Recommendations from Report on the supply and management of Schedule 8 controlled drugs at certain public hospitals in Western Australia tabled on 20 June 2017.
After-hours access to pharmacy and safe
- Enhance monitoring of after-hours access to the pharmacy and the pharmacy safe.
- Give consideration to:
- mandatory audits for all after-hours supply or dispensation from the pharmacy safe;
- prohibiting after-hours solitary access to the pharmacy safe; and
- increasing security and monitoring through technology.
Reconcile supply and receipt
- Develop and implement a practice to reconcile drugs supplied by a public hospital's pharmacy with receipt by wards and units.
Separation of duties
- Implement procedures that mandate and reinforce the 'separation of duties' in relation to each act required in the supply processes.
Regular compliance checks
- Conduct regular checks on randomly selected staff, wards and units in order to ascertain the extent of compliance with policies, procedures and practices.
- Conduct independent audits from time to time that measure compliance with policies, procedures and practices.
- Develop and implement practices in relation to registers that:
- enable registers to be produced, without delay, in response to a request by an investigator or compulsory processes;
- provide heightened security to the registers; and
- audit the movement of registers.
Update and consolidate policies, procedures and practices
- Update and consolidate procedures and practices to align with the current statutory regime.
- Implement a forum for chief pharmacists of public hospitals to share knowledge about drug diversion risks and solutions.
Modernise requisition and register system
- Consider the introduction of an auditable electronic requisition process.
- Consider the introduction of auditable electronic registers.
Enhance automated systems
- Take action to maximise Schedule 8 drugs on the imprest list.
- Take action to inhibit automated systems allowing a pharmacist to supply imprest drugs manually.
Progressively introduce automation to public hospitals
- Progressively introduce automated electronic storage and supply unit systems to public hospitals to enhance efficiencies and security.