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Medication Dispensing - Use of Auto-verification Technology

Would it be acceptable for an organization to establish a process where a select type of medications are auto-verified thus reducing the need for pharmacy review?

Any examples are for illustrative purposes only. 

No, it would not be acceptable to establish a blanket practice that select medications ordered are auto-verified. The Joint Commission requires that a pharmacist reviews all medication orders or prescriptions, with limited exceptions as described in the 'notes' at MM.05.01.01 EP 1. 

The requirement and 'notes' found at MM.05.01.01 EP 1 do allow for limited situations where prospective pharmacy review may not be feasible or required.  For example, if waiting for pharmacy review would create a delay that could result in patient harm, prospective review would not be expected. However, organizations should have a process in place to review these scenarios to ensure such a practice is limited to urgent scenarios and not a standard practice for convenience.

Another example may be when a licensed independent practitioner (LIP) controls the ordering, preparation, and administration of a medication, such as in an emergency department.  In this example, use of auto-verification technology may be considered as the LIP would be physically present.

Last updated on June 01, 2021
Manual: Critical Access Hospital
Chapter: Medication Management MM

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