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. 2020 Apr;62(4):260-262.
doi: 10.1097/JOM.0000000000001788.

An Approach to Hazardous Medication Surveillance

Laura E Breeher  1 , Heather L Stonelake-French
Affiliations

An Approach to Hazardous Medication Surveillance

Laura E Breeher et al. J Occup Environ Med. 2020 Apr.

Abstract

: Many health care organizations are making changes to their hazardous medication surveillance program (HMSP) in response to United States Pharmacopeia (USP) <800> standards. Absence of best practices for HMSPs and limitations on the ability of such programs to correlate health effects identified on surveillance with workplace exposures historically have left health care institutions to determine if and how to design an HMSP for their workforce. Within this article one approach to the design of an HMSP is discussed and resources such as a health questionnaire and declination form are included that could be modified or adopted by other health care organizations. This information is intended to generate further discussion and collaboration among leaders of employee occupational health services on a national level to address the benefits and challenges of HMSPs.

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References

    1. US Pharmacopeia (USP). USP General Chapter <800> Hazardous Drugs-Handling in Healthcare Settings. The United States Pharmacopeial Convention. 2018. Available at: http://www.usp.org/compounding/general-chapter-hazardous-drugs-handling-.... Accessed August 7, 2019.
    1. The National Institute for Occupational Safety and Health (NIOSH). Workplace Solutions: Medical Surveillance for Healthcare Workers Exposed to Hazardous Drugs. 2012. Available at: https://www.cdc.gov/niosh/docs/wp-solutions/2013-103/pdfs/2013-103.pdf. Accessed July 16, 2019.
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    1. Breeher LE, Molella RG, Vaughn AI, et al. Medical surveillance programs for workers exposed to hazardous medications: a survey of current practices in health care institutions. J Occup Environ Med 2019; 61:120–125.
    1. Newcomb RD, Frasso R, Cruz P, Breeher LE, Molella RG, Green-McKenzie J. Medical surveillance for hazardous drugs: a qualitative assessment of current practices. J Occup Environ Med 2018; 60:521–527.

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