2017

Attachment 1 Regional resolution no. 132 of 21/02/2017
Attachment 2 Declaration of consent to special therapeutic treatments: prescription drugs
Attachment 3 Individual treatment plan for prescription drugs
Attachment 4 Regional resolution no. 127 of 16/02/2018 + Annex A

Documentation supporting clinical risk management

Risk Management – Hospital Resolution no. 110 of 14/02/2012
Compatibility of BD syringes with ESTAV syringe pumps with different pump types
Statements and technical data sheets of LATEX-FREE drugs and medical devices
Disinfectant safety data sheets
PA 76 COVID19 Warehouse Management – Personal Protective Equipment (PPE) and Medical Devices (MD)

Attachment 1 IPR Inventory Register COVID Depot
Attachment 2 COVID Warehouse-Depot Cleaning Record Sheet
Attachment 3 Comparison of FFP2,KN95 and N95 and other Filtering Facepiece Respirator Classes. Rev 2 of January 2020