Protocol Development and Quality Improvement

Centers for Disease Control and Prevention (CDC): The Core Elements of Hospital Antibiotic

Stewardship Programs: Antibiotic Stewardship Program Assessment Tool (excerpt) (Appendix 1)

Intravenous-to-oral conversion of antihypertensives

Medication labeling

Medication barcoding and scanning

Narcotic diversion prevention

Sterile admixture services

Extemporaneous compounding services

Pharmacist activities during a code or rapid response

workload, documentation requirements

optimize care through pharmacist-provided comprehensive medication management

Can be used to assess progress on safety recommendations from ISMP

Can also be used to develop metrics related to implementation status of these best practices.

Patient Case

patient harm. You noticed at your new job in the medical ICU when you went to pull rocuronium from the

automated dispensing cabinet that there were no warnings on the pyxis, and it was in an open cubie pocket.

You recalled ISMP having safety alerts and even a best practice regarding the safe storage and handling

of neuromuscular blocking agents. Which is the best example of how to conduct a gap analysis for the safe

handling and storage of neuromuscular blocking agents?

with practice at your new institution.

and compare with the current practice at your new institution.