Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition;...
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Transcript of Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition;...
Increase in number of commercially available TPNs (from 5 to > 10!)
Old TPN order form cannot cater for current
prescribing needs
Manual prescribing of
TPN!!!
Redesign of TPN
order forms • To streamline prescribing process • To facilitate correct prescribing
and monitoring of TPN therapy
Clarifications made by pharmacist…
0
5
10
15
20
25
30
35
Inappropriateadministration
route
Illegible TPNregimen
descriptions
Inappropriateinfusion rate
Inappropriateingredients
addition
Inappropriateinfusionvolume
Addition ofvitamins and
trace elements
No
of ca
ses
Before introduction of new forms After introduction of new forms124 (56.4%) out of 220 orders required clarification
24 (10.3%) out of 234 orders required clarification
Prescribing near misses
46.1% (p< 0.05)
Conclusion
• The formulary review on TPN products and the introduction of the redesigned TPN order forms – streamlined the prescribing process – facilitated correct prescribing – improved patient safety
