Skouroliakou Maria, Konstantinou Dimitris, Papasarantopoulos Petros, Matthaiou Chrysoula
Harokopio University, IASO Maternity Hospital, Kifissia, Athens, Greece.
Pharm World Sci. 2005 Aug;27(4):305-10. doi: 10.1007/s11096-005-2462-x.
Over the past few years, the use of total parenteral nutrition (TPN) has been established for pre-term and sick term neonates. At 'IASO' Hospital, a series of protocols implemented through the use of a computer programme has been developed to assist in the time consuming task of prescribing and preparing TPN in neonates. The algorithms used for neonates of a different gestational age are based on the protocols created through screening of literature and personal experience. This is important because it heralds a uniformity of the prescription of TPN at IASO and other hospitals where these protocols have been implemented.
The objective is to determine the extent of error occurrence of the manual method as opposed to the new computerized procedure of TPN formulation, and to assess the immediate benefits stemming from the computer programme's use, in terms of personnel time reduction. Furthermore, the usefulness of the automated compounder in the computer driven process of TPN solution formulation was also assessed.
Gynaecology Hospital 'IASO'.
For a period of 6 months, sick and prematurely born babies were included in the study. Calculations regarding the composition of TPN solutions were conducted both by computer and manually.
The time needed to complete the procedure and the results' accuracy were measured and compared.
Implementation of the protocols into practice via this computer programme has been found to reduce the time spent by the physician and the pharmacist on TPN solution preparation, but the most important contribution is the virtual elimination (no errors in computerized calculation) of errors in the complex task of prescribing and formulating TPN solutions. For example, the average time taken to prepare the individual TPN solutions was 5.2 min while the computerized procedure took 15.4 min.
Use of this system can optimize pharmacists' and physicians' work and help prevent prescription and preparation errors.
在过去几年中，全胃肠外营养（TPN）已被应用于早产儿和患病足月儿。在“IASO”医院，通过使用计算机程序制定了一系列方案，以协助完成新生儿TPN处方和配制这项耗时的工作。用于不同胎龄新生儿的算法基于通过文献筛选和个人经验创建的方案。这很重要，因为它预示着IASO医院以及其他实施这些方案的医院在TPN处方方面的一致性。
目的是确定与TPN配制的新计算机化程序相比，手动方法出现错误的程度，并评估使用计算机程序在减少人员时间方面带来的直接益处。此外，还评估了自动配药器在计算机驱动的TPN溶液配制过程中的有用性。
“IASO”妇产医院。
在6个月的时间里，将患病和早产的婴儿纳入研究。TPN溶液的成分计算分别通过计算机和手动进行。
测量并比较完成该程序所需的时间和结果的准确性。
通过该计算机程序将方案付诸实践，已发现可减少医生和药剂师在TPN溶液配制上花费的时间，但最重要的贡献是在TPN溶液处方和配制这一复杂任务中几乎消除了错误（计算机化计算无错误）。例如，配制单个TPN溶液平均耗时5.2分钟，而计算机化程序耗时15.4分钟。
使用该系统可优化药剂师和医生的工作，并有助于防止处方和配制错误。
