Establish and evaluate effectiveness of three-tier review rules for parenteral nutrition prescriptions
10.16151/j.1007-810x.2024.05.004
- VernacularTitle:三级审核肠外营养处方规则的建立和效果评价
- Author:
Peng XING
1
;
Li-Li WANG
;
Li-Yuan TAO
;
Jian-Ping LIU
;
Lian-Zhen CHEN
Author Information
1. 北京京煤集团总医院药剂科,北京 102300
- Keywords:
Parenteral nutrition;
Reasonable medical order;
Pharmacist prescription review;
Establish review rules;
Three-level review
- From:
Parenteral & Enteral Nutrition
2024;31(5):275-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a three-tier review rule for parenteral nutrition orders by pharmacists,improve the qualification rate of parenteral nutrition orders,and promote the rational and standardized use of parenteral nutrition.Method:Pharmacists from different positions participate in a manual review intervention model for parenteral nutrition orders at three-tier review,establishing standardized and simplified parenteral nutrition review rules to reduce review difficulty and improve review efficiency.Result:After implementation,the qualified rate for parenteral nutrition orders increased from 71.09%to 95.59%,with a qualified rate of 100%for an industrial multi-cavity bag.The simplicity of parenteral nutrition components,cation concentration,carbohydrate-to-lipid ratio,non-protein calorie-to-nitrogen ratio and route of administration have been significantly improved.Conclusion:The involvement of pharmacists in the three-tier review of parenteral nutrition can reduce the risk of single-tier review,promote collaboration between pharmacists in different roles,improve the accuracy and efficiency of review,and reduce the risk of inappropriate use of parenteral nutrition.
