Criterion | Self-rating | Surveyor rating | Divergence | Evidence | Person in charge | Last updated |
|---|---|---|---|---|---|---|
18.1.1Core StandardSafety Standard Pharmacy Licensing and Medication Storage | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-16 |
18.2.1Core StandardSafety Standard Prescription Screening and Clinical Dispensing | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-18 |
18.2.5Core StandardSafety Standard Medication Reconciliation on Inpatient Admission and Transfer | Fully met | Fully met | — | 2 docs | Dr. Suresh Nair | 2026-01-20 |
18.3.1 High-Alert Medication (HAM) Safety Protocols | Fully met | — | — | None | Dr. Suresh Nair | 2026-01-22 |
18.1.1.11 Prescription Verification Protocol 1.1 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-11 |
18.1.2.12 Formulary Management Protocol 1.2 | Partially met | Partially met | — | None | Dr. Suresh Nair | 2026-01-12 |
18.1.3.13 Cold Chain Assurance Protocol 1.3 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-13 |
18.1.4.14 High-Alert Drug Storage Protocol 1.4 | Partially met | Partially met | — | None | Dr. Suresh Nair | 2026-01-14 |
18.2.1.15 Patient Counselling Protocol 2.1 | Partially met | Partially met | — | None | Dr. Suresh Nair | 2026-01-15 |
18.2.2.16 Prescription Verification Protocol 2.2 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-16 |
18.2.3.17 Formulary Management Protocol 2.3 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-17 |
18.2.4.18Core Standard Cold Chain Assurance Protocol 2.4 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-18 |
18.3.1.19 High-Alert Drug Storage Protocol 3.1 | Partially met | Partially met | — | None | Dr. Suresh Nair | 2026-01-19 |
18.3.2.20 Patient Counselling Protocol 3.2 | Partially met | Partially met | — | None | Dr. Suresh Nair | 2026-01-20 |
18.3.3.21 Prescription Verification Protocol 3.3 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-21 |
18.3.4.22 Formulary Management Protocol 3.4 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-22 |
18.4.1.23 Cold Chain Assurance Protocol 4.1 | Partially met | Partially met | — | None | Dr. Suresh Nair | 2026-01-23 |
18.4.2.24 High-Alert Drug Storage Protocol 4.2 | Fully met | Fully met | — | None | Dr. Suresh Nair | 2026-01-24 |
