New Hampshire Code of Administrative Rules
Ph - N.H. Pharmacy Board
Chapter Ph 1700 - CONTINUOUS QUALITY IMPROVEMENT
Part Ph 1703 - PROGRAM REQUIREMENTS
Section Ph 1703.01 - General Requirements

Universal Citation: NH Admin Rules Ph 1703.01

Current through Register No. 40, October 3, 2024

(a) A pharmacy shall either submit quality-related events to a patient safety organization (PSO) or shall create and maintain an internal program that captures and analyzes quality-related events that comply with this chapter.

(b) Licensed pharmacies shall ensure that all reasonably necessary steps have been taken to prevent or minimize patient harm following any quality-related event that reaches a patient.

(c) The permit holder of the pharmacy shall maintain within the pharmacy a current written policy and procedures manual that clearly states the organization philosophy and goals for a continuous quality improvement (CQI) program, delineate the parameters in which the organization interacts with its employees related to such a program, and provides a sound framework for operating and maintaining such a program.

(d) Said current policy and procedures manual shall include at least the following:

(1) Purpose of the program;

(2) Definitions used in the program;

(3) Policy on how to report a quality-related event;

(4) Policy for program meetings including frequency of meetings, staff to attend, and involvement of either the pharmacist-in-charge or consultant pharmacist;

(5) Policy for maintaining program integrity and confidentiality of information;

(6) Policy for staff education and ongoing training of employees related to CQI program;

(7) Policy for employee engagement and communication of changes made related to the program; and

(8) Policy for maintaining summarization documents for board inspection.

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