5PSQ-020 Safety evaluation of injectable potassium chloride prescriptions in hospital

Abstract

prescribing phase and those that occurred during the computerised phase. All steps of the process were assessed using a data collection sheet. Statistical analysis was performed by PSPP software. Results Fifty pockets of parenteral nutrition were examined during both phases. This study showed a statistically significant improvement in considering both the sodium and fluid intake of the other drugs prescribed with: OR=0.40, 95% CI: 0.30 to 0.58, p<10-3, OR=0.30, 95% CI: 0.19 to 0.45, p<10-3 , respectively.Regarding the preparation step, the order of components introduced was significantly better when using the software: OR=0.12, 95% CI: 0.04 to 0.35), p<10-3 . The labelling was significantly more respected with computerisation: OR=0.22, 95% CI: 0.06 to 0.74, p=0.017.No impact was detected in the transcription step when using the software with: OR=1.53, 95% CI: 0.53 to 4.42, p=0.424. Likewise, no impact was detected in the administration step with: OR=0.49, 95% CI: 0.04 to 5.58, p=1. Conclusion The implementation of the prescribing software was beneficial in terms of error management, time and traceability. The computerisation of the process, from the prescription to the administration, is necessary to guarantee security and efficiency in the neonatal intensive care unit. Thus, it is recommended to generalise this pilot experiment in the interests of both prescribers and patients.

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

“…We excluded another 337 articles after reviewing the full-text citations largely because they neither identified individual NEs nor specified an existing framework (47%), or because they were non-scholarly (eg, media releases; 30%). Thus, our analyses were based on 367 articles 3 4 7–11 18–377. A full list of these articles and the information we extracted from them are found in online supplemental tables 1 and 2.…”