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Elevating Compliance: Navigating USP <797> with Technology and Standardization

Health systems have worked diligently to ensure that they are in compliance with the revised USP Chapter <797> requirements. This educational activity will demonstrate how health systems of any size can perform a gap analysis of its facility, personnel, policy and procedure development and review, environmental monitoring, and accreditation. Recognizing the important safety features of technologies and standardization of IV compounding, the education will also address how they might be implemented in small, medium, and large institutions.

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Target Audience

This activity was planned to meet the educational needs of pharmacists, pharmacy technicians, and medication safety officers practicing in hospitals and health system. 

Learning Objectives

  1. Perform a gap analysis that includes facility, personnel, policy and procedure development and review, environmental monitoring, and accreditation gaps.

  2. Identify opportunities to implement technologies and standardization that improve safety of IV compounding in small, medium, and large institutions. 


  • Introduction and Announcements
  • Presentation
  • Questions, Answers, and Discussion


Patricia C. Kienle, RPh, MPA, BCSCP, FASHP, Activity Chair, Director, Accreditation and Medication Safety, Cardinal Health

Ashley M. Duty, PharmD, MS, BCSCP, FASHP, Director of Inpatient Pharmacy Operations, Nationwide Children's Hospital

Kevin N. Hansen, Director, 503B Program, Premier Inc.

CE Accreditation

The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education with Commendation.


ACPE Activity Number: 0204-0000-24-403-H07-P/T

Content Release Date: May 21, 2024
Expiration Date: May 21, 2025
Activity Type: Application-based
CE Credits: 1.0 contact hours (0.10 CEUs)
Activity Fee: Free

To receive CE credit, complete the steps below within 60 days of completing the activity.

  1. View the entire presentation and answer all polling questions.
  2. Click "Complete Activity" on last slide then complete the evaluation to claim credit.
  3. Verify credits were successfully transferred to CPE Monitor before the ACPE 60-day deadline by checking your NABP eProfile account.

This activity is provided by ASHPSupported by an educational grant from Pfizer Inc.


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About ISMP

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