Effect of Developed Computerized Support System on Medication Error in Preparations of Parenteral Nutrition and Saline
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Abstract
Background: Parenteral nutrition and saline is alternative nutrient support for solving the patients imbalance of energy requirement, nitrogen, fluid, electrolytes, vitamin, and trace elements without occurring of complication. If the pharmacist in charge is not circumspect or lacking skill, It will lead to medication errors such as unappropriated volume, phlebitis, or precipitation.
Objective: To study medication errors in preparations of Parenteral Nutrition and saline when the developed computerized support systems are used.
Methods: This study is retrospective study. Population in this study is assembled form parenteral nutrition prescription and solution in neonatal intensive care unit (NICU), Buriram Hospital. The recruitment was processed during fiscal year 2020 – 2021. Total sample of this study is 2,987 prescriptions, that was screened medication errors by Microsoft Excel TPN V1. The analysis method of this study is descriptive statistic by using the percentage frequency.
Results: From 2,987 prescriptions, Total medication is 227. Prescribing error level A,B,C was found in 211 prescription (93.0%), Transcribing error level A, B, C was found in 8 prescription (3.5%), Dispensing error level A, B, C is 4 prescriptions (1.8%) and D is 4 prescriptions (1.8 %) respectively. In fiscal year 2020, Pharmacists can detect Prescribing errors by the notifications from this program for 120 times of all medical Prescribing 1,606. In fiscal year 2021, Pharmacists can detect Prescribing errors by the notifications from this program for 91 times of all medical Prescribing 1,381. In fiscal year 2020, Pharmacists can detect Prescribing errors level A, B, C by the program 120 times (92.3 %). By the year 2021 pharmacists can detect Prescribing errors level A, B, C form this program for 91 times (93.8 %). Form the results, it indicates that the developed computerized support systems is effective for preventing medication error high level (D-I). During fiscal year 2020 – 2021, Type of notification that pharmacists consult the doctor the most is the volume of dextrose, protein and electrolyte for 110 times (48.5%), followed by the unsuitable Electrolyte errors for 77 times (33.9 %), unsuitable Osmolality for 20 times (8.9%), precipitation for 4 times (1.8%). Medication errors level E up is zero times. Pharmacists consult the doctor for 211 times and the doctor accept 100 %.
Conclusions: The developed computerized support systems is effective for preventing medication errors in Preparations of Parenteral Nutrition and saline.
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References
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