Dougherty Dorothy, Nash Andrea
Sunnybrook Health Sciences Centre, Toronto, Canada.
Neonatal Netw. 2009 Sep-Oct;28(5):321-8. doi: 10.1891/0730-0832.28.5.321.
Breast milk errors have received increasing attention in the literature in terms of the potential infectious risk posed to the recipient baby and also the stress that results for both the donor and recipient families. Beginning in the mid-1990s, one Level III NICU began making changes in how feedings were prepared and distributed in an attempt to reduce breast milk errors. Despite these changes, breast milk errors continued to occur, and, in 2005, this NICU introduced a bar coding system to further reduce the risk of administering breast milk to the wrong infant. Breast milk errors have subsequently been substantially reduced.
母乳错误在文献中受到越来越多的关注，这涉及到给接受母乳的婴儿带来的潜在感染风险，以及给捐赠者和接受者家庭造成的压力。从20世纪90年代中期开始，一家三级新生儿重症监护病房（NICU）开始对母乳的制备和分发方式进行变革，试图减少母乳错误。尽管有这些变革，母乳错误仍继续发生，于是在2005年，这家NICU引入了条形码系统，以进一步降低将母乳误喂给其他婴儿的风险。此后，母乳错误已大幅减少。
