MOM implementation support for hospital teams
MOM supports safe medication selection, storage, prescribing, dispensing, administration, monitoring and review across pharmacy and clinical areas.
Chapter Purpose
MOM supports safe medication selection, storage, prescribing, dispensing, administration, monitoring and review across pharmacy and clinical areas.
Departments Involved
- Pharmacy
- Nursing
- Doctors
- ICU
- Emergency
- OT
- Purchase and stores
- Quality team
Implementation Responsibilities
- Maintain a hospital formulary suited to services provided.
- Control storage, expiry, high-alert, LASA and emergency medicines.
- Review prescription, dispensing and administration safety.
- Investigate medication errors and near misses without blame.
Evidence Categories
- Formulary records
- Medication storage checks
- Prescription audits
- Medication-error reviews
- High-alert and emergency-drug records
Policy/SOP Categories
- Formulary management
- Medication storage
- Safe prescription
- Dispensing and administration
- Medication error reporting
Quality Indicators
- Prescription audit compliance
- Medication-error reporting rate
- Expiry check compliance
- High-alert medication compliance
Internal-audit Questions
- Are emergency medicines available where needed?
- Are prescriptions legible, complete and clinically appropriate?
- Are high-alert medicines labelled and independently checked?
- Are medication incidents analysed and closed?
Common Gaps
- Formulary exists but is not reviewed with clinicians.
- Ward storage differs from pharmacy rules.
- Medication errors are under-reported.
- Antibiotic and high-alert controls are not monitored.
Training Topics
- Prescription safety
- High-alert medicines
- Medication reconciliation
- Error reporting
- Antimicrobial stewardship basics
Practical Implementation Notes
- MOM implementation works best when pharmacy, nursing and doctors review one medication-use cycle together.
- Use audits to identify system risk rather than only individual mistakes.
Contextual Chapter Links
Link to NABH Consultancy Services
These resources support implementation planning, but hospitals remain responsible for actual adoption, evidence and decisions. Humble Aim Enterprises provides independent readiness support and does not guarantee accreditation.
Official Sources
This page uses official NABH 6th Edition sources for chapter context and provides original implementation guidance. Objective elements and guidebook explanations are not reproduced verbatim.
- NABH Hospital Accreditation Standards 6th Edition (opens in a new tab) - Official standards document. This site does not reproduce objective elements verbatim.
- NABH 6th Edition Implementation Notification (opens in a new tab) - Official implementation notification for effective-date context.
- NABH Hospitals Accreditation Programme (opens in a new tab) - Official hospital accreditation programme reference.
Last reviewed:
Need help implementing MOM evidence?
Humble Aim Enterprises can help map chapter responsibilities, documents, indicators, internal audits and nonconformity closure without promising an accreditation outcome.