en
Scientific article
English

Use of a systematic risk analysis method to improve safety in the production of paediatric parenteral nutrition solutions

Published inQuality & safety in health care, vol. 14, no. 2, p. 93-98
Publication date2005
Abstract

Until recently, the preparation of paediatric parenteral nutrition formulations in our institution included re-transcription and manual compounding of the mixture. Although no significant clinical problems have occurred, re-engineering of this high risk activity was undertaken to improve its safety. Several changes have been implemented including new prescription software, direct recording on a server, automatic printing of the labels, and creation of a file used to pilot a BAXA MM 12 automatic compounder. The objectives of this study were to compare the risks associated with the old and new processes, to quantify the improved safety with the new process, and to identify the major residual risks.

Keywords
  • Child
  • Child Nutritional Physiological Phenomena
  • Child, Preschool
  • Drug Compounding/methods
  • Drug Labeling/methods
  • Environment, Controlled
  • Hospitals, University
  • Humans
  • Infant
  • Infant, Newborn
  • Medication Errors/prevention & control
  • Parenteral Nutrition/instrumentation/standards
  • Pharmaceutical Solutions/standards
  • Pharmacy Service, Hospital/standards
  • Process Assessment (Health Care)
  • Risk Assessment
  • Safety Management
  • Switzerland
  • Systems Analysis
Citation (ISO format)
BONNABRY, Pascal et al. Use of a systematic risk analysis method to improve safety in the production of paediatric parenteral nutrition solutions. In: Quality & safety in health care, 2005, vol. 14, n° 2, p. 93–98. doi: 10.1136/qshc.2003.007914
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1475-3898
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