Category: Federal Forum Posters
Purpose: Health care workers, patients, the public, and the environment are all at risk of exposure and subsequent adverse health effects when hazardous drugs (HDs) are not handled appropriately. The purpose of this project is to assess and revise current health system-wide practices regarding the handling of HDs in order to attain 100% compliance with USP Chapter <800> standards at the Indianapolis VA Medical Center before the December 1, 2019 official deadline.
Methods: This project is being completed as a LEAN process improvement initiative. A gap analysis was utilized to identify areas in current practice which are non-compliant with USP <800> quality standards and establish our baseline compliance, expressed as a percentage. A rapid process improvement workshop (RPIW) was conducted with focus placed on the creation of innovative solutions to bridge the recognized gaps and build sustainable, replicable processes for the future. RPIW participants were comprised of a multidisciplinary team of practice area experts representing service departments who are key stakeholders in ensuring compliance with USP <800>. Upon completion of the RPIW, individual tasks were distributed among various members of the team for execution. The status of individual projects and overall compliance with USP <800> will be continually assessed throughout the year to track progress and ensure project completion prior to the December 1, 2019 USP Chapter <800> official date.
Results: not applicable
Conclusion: not applicable
Ethan Wahl– Health-System PharmacyAdministration Resident, Richard L. Roudebush VA Medical Center, Indianapolis