2. Outline
• Aim & Objective
• Importance of SOPs
• Purpose of SOP writing
• Challenges in SOP
• Types of SOP
• An example; Hospital Level 1 SOP
• Conclusion
3. Aim & Objective
• Aim:
– To Explain the purpose of SOPs in the Hospital
setting
• Objective:
– Define SOP
– Highlight importance of SOP
– Highlighting some challenges when writing SOPs
4. Definition of Procedure
• A desired, intentional action to be taken by:
specific persons to achieve a certain objective
that regularly takes place or is expected to
occur (Irving, 2014).
– In a particular setting
5. Importance of SOPs
• Regulatory compliance
• Reduce practice variability
• Safe, high quality patient care
• Promote workplace safety
6. Purpose of SOPs
• Facilitate adherence of professional practices
within context
• Promotes compliance, regulations,
accreditations
• Standardized practice
• Reduces reliance memory
• Reduce Practise variations
7. Challenges in writing SOPs
• Lack of Experience
• Lack of Training
• Time pressure
• Deferring to update current SOPs
• Evidence of using outdated SOP risk no
defense
• Specific clinical situations
8. Process of SOPs
• SOP Preparation
– What procedures to be documented based on
what is performed
– Sufficient detail
• SOP review and approval
– Draft SOP to be tested
• Frequency of Revisions and Reviews
– The need for updating SOPs eg.1-2 years
9. General format of SOP
• Title Page
• Table of contents
• Text/Procedure: describe purpose of work.
Define terms, possible interferences
• Reference Sections
10. Types of SOPs
• Repetitive technical activity followed within
and organization
– Administrative
– Functional activity
11. Level 1 SOP: An example
• Identified duties carried out in L1
• Defined each daily duty
• Outlined procedures carried out
• Consulted experienced staff for editing
• Checking the Specific language used
12. Conclusion
1. Definition of Procedure
2. Importance of SOP
3. Challenges of SOP
4. Application: Level 1 pharmacy
13. References
• Andresen, E., & Bouldin, E. D. (Eds.). (2010). Public Health Foundations: Concepts and Practices (1st ed.).
New Jersey: Jossey- Bass.
• Bennet, S., Corluka, A., Doherty, J., & Tangcharoensathien, V. (2012). Approaches to developing the
capacity of health policy analysis instiutes: a comparative case. Health Research Policy and Systems, 10(7).
Retrieved from http://www.health-policy-systems.com/content/10/1/7
• Irving, A. V. (2014, October 13). Policies and Procedures for Heallthcare Organizations: A Risk Management
Perspective [online]. Retrieved August 10, 2017, from https://www.psqh.com/analysis/policies-and-
procedures-for-healthcare-organizations-a-risk-management-perspective/
• Ranson, M. K., & Bennet, S. C. (2009). Priority settid health policy and systems research. Health Research
Policy and Systems, 7(27). https://doi.org/doi:10.1186/1478-4505-7-27ng
• United States Environmental Protection Agency (2007). Guidance for Preparing Standard Operating
Procedures
Editor's Notes
Things to consider when writing an SOP
Consistency is key 100%
Understanding where the procedure applies to you
Who’s who