News and Views for Healthcare Accreditation Professionals

Recently posted to the web site in the “Medication Mangement” tab are two new policies.

CMS now allows hospitals to determine the criticality of medications and define what would constitute a “timing error”.   However, the organization must have a policy to support its decision or be held to the “+/- 30 minute” rule.  The policy post addresses this issue.

Also on the web site now is a “medication make up” policy.  This policy is an example of what to do if a critical medication actually is not administered at its scheduled time.

Also posted is a Duplications of Therapy policy for Pain.  Orders for multiple medications for the same indication (duplications of therapy) have resulted in a large number of RFIs and place MM.04.01.01 into the top 10 citations written.

These three policies are critical for a meaningful and safe medication administration system, and should be considered as part of the master medication administration policy.


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