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Common deficiencies cited by AAAASF and how to fix them: Administration of drugs

By March 13, 2018 No Comments
In our ongoing series, Becker’s ASC Review spoke with American Association for Accreditation of Ambulatory Surgery Facilities’ Director of Accreditation Jeanne Henry about the organization’s commonly cited deficiency related to administration of drugs.
Becker's ASC
In our ongoing series, Becker’s ASC Review spoke with American Association for Accreditation of Ambulatory Surgery Facilities’ Director of Accreditation Jeanne Henry about the organization’s commonly cited deficiency related to administration of drugs.

Jeanne Henry: CMS standard 416.48(a) requires ASCs to prepare and administer drugs according to established policies and acceptable standards of practice. AAAASF surveyors site cite this standard deficient for a number of reasons, including finding expired medications, inappropriate storage, improper use of a medication or inappropriate preparation techniques. The process for medication preparation and administration can be error-prone. To improve medication safety, ASCs should assess their medication process using quality indicators related to the medication preparation and administration processes and outcomes of patient care.

We find that proper medication preparation is a key component to compliance with this standard. Adopting strict policies and providing ongoing personnel training help to safeguard the preparation processes. Preparing medications in an aseptic manner, using a new syringe and new sterile needle to draw up medications each and every time should be required.

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