Computerised nutritional data management in neonatal intensive care.

Wilson, Francis A.; Yu, V Y; Hawgood, Sam; Adamson, T. M.; Wilkinson, Marcia

doi:10.1136/adc.58.9.732

Cited by 10 publications

(2 citation statements)

References 10 publications

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“…Excessive guidelines and rules on a printed paper form clutter it and may confuse the health-care provider, increasing the risk of error or miscalculation. Electronic decision support is an effective tool to design parenteral nutrition for preterm VLBW infants; 24,27,28 however, as shown in this study, its use remains limited. Preterm VLBW infants have unique nutrition requirements that usually require individual parenteral nutrition preparation for each patient.…”

Section: Discussionmentioning

confidence: 93%

A Survey of Neonatal Parenteral Nutrition Design Practices in North Carolina

Porcelli

2004

J Perinatol

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BACKGROUND:Parenteral nutrition is an important component of postnatal hospital care for very-low-birth-weight infants (VLBW; birth weight r1500 g). Designing and preparing parenteral nutrition for VLBW infants is a complicated process requiring many nutrition decisions and mathematical computations, a process most medical centers have developed independently. The goal of this project was to examine the nutrition design practices and resources of regional neonatal intensive care units (NICUs). METHODS:In depth interviews were conducted with neonatal nutrition health-care providers at eight medium to large NICUs in North Carolina to describe the patient population, the nutrition support staff, nutrition decisionmaking procedures and resources, the design of parenteral nutrition, and problems with parenteral nutrition design and preparation. RESULTS:The eight centers reported an average of 182 VLBW infant admissions and prepared 4810 parenteral nutrition orders per year. Five centers employed experienced neonatal nutrition staff to offer decision support. Six centers used paper parenteral nutrition order forms, all of which provided some decision guidance such as a recommended ordering dose range. Selfreported medical mistakes included incorrect parenteral nutrition additive dilutions and incorrect supplementation of parenteral nutrition additives. CONCLUSIONS:Most NICUs offered nutrition resource personnel and used paper parenteral nutrition order forms, which offered a wide range of decision guidance. About half the reported medical errors could be addressed using electronic parenteral nutrition design; however, a broader, more general approach to the entire design and administration system would reduce more errors. Last, as development of electronic neonatal nutrition resources in the clinical arena progresses, standards for recording neonatal nutrition content, and evaluating the effect of decision support need to be identified.

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Section: Discussionmentioning

confidence: 93%

A Survey of Neonatal Parenteral Nutrition Design Practices in North Carolina

Porcelli

2004

J Perinatol

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“…The study population consisted of all infants born alive at between 24 and 28 weeks gestation within (Yu 1977;Yu et al 1979;Wood & Yu 1980: Yu etal. 19816;Wilson et al 1983) and neonatal complications (Yu & Wood 1978;Yu & Hollingsworth 1979;Obeyesekere et a/. 1980: Yu et al 19826;Hawgood et al 1984) in these preterm infants at QVMC have previously been reported.…”

Section: Methodsmentioning

confidence: 88%

Survival and 2‐year outcome of extremely preterm infants

Yu¹,

Orgill²,

Bajuk³

et al. 1984

BJOG

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The survival of 163 infants born within the hospital a t 24-28 weeks gestation during a 4+-year period and the morbidity in survivors at 2 years of age were reported. Hospital survival rates from 24-28 weeks a t each week of gestation, excluding six infants with birth defects, were 36%, 32%, 57%, 70% and 74% respectively. The late outcome of children born a t 24-26 weeks was compared with those born a t 27-28 weeks. O f the 81 infants in the former group 46 (57%) died, nine (1 1%) survived with significant functional handicap and 26 (32%) were developing within the normal range. Of the 82 infants in the latter group, 28 (34%) died, eight

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The microcomputer: an aid to paediatric parenteral nutrition

Ball

Silva

Candy

et al. 1985

J Clin Monit Comput

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Approximately 50% of the pharmacy man-hours committed to providing a parenteral nutrition service at the Children's Hospital, Birmingham were spent in calculations, form filling and record keeping. An increasing demand for the service, with no extra staff available, meant that the service had to be made more efficient. A 90% time saving was achieved by using a microcomputer to free the pharmacy staff from many of the laborious mathematical and clerical chores. The program was developed by a member of the nutritional care team; this meant that it was designed with the specific needs of the service in mind. In addition the detail and accuracy of patient data recording have been greatly improved.

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Computerised nutritional data management in neonatal intensive care.

Cited by 10 publications

References 10 publications

A Survey of Neonatal Parenteral Nutrition Design Practices in North Carolina

A Survey of Neonatal Parenteral Nutrition Design Practices in North Carolina

Survival and 2‐year outcome of extremely preterm infants

The microcomputer: an aid to paediatric parenteral nutrition

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