An Evaluation of a Microcomputer in Reducing the Preparation Time of Parenteral Nutrition Solutions

Rich, Darryl S.; Karnack, Charles M.; Jeffrey, Louis P.

doi:10.1177/014860718200600171

Cited by 8 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Care provider efficiency is improved because computer software reduces the PN prescribing time for physicians, NNPs, and pharmacists. 7,8,[11][12][13][22][23][24]32 Our computerized PN worksheet is completed in $2 minutes, but the NNPs used it infrequently for central PN prescribing where their error rates were already low. Concerns about NICU computer use include the fact that physicians and NNPs spend too much time at the computer's bedside, as it were, as opposed to the patient's bedside.…”

Section: Discussionmentioning

confidence: 99%

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%

Error Reduction When Prescribing Neonatal Parenteral Nutrition

Brown¹,

Garrison²,

Hutchison³

2007

Amer J Perinatol

View full text Add to dashboard Cite

show abstract

“…Where appropriate, the amounts per kg ordered on the previous and present days are displayed for comparison in addition to the total amount ordered for the 24-hr period. 6. Total sodium (Na) and potassium (K) being ordered per kg is displayed.…”

Section: Printout Descriptionmentioning

confidence: 99%

Pediatric Parenteral Nutrition Management Using a Comprehensive User‐Friendly Computer Program Designed for Personal Computers

Yamamoto

Gainsley

Witek

1986

J Parenter Enteral Nutr

View full text Add to dashboard Cite

The use of parenteral nutrition is becoming more widespread. The need for individualized parenteral nutrition solutions in pediatric patients makes the ordering and preparation of these solutions more complex and error-prone. A computer program is described which performs comprehensive management of parenteral nutrition by assisting in accurately ordering and preparing parenteral nutrition solutions. It also performs extensive error-checking and provides additional nutritional information. Data base management is also a feature which permits future large scale analysis of parenteral nutrition data for research purposes. This program, designed to run on a personal computer, is very comprehensive, yet flexible and user-friendly.

show abstract