I need your input please!!

Are there any other ED's that are having their medication orders reviewed by pharmacy? My quality department has implemented an interim action plan to have ED med orders/administration reviewed by the pharmacist within 48 hours. The pharmacy and ED are having difficulty in making this work smoothly. Any ideas?? I am desparately seeking feedback for resolution. Thanks

This is a JCAHO standard. It is not for quality/core measure review. This is a must do thing for our ED as well as our clinics. The process that we have now for the ED is for pharmacy to pull the scanned record off of the computer. They have complained that this is difficult and very time consuming. What JCAHO is wanting is to avoid medication administration errors...inappropriate dosing, inappropriate medications, etc. To do this properly, we should be faxing every med order or prescription down for review prior to the med or Rx being dispensed. We are able to do a "work around" because of the 48 hour leway we have in the standard. This was added to the standard because some hopitals function without a pharmacist on the weekends. I would like to do it right...meaning faxing orders immediately...but this seems unreasonable in the ED. The pace is just too fast for yet one more delay. Since we are having the pharmacist review "after the fact", I am wanting to make it as easy on our pharmacist as possible. So, with all of that...I would love feedback. Thanks