RESUMO
Many newborns at the neonatal intensive care unit are unable to feed themselves, and receive human milk through enteric nutrition devices such as orogastric or nasogastric probes. The mothers extract their milk, and the nursing staff is responsible for the fractionation, storage and administration when prescribed by physicians. It is very important to remind that it is a bodily fluid that carries the risk of disease transmission if misused. Health information technologies can enhance patient safety by avoiding preventable adverse events. Barcoding technology could track every step of the milk manipulation. Many processes must be addressed to implement it. Our goal is to explain our planning and implementation process in an academic tertiary hospital.
Assuntos
Aleitamento Materno , Nutrição Enteral , Leite Humano , Feminino , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Mães , MédicosRESUMO
When newborns remain hospitalized in a neonatal intensive care unit, they are often unable to feed themselves and receive human milk through enteral nutrition devices such as orogastric or nasogastric probes. Therefore, the Nursing staff is responsible for the fractionation, storage and administration of human milk. Breast milk has a great biological complexity being the optimal food for the baby to provide all the nutrients needed. At the same time, it is a bodily fluid that carries the risk of disease transmission if not administered properly. Patient safety should be a priority in healthcare, and health information technologies could be used to avoid preventable adverse events. Barcoding technology has the ability to accurately verify patient identity and prescription accuracy before milk administration. This paper describes the steps followed to implement breast milk barcoding technology in an academic tertiary hospital.
Assuntos
Aleitamento Materno , Bancos de Leite Humano , Leite Humano , Criança , Nutrição Enteral , Feminino , Humanos , Recém-Nascido , Unidades de Terapia Intensiva NeonatalRESUMO
Los errores en la medicación son comunes en la práctica médica, más aún en los hospitales universitarios. Aquellos asociados con la dosis de los fármacos son los más frecuentes. Los sistemas computarizados de prescripción médica (CPOE, sigla en inglés para Computerized provider order entry) han demostrado mejorar la tasa de error e incrementar la calidad de cuidado médico. Nuestro hospital desarrolló su propia Historia Clínica Electrónica con un completo CPOE. Los farmacéuticos validan todas las prescripciones y rechazan aquellas que contienen errores, siendo los más frecuentes los vinculados conerrores en la dosis. Un grupo multidisciplinario acordó una lista de posología recomendada de fármacos que se ofrece a los médicos tratantes luego de que seleccionan la droga a prescribir. El objetivo de este estudio es describir el desarrollo e implementación de una estrategia de prevención de error que incorpora dosis recomendada en el proceso de prescripción electrónica.
Os erros de medicação são comuns na prática médica, ainda mais em hospitais universitários. Aqueles associados com a dose das drogas são as mais freqüentemente. Os sistemas informatizados de prescrição médica (CPOE,sigla em inglês para entrada de pedido do provedor informatizado) foram mostrados para melhorar a taxa de erro e aumentar a qualidade dos cuidados médicos. Nosso hospital desenvolveu a sua própria registros médicos eletrônicos com uma completa CPOE. Farmacêuticos valida todas as prescrições e rejeitar aqueles que contêm erros, sendo os mais freqüentes aqueles relacionados com erros na dose. Um grupo de trabalho multidisciplinar chegou a acordo sobre uma lista de dose recomendada de drogas que é oferecido aos médicos que depois que selecionar a droga de prescrever.
Medication errors are common in medical practice, even more in teaching hospitals. The errors associated with drugs doses are the most common. Computerized provider order entry (CPOE) has demonstrated that could improvethe error rate and increase the quality of medical care. Our hospital developed its own Electronic Health Record(EHR) with a full implemented CPOE. Pharmacists validate all the prescriptions, and reject those that contain errors,the most frequent errors are related to dose. A multidisciplinary group agreed on a list of recommended dose of drugs, that is offered to the treating physicians after selecting the drugs to prescribe. The aim of this study is to describe the development and implementation of a prevention strategy that incorporates recommended error in the process of electronic prescribing doses. The aim of this study is to describe the development and implementation strategy of error prevention that incorporates recommended dose in the prescription process electronics.