The Use of a Hand-Held Programmable Calculator in Performing Neonatal Parenteral Nutrition Solution Calculations

Error Reduction When Prescribing Neonatal Parenteral Nutrition

“…The nutritionist indicated that the average time to complete the computerized PN worksheet was 2 minutes, comparable to other reports. 7,8 However, we anticipated that the prescribers might not welcome an additional task in their daily work, and thus we made the use of the computerized PN worksheet voluntary for pediatric residents and NNPs.…”

Providing Nutrition Support in the Electronic Health Record Era

“…21 The AHRQ funded a systematic review of the impact of HIT on quality, efficiency, and costs of medical care that was published in 2006. 22 The review showed that HIT improved the • Quick access to large amount of information, especially historical information (54) • Quick and easy to use (44) • Documentation and ordering process customizable (39) • Readily accessible from anywhere, can be accessed by multiple users at a time, and can be accessed by all disciplines (34) • Legibility and clarity of documentation (28) • Standardizes ordering process for PN and other orders with order sets (28) • Easy to review current medications (9) • Automatic calculation of medication dosages, BMI, etc. (8) • Dietitians can enter orders (7) • Orders are transmitted and carried out quicker (4) • Better care and less chance for medical errors (4) • Care plans are easier (2) "Least Like" Responses (284) • Time-consuming and cumbersome to use (66) • PN orders, compounding, and/or administration difficult and can result in errors (41) • Limited or deficient in nutrition or nutrition support content (40) • Oral diet orders incomplete and/or confusing (26) • Difficult for physicians and other staff to access and read dietitian documentation and notes (22) • EN orders incomplete and/or confusing (19) • Enhancement requests take a long time to implement if ever get incorporated (13) • Some orders are difficult to find or confusing (10) • Too much information in too many different places (8) • Nursing documentation is incomplete or deficient (7) • Comments in diet orders do not interface with nutrition software (5) quality of patient care through increased adherence to guideline-or protocol-based care, improved clinical monitoring based on large-scale screening and aggregation of data, and, most important, reduced medication errors.…”

“…Eighty‐eight percent of those using CPOE for PN orders also used an automated compounding device for preparing the PN, but 84% of those using compounders had no interface with their EHR, requiring them to manually enter the PN orders into the compounder and increasing the risk for error. Several articles have been published regarding the use of handheld, 54 spreadsheet program, 55 , 56 or computer‐based 57 – 61 PN calculators to decrease PN ordering errors. Many of these PN calculators also included clinical decision support 58 , 59 , 61 .…”

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

“…Projected fluid volumes and calories calculated per day and per kg per day for oral nutrition, PN, and the total fluids. 5. Additives.…”