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;...

Page 1: Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition; In patients who nutrition by day 5 a elements is ASPEN (American Of and Nutrition)
Page 2: Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition; In patients who nutrition by day 5 a elements is ASPEN (American Of and 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

Page 3: Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition; In patients who nutrition by day 5 a elements is ASPEN (American Of and Nutrition)
Page 4: Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition; In patients who nutrition by day 5 a elements is ASPEN (American Of and Nutrition)

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)

Page 5: Increase in number of - Hospital Authority · (European Society Of and — Guidelines on Nutrition; In patients who nutrition by day 5 a elements is ASPEN (American Of and Nutrition)

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