Authors: (including presenting author): :
Yeung SYS(3), Mok SMS(3), Lee WM(2), Lau CH(2), Pang MSK(1), Tsoi HYH(3), Wong SYH(3), Chan LH(2), Lee SL(1)
Affiliation: :
(1)Quality and Safety (Q&S) Department, Hong Kong West Cluster (2)Central Nursing Department, Queen Mary Hospital (3)Department of Pharmacy, Queen Mary Hospital
Keyword 1: :
Ward Stock Management
Keyword 4: :
Ward Stock Requisition
Keyword 5: :
Standardization
Introduction: :
To enhance the governance and accountability in the management of ward stock drug items for drug quality and safety in Queen Mary Hospital (QMH), relevant Guidelines are formulated and a working group which consists of Q&S, nursing and pharmacist representatives is formed to put forth, promulgate and implement improvement measures in 4Q 2025.
Objectives: :
(1)To review ward stock drug items to keep minimal and essential drug inventory in clinical areas for daily operation (2)To review and enhance the supply mechanism of drug items to clinical areas (3)To strengthen the quality control and stock management of various ward stock drug items by clinical teams (4)To reinforce the regular monitoring and audit of ward stock drug requisition
Methodology: :
Drug request via (i) Replenishment Request (RR) of Inpatient Medication Order Entry (IPMOE) system, (ii) topping-up ward stock and (iii) Dangerous Drugs was reviewed in 2Q-3Q 2025 to identify any abnormality and provide recommendations to clinical teams to avoid unnecessary requests, overstocking and drug wastage. Meetings were held with Department Operations Managers and Ward Managers to discuss on the implementation of pre-defined ward stock drug list and requisition mechanism via GF277 Form, standardized drug labelling, monthly quality and expiry date check, drug return and disposal mechanism. Q&S rounds to clinical areas were performed in 4Q 2025 to monitor the progress of implementation.
Result & Outcome: :
34% (2,976/8,740) of RR was rejected while the actual underlying reason for supply was not clearly indicated in 48% (2,778/5,764) of dispensed cases in May 2025. Clear guidance to nurses was formulated subsequently to reduce unnecessary RR. Reduction of topping-up ward stock drug items of 30% on average among all departments (range:4-66%) was achieved. Various initiatives on drug requisition and stock management in clinical areas were implemented successfully by phases verified with Q&S rounds and would be reviewed regularly.
