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评估微型计算机在减少肠外营养溶液配制时间方面的作用。

An evaluation of a microcomputer in reducing the preparation time of parenteral nutrition solutions.

作者信息

Rich D S, Karnack C M, Jeffrey L P

出版信息

JPEN J Parenter Enteral Nutr. 1982 Jan-Feb;6(1):71-5. doi: 10.1177/014860718200600171.

DOI:10.1177/014860718200600171
PMID:6804659
Abstract

A microcomputer was evaluated in reducing the activities of pharmacists and pharmacy technicians in processing orders for parenteral nutrition (PN) solutions. A program in BASIC was developed for a Radio Shack TRS-80 microcomputer. The program maintains a patient profile, prints a label, generates a worksheet for the preparation of solutions, and provides statistical data for the Pharmacy Nutritional Support Service. A direct time study by intensive samplings was performed on 24 patients utilizing 51 units of PN solution. The computerized method was compared to the current manual method for processing PN orders. The computerized method significantly reduced the processing time (p less than 0.001), saving an average of 2.61 minutes/order. This represented 41.3% of the manual processing time. The time savings was greater when two or more units per patient were ordered (3.37 minutes/order) when compared to patients who received only one unit of PN (0.76 minutes/order). At Rhode Island Hospital, this would result in a savings in time of 300 to 400 hours annually. The authors concluded that a microcomputer is a valuable addition to a nutritional support service. In addition, it should provide the pharmacist with substantially more time to engage in activities related to the care of patients receiving PN solutions.

摘要

对一台微型计算机在减少药剂师和药房技术人员处理肠外营养(PN)溶液订单的工作量方面进行了评估。为Radio Shack TRS - 80微型计算机开发了一个BASIC程序。该程序可维护患者档案、打印标签、生成溶液配制工作表,并为药房营养支持服务提供统计数据。通过密集抽样对24名使用51单位PN溶液的患者进行了直接时间研究。将计算机化方法与当前处理PN订单的手动方法进行了比较。计算机化方法显著减少了处理时间(p小于0.001),平均每份订单节省2.61分钟。这占手动处理时间的41.3%。与仅接受1单位PN的患者(每份订单0.76分钟)相比,当为每位患者订购两单位或更多单位时(每份订单3.37分钟),节省的时间更多。在罗德岛医院,这将导致每年节省300至400小时的时间。作者得出结论,微型计算机是营养支持服务的一项有价值的补充。此外,它应为药剂师提供更多时间来从事与护理接受PN溶液的患者相关的活动。

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引用本文的文献

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Portable bedside microcomputer system for management of parenteral nutrition in all age groups.适用于各年龄段肠外营养管理的便携式床边微型计算机系统。
Arch Dis Child. 1985 May;60(5):435-9. doi: 10.1136/adc.60.5.435.
2
A program for parenteral and combined parenteral and enteral nutrition of neonates and children in an intensive care unit.重症监护病房中新生儿和儿童的肠外营养以及肠外与肠内联合营养方案。
Intensive Care Med. 1989;15(4):279-82. doi: 10.1007/BF00271068.