Computerized Total Parenteral Nutrition (TPN) Order Entry in the Neonatal Setting

Grisso, Alison G.; Webb, Ty A.

doi:10.1177/001857870403900613

Cited by 2 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 We increased PN education and stressed the relationship of error type to route of administration. 13,16 For central PN, the PN prescriber should anticipate the possibility of a volume error when the daily PN volume decreases to < 80% of the total daily volume intake and especially if that volume is < 55 mL/kg/day. The use of the computerized PN WS is recommended for peripheral PN prescriptions, where errors were common in all prescribers (Tables 2 and 3).…”

Section: Discussionmentioning

confidence: 99%

“…The use of the computerized PN WS is recommended for peripheral PN prescriptions, where errors were common in all prescribers (Tables 2 and 3). 13,16 The focus of the study was on the reduction of prescribing errors by using a computerized PN WS. Retrospective studies report wide variations in PN prescribing error rates (0 to 66%), with or without the use of an electronic prescribing aid.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9] Published PN computer programs range from menu-driven programs on fixedposition computers to mobile handheld spreadsheets and to web-based PN computer programs. 6,8,9,[11][12][13]15,16,20,29,31,33 The advantages of the programs vary in terms of ease of use, time required, data generated, error checking, and maintenance of confidentiality. However, the aim of every PN prescribing program remains constant, namely to generate optimal and reliable data for entry into the dedicated pharmacy computer system, which both performs calculations and error checking and automates PN compounding.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Error Reduction When Prescribing Neonatal Parenteral Nutrition

Brown¹,

Garrison²,

Hutchison³

2007

Amer J Perinatol

View full text Add to dashboard Cite

A neonatal intensive care unit audit of 204 parenteral nutrition (PN) orders revealed a 27.9% PN prescribing error rate, with errors by pediatric residents exceeding those by neonatal nurse practitioners (NNPs) (39% versus 16%; P < 0.001). Our objective was to reduce the PN prescribing error rate by implementing an ordering improvement process. An interactive computerized PN worksheet, used voluntarily, was introduced and its impact analyzed in a retrospective cross-sectional study. A time management study was performed. Analysis of 480 PN orders revealed that the PN prescribing error rate was 11.7%, with no difference in error rates between pediatric residents and NNPs (12.3% versus 10.5%). Use of the interactive computerized PN worksheet was associated with a reduction in the prescribing error rate from 14.5 to 6.8% for all PN orders ( P = 0.016) and from 29.3 to 9.6% for peripheral PN orders ( P = 0.002). All 12 errors that occurred in the 177 PN prescriptions completed using the computerized PN worksheet were due to avoidable data entry or transcription mistakes. The time management study led to system improvements in PN ordering. We recommend that an interactive computerized PN worksheet be used to prescribe peripheral PN and thus reduce errors.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Error Reduction When Prescribing Neonatal Parenteral Nutrition

Brown¹,

Garrison²,

Hutchison³

2007

Amer J Perinatol

View full text Add to dashboard Cite

show abstract

“…This process has previously been described in this journal. 1 Due to the successful implementation of this page and multiple requests from the pediatric house staff and TPN pharmacists, electronic TPN ordering was implemented for all patients younger than 18 years of age outside of the NICU as well. This article describes the transition from paper to electronic TPN ordering in patients younger than 18 years of age at Vanderbilt Children's Hospital (VCH).…”

mentioning

confidence: 99%