12.07.2015 Views

Medical Staff Bylaws - Arkansas Children's Hospital

Medical Staff Bylaws - Arkansas Children's Hospital

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A. Provide advice to the <strong>Medical</strong> <strong>Staff</strong> and hospital staff on matterspertaining to choice of available drugs;B. Develop the drug formulary and all drug lists annually and make interimrevisions as needed;C. Make recommendations concerning drugs to be stocked on the nursingunits and by other services and emergency drug stocks;D. Prevent unnecessary duplication in stocking drugs and in medicationshaving identical amounts of the same therapeutic ingredients;E. Develop and review procedures for evaluating drug usage in the hospital,medication errors, adverse drug reactions and other aspects ofpharmaceutical quality control;F. Develop procedures for handling and control of drugs brought into thehospital by patients;G. Evaluate clinical data concerning new drugs or pharmacy preparationsrequested for use in the hospital; andH. Establish standards for use and control of investigational drugs and ofresearch in use of recognized drugs.quarterly.13.9.6.3 Meetings: The Pharmacy and Therapeutics Committee will meet at least13.9.7 Risk Management/Peer Review Committee13.9.7.1 Composition: The Risk Management/Peer Review Committee will consist ofat least the following: the Chief Quality Officer, the <strong>Medical</strong> Director, the Chief Operating Officer, theChief of <strong>Staff</strong>, The Chief Nursing Officer, the Chief Finance Officer, the Vice Chief of <strong>Staff</strong>, theImmediate Past Chief of <strong>Staff</strong>, the Surgeon-in-Chief, The Pediatrician-in-Chief, a General Pediatricsrepresentative, a Pediatric Chief Resident, a Vice-President Patient Care Services, a Pharmacyrepresentative, the Vice President of <strong>Medical</strong> Administration, Safety, and Improvement, the ClinicalRisk Management Director, the <strong>Medical</strong> <strong>Staff</strong> Administration Director, a Quality ImprovementCoordinator, and a representative of the Office of General Counsel as a non-voting member (for advisoryonly) The Chief Quality Officer, or designee, will serve as chairperson. Department Chairs/Directors ofaffected service(s) or section(s) or others requested by the committee will attend meetings without vote,as requested by the committee chair.13.9.7.2 Function: The Risk Management/Peer Review Committee is chartered by theBoard Services and Quality Committee to oversee the peer review and clinical risk managementfunctions of the ACH clinical enterprise. As such, deliberations and findings of the Committee areprotected under <strong>Arkansas</strong> statues.69

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