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首页> 外文期刊>JPEN. Journal of parenteral and enteral nutrition. >Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.
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Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

机译：使用计算机处方者输入的肠胃外营养处方过程：提高安全性的机会。

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摘要

The prescribing and processing of parenteral nutrition (PN) orders for pediatric patients may involve multiple steps, be time-consuming, and have opportunity for error if safety measures are not in place. The process can vary from institution to institution. The authors conducted a comparison of their system for the prescribing and processing of PN orders with the American Society for Parenteral and Enteral Nutrition's (A.S.P.E.N.'s) Safe Practices for Parenteral Nutrition guidelines. Using a computerized prescriber order entry (CPOE) system allowed for compliance with most of the elements. The safety data demonstrated an overall low rate of transcription errors, an inherent risk when the CPOE system does not communicate directly with the automated compounding device (ACD). There was a 5% overall pharmacist intervention rate on PNs, similar to the 6%-8% rate seen with other medications. Approximately 6% of these PN interventions had an outcome associated with preventing an adverse drug reaction, toxicity, or medication error. Implementation of additional safety measures and standardization may have a positive impact on the complicated process of prescribing and processing PN orders at the authors' institution.
机译：儿科患者的肠外营养（PN）处方的处方和处理可能涉及多个步骤，很耗时，并且如果没有采取适当的安全措施，也有可能出错。流程因机构而异。作者将其PN处方的处方和处理系统与美国肠胃外及肠内营养协会（A.S.P.E.N.）的《肠外营养安全操作指南》进行了比较。使用计算机化的处方者订单输入（CPOE）系统可以满足大多数要素的要求。安全性数据表明总体上转录错误率很低，这是CPOE系统未直接与自动配混设备（ACD）通信时的固有风险。 PN上药剂师的总体干预率为5％，与其他药物的6％-8％相似。这些PN干预中约有6％的结果与预防药物不良反应，毒性或用药错误有关。附加安全措施的实施和标准化可能会对在作者机构中规定和处理PN订单的复杂过程产生积极影响。

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