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Title

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

Authors
Cingria, L
Ing, H
Published in Quality and Safety in Health Care. 2005, vol. 14, no. 2, p. 93-98
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 ChildChild Nutritional Physiological PhenomenaChild, PreschoolDrug Compounding/methodsDrug Labeling/methodsEnvironment, ControlledHospitals, UniversityHumansInfantInfant, NewbornMedication Errors/prevention & controlParenteral Nutrition/instrumentation/standardsPharmaceutical Solutions/standardsPharmacy Service, Hospital/standardsProcess Assessment (Health Care)Risk AssessmentSafety ManagementSwitzerlandSystems Analysis
Identifiers
PMID: 15805453
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Article (Published version) (122 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Réanimation néonatale en salle d'accouchement (696)
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(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 and Safety in Health Care, 2005, vol. 14, n° 2, p. 93-98. https://archive-ouverte.unige.ch/unige:46844

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Deposited on : 2015-02-18

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