BOTIKA NG BAYAN – KABAYAN RURAL HEALTH UNIT

RISK MANAGEMENT PLAN

Risk Assessment
No. Risk Description Reason/Cause Effects Risk Response Strategy
Proba Imp Risk Signifi
bility act Score cance
DELIVERY / DISPENSING / INVENTORY MANAGEMENT OF COMMODITIES
1 Out of stock of DOH -No stocks from DOH -No medicines to be 80% 4 3.2 HIGH -Pharmacist- in-charge
Procured Commodities Regional Office/ given to patients. together with the
and LGU medicines. LGU. Pharmacy Assistant will
-Patient complaints perform physical account
-Late allocation by may arise. every day and inventory
DOH Regional Office/ every month and
LGU. compute for the Request
indicator for
-Late delivery of commodities about to
procured/allocated stock out.
stocks to the
drugstore.

2 No Property Transfer -DOH Regional -No filed 80% 4 3.2 HIGH -The Pharmacy
Report (PTR) issued for Office/ LGU did not documentation on Assistant- in-charge will
DOH Procured issue a PTR upon the medicines and not receive any
commodities and LGU delivery or pick up in supplies given to the commodity or supply
medicines allocated for the regional office or facility. from the regional office
the facility. HSO. or PHO without a valid
-No significant way PTR.
-Person in charge of to track influx of
accepting stocks or commodities that -The Pharmacist in
picking up stocks. reach the facility. charge will file all issued
 PTRs for inventory
-No proof of monitoring and
evidence that a validation.
certain commodity
was given to the
facility based on the
date it was delivered/
picked up, quantity,
damages that may
have been reported
and the
completeness of the
delivery.

3 Unrecorded Issuances -No forms to be used -Discrepancies on 80% 4 3.2% HIGH -The Pharmacist
of medicines to patients/ by the facility. the inventory may Assistant-in-charge will
Utilization reports of arise. make sure that all
DOH procured -Issuance of issuances of medicines/
commodities and LGU medicines/commoditie -May result to commodities to patients
medicines. s to patients not on the unexplained loss of will be documented
scheduled date of medicines. properly. All patients
dispensing per will have their own
program. patient’s profile with all
issuances of medicines as
-Personal issuances of attachments as part of
staff to patients/ patient profiling.
family members, if
any.

4 Overstocking of -Central Office -Commodities may -The PA-in-charge will

supplies. delivers the same reach the expiry date make sure that the
medicines/logistics as without being procurement of the RHU
 what the LGU and dispensed to the will only be on the
Regional Office patients. commodities not
procures. provided by the DOH
Regional Office. Such
-Commodities are not items may be procured
delivered immediately only as buffer stocks and
to the facility. not the bulk
procurement.

-The Pharmacist and PA-

in-charge will plan stock
transfers to other
facilities.

-The Pharmacist and PA-

in-charge may decline
unplanned allocation of
commodities especially if
stocks are over the
required quantity for
their population.

5 Wrong drug, dose, - Due to SALAD - Wrong drug, dose, - Read the prescription
dosage form dispensed. (sounds alike, looks dosage form properly. Check
alike drugs). dispensed may cause medicines thrice, at the
harm to the patient time of receiving the
- Misinterpretation or and underutilization prescription, during
reading of of the drug. preparation and before
prescriptions. dispensing.

- Use labels properly.

Use labels specially to
 SALADs to avoid
mistakes.

6 Unbalanced / - No PTRs to check - Variance in - Always check the

uncoordinated incoming stocks, inventories may actual inventories.
inventories of physical unrecorded issuances cause either
and computed or of commodities, loss overstocking or - Make sure to log all
recorded stocks. of stocks. stock outs of drug stocks received and
products. dispensed properly.

GOOD STORAGE PRACTICE

1 In cases of power Unprecedented power -Improper storage of -Make sure that there
interruptions for interruptions due to drug products will always be on-
medicines with required calamities and other especially vaccines standby generators in
temperatures. reasons that may take will lessen their cases of emergency
longer times before potency. power interruptions.
restoration.
-Cold boxes should
always be prepared
where they will be
transferred if needed.

- Minimize opening of
refrigerator doors to
avoid loss of cold air.

2 Fluctuating Sudden increase or -Some medicines -Person in charge shall

temperatures within the decrease in have specific see to it that temperature
pharmacy and storage temperatures within temperature storage will always be checked at
area. the area that will that when exceeded least twice a day to
affect proper storage may render them closely monitor the
of medicines. unstable. temperature. When the
 temperature is not within
the normal range use
other means to set it back
to accepted temperatures
such as using electric
fans in cases of increase
in temperature.

MANAGEMENT/STAFF
1 No other point person in When the assigned -There will be a lag Person in charge shall
cases where the person would be out of all other functions see to it that before
assigned personnel to attend seminars / performed by the he/she goes outside the
would be out. meeting and other assigned personnel. area he/she has endorsed
functions outside of other personnel within
the area and other the workplace to oversee
unforeseen the pharmacy area during
circumstances. the time of absence.