(a) Each service setting will have in place policies and procedures that address standards monitoring and related procedures for quality management of provision of psychoactive medication related services. (b) At a minimum, psychoactive medication utilization in each service setting must be reviewed and evaluated at least semiannually and strategies for improvement identified using accepted guidelines. (c) Required areas of review include: (1) appropriateness of prescribing (including choice of medication, dose, and route); (2) documentation; (3) polypharmacy; (4) emergency use of psychoactive medication; (5) PRN use; (6) medication errors; (7) adverse drug reactions; and (8) frequency of medication monitoring. (d) Medication utilization will be reviewed by the medical staff and necessary strategies for improvement approved by the medical staff for implementation. |