We currently have two Pharmacy Workflow Monitoring solutions, one for our Columbia and one for our Jefferson City facilities, and we are wishing to standardize by having one system for all MU Health Care locations that meets all USP IV room workflow standards and needs: • Ensures compliance with USP standards by enforcing required procedures (hand hygiene, gowning, environmental conditions, beyond-use dating, etc.), • Provides real-time verification of compounding steps (e.g., barcode scanning, gravimetric measurement, image capture), • Tracks staff performance and accountability (who did what, when, and how), • Monitors environmental and operational controls (airflow, cleaning logs, hazardous drug handling, etc.), and • Generates compliance reports for inspections, audits, or internal quality assurance. With this, we wish to also develop a robust training program for IV Room staff utilizing workflow monitoring software as a key component while helping to ensure that MU Health Care maintains safe standards. This specialized and advanced software, technology and equipment shall help ensure we are meeting the safety and regulatory requirements of the following three USP chapters that govern compliances: • 795 – Non-sterile compounding (e.g., creams, ointments, oral suspensions), • 797 – Sterile compounding (e.g., IV infusions, injectables), and • 800 – Handling of hazardous drugs (both sterile and non-sterile, e.g., chemotherapy).
