Development of the management for parenteral nutrition traceability in a standard hospital

Objective: to develop the traceability control and the hazard analysis in the processes of parenteral nutrients (PN). Method: a standardized graphical notation was generated, describing in detail each of the stages in the overall process. The presence of hazards was analysed by sequencing decisions....

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Main Authors: Beatriz Bernabeu Soria, Máxima Mateo García, Carmina Wanden-Berghe, Mercedes Cervera Peris, Guadalupe Piñeiro Corrales, Javier Sanz-Valero
Format: Article
Language:English
Published: Elsevier 2015-11-01
Series:Farmacia Hospitalaria
Subjects:
Online Access:http://www.aulamedica.es/fh/pdf/9689.pdf
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author Beatriz Bernabeu Soria
Máxima Mateo García
Carmina Wanden-Berghe
Mercedes Cervera Peris
Guadalupe Piñeiro Corrales
Javier Sanz-Valero
author_facet Beatriz Bernabeu Soria
Máxima Mateo García
Carmina Wanden-Berghe
Mercedes Cervera Peris
Guadalupe Piñeiro Corrales
Javier Sanz-Valero
author_sort Beatriz Bernabeu Soria
collection DOAJ
description Objective: to develop the traceability control and the hazard analysis in the processes of parenteral nutrients (PN). Method: a standardized graphical notation was generated, describing in detail each of the stages in the overall process. The presence of hazards was analysed by sequencing decisions. The existence of Control Points (CP) or Critical Control Points (CCP) was estimated by Criticality Index (CI) for each hazard taking into account the probability of occurrence and the severity of the damage. The threshold for the IC was set in 6. Results: a specific flow chart for the management and traceability of PN was obtained, defining each of the stages in CPs (validation and transcription of the prescription and administration) or CCPs (preparation, storage and infusion pump –flow and filter-). Stages regarding the delivery, the recovery and the recycle of the packing material of PNs are not considered CPs and, therefore, they were not included in the dashboard. Conclusions: PN must be dealt with in the frame of a standardized management system in order to improve patient safety, clinical relevance, maximize resource efficiency and minimize procedural issues. The proposed system provides a global management model whose steps are fully defined, allowing monitoring and verification of PN. It would be convenient to make use of a software application to support the monitoring of the traceability management and to store the historical records in order to evaluate the system.
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spelling doaj-art-437e57b68eb0467a9ef2e8d2da34144e2025-08-20T02:56:45ZengElsevierFarmacia Hospitalaria1130-63432171-86952015-11-0139635837710.7399/fh.2015.39.6.9689Development of the management for parenteral nutrition traceability in a standard hospitalBeatriz Bernabeu Soria0Máxima Mateo García1Carmina Wanden-Berghe2Mercedes Cervera Peris3Guadalupe Piñeiro Corrales4Javier Sanz-Valero5Universidad Miguel Hernández, Sant Joan d’AlacantHospital General Universitario, Alicante.Hospital General Universitario, Alicante.Hospital Universitario son Espases, PalmaEstructura Organizativa Gestión Integrada, Vigo. SpainUniversidad Miguel Hernández, Sant Joan d’AlacantObjective: to develop the traceability control and the hazard analysis in the processes of parenteral nutrients (PN). Method: a standardized graphical notation was generated, describing in detail each of the stages in the overall process. The presence of hazards was analysed by sequencing decisions. The existence of Control Points (CP) or Critical Control Points (CCP) was estimated by Criticality Index (CI) for each hazard taking into account the probability of occurrence and the severity of the damage. The threshold for the IC was set in 6. Results: a specific flow chart for the management and traceability of PN was obtained, defining each of the stages in CPs (validation and transcription of the prescription and administration) or CCPs (preparation, storage and infusion pump –flow and filter-). Stages regarding the delivery, the recovery and the recycle of the packing material of PNs are not considered CPs and, therefore, they were not included in the dashboard. Conclusions: PN must be dealt with in the frame of a standardized management system in order to improve patient safety, clinical relevance, maximize resource efficiency and minimize procedural issues. The proposed system provides a global management model whose steps are fully defined, allowing monitoring and verification of PN. It would be convenient to make use of a software application to support the monitoring of the traceability management and to store the historical records in order to evaluate the system.http://www.aulamedica.es/fh/pdf/9689.pdfParenteral nutrition; Quality control; Process assessmentInformation management
spellingShingle Beatriz Bernabeu Soria
Máxima Mateo García
Carmina Wanden-Berghe
Mercedes Cervera Peris
Guadalupe Piñeiro Corrales
Javier Sanz-Valero
Development of the management for parenteral nutrition traceability in a standard hospital
Farmacia Hospitalaria
Parenteral nutrition
; Quality control
; Process assessment
Information management
title Development of the management for parenteral nutrition traceability in a standard hospital
title_full Development of the management for parenteral nutrition traceability in a standard hospital
title_fullStr Development of the management for parenteral nutrition traceability in a standard hospital
title_full_unstemmed Development of the management for parenteral nutrition traceability in a standard hospital
title_short Development of the management for parenteral nutrition traceability in a standard hospital
title_sort development of the management for parenteral nutrition traceability in a standard hospital
topic Parenteral nutrition
; Quality control
; Process assessment
Information management
url http://www.aulamedica.es/fh/pdf/9689.pdf
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