Department of Pharmacy Practice, Harrison School of Pharmacy, Auburn University, Auburn, Alabama 36849, USA.
JPEN J Parenter Enteral Nutr. 2012 Mar;36(2 Suppl):20S-22S. doi: 10.1177/0148607111434776. Epub 2012 Feb 2.
Parenteral nutrition (PN) is one of the most complex medications administered to hospitalized and ambulatory patients. Despite the successful clinical use of PN for over 3 decades, adverse events continue to occur, resulting in serious morbidity or even mortality. There are multiple points within the PN process for errors to occur: prescribing, transcription, preparation, and administration. Because of the lack of published literature about PN errors, a formal study was conducted to document the nature and severity of harm resulting from medication errors during the PN process.
肠外营养(PN)是给予住院和门诊患者的最复杂药物之一。尽管 PN 在临床应用已超过 30 年,但不良事件仍时有发生,导致严重的发病率甚至死亡率。PN 过程中有多个环节可能发生错误:处方、转录、准备和给药。由于缺乏关于 PN 错误的已发表文献,因此进行了一项正式研究,以记录 PN 过程中药物错误造成的伤害的性质和严重程度。