The risks inherent to sterile compounding are critical and can have a considerable and lasting impact on your practice

Mitigating those risks requires a comprehensive pharmacy compliance program that incorporates established standards into daily practice. A closed-loop solution that supports USP compliance is essential for patient safety, efficient pharmacy operations, and overall quality of medications compounded.

What is USP 797?

USP Chapter 797—Pharmaceutical Compounding—Sterile Preparations ensures the quality and safety of compounded sterile drug preparations. These are medications that are administered intravenously. USP Chapter 797 standards apply to all pharmacies that produce compounded sterile preparations (CSPs), including those in hospitals, retail, and standalone settings.

USP 797 provides the standards under which regulatory agencies, particularly the state-level department of public health and board of pharmacy, can pursue pharmacies for unsafe compounding practices. The chapter was developed to prevent: 

  • Patient harm and fatality from microbial contamination
  • Excessive bacterial endotoxins
  • Large content errors in the strength of the correct ingredients
  • The inclusion of incorrect ingredients in CSPs

The Joint Commission actively surveys for USP 797 compliance as required by the Centers for Medicare & Medicaid Services (CMS).

How Simplifi 797 streamlines USP 797 compliance in your pharmacy

Simplifi 797 is a closed-loop, expert-developed compliance solution that supports compliance with USP 797 in the pharmacy and includes:

How we support USP 797
Simplifi 797 offers pharmacy compounding continuing education for USP <797>
These training courses align with the competencies and tasks we’ll build for you upon implementation, ensuring nothing falls through the cracks when compounding sterile preparations.

Everything you need to be USP Chapter 797 compliant

Simplifi 797 provides your pharmacy with expert-led policies, procedures, and resources that support USP 797 compliance, including:

  • Policy and procedure templates
  • Training in core skills and beyond
  • Competency management
  • Personnel monitoring including gloved fingertip sampling and aseptic manipulation
  • Environmental monitoring including temperature and humidity monitoring
  • Air and surface sampling tracking and trending
  • Corrective action and preventive action documentation
  • Cleaning logs
  • Inspection-ready data reporting
  • Analytics for completion and compliance

Collaborate with our USP compliance expert

Annie Lambert
Clinical Program Manager for Compliance Solutions
Compliance Solution Clinical Program Manager Annie Lambert, PharmD, BCSCP is committed to providing up-to-date USP content and expert compliance guidance, and to work with you to optimize the use of our Simplifi+ pharmacy compliance solutions.

USP 797 expert insight articles

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