What is meant by an electronic drug record keeping system that is a closed system within the hospital?
A closed system within a hospital means that the electronic drug record keeping system functionality is contained within the confines of the inpatient hospital system. Thus, no outside access or drug orders/prescriptions sent outside of the hospital electronic drug record keeping system would be allowed without meeting the requirements for positive identification pursuant to paragraph (N) of rule 4729-5-01. This is because adequate audit controls, access controls, and safeguards cannot be assured. For example, prescriptions created within the hospital system could not be sent to an outside retail pharmacy utilizing only passwords and personal identifiers. An additional Pharmacy Board approval would have to occur for hospitals wanting to use an electronic prescription transmission system pursuant to rule 4729-5-30. Another example is a hospital that would allow a prescriber to remotely access the hospitals electronic drug record keeping system to create drug orders for inpatients. The p
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