Section Ph 1703.01 - General Requirements(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.N.H. Admin. Code § Ph 1703.01
Derived from Volume XXXIX Number 16, Filed April 18, 2019, Proposed by #12758, Effective 4/19/2019, Expires 4/19/2029.