Abstract
We developed a computer program (CP) to: 1) automate repetitive calculations required to provide PN tailored to the individual needs of infants in our ICN; 2) reduce the time for the pharmacy to formulate each PN solution by generating a set of PN mixing instructions and bottle labels; 3) reduce housestaff time in ordering PN by utilizing an order sheet designed specifically for the CP where all the PN components are ordered on a per kg. basis daily. We wished to document time savings and possible clinical benefits of our CP use. 24 infants were studied retrospectively -- 13 pre-computerization (Grp. I) and 11 post-computerization (Grp. II). There were no differences in mean birthweight, gestational age, or duration of PN between the 2 groups. Each group's incidence of metabolic complications, such as protein or fat intolerance and fluid or electrolyte imbalance was compared. There was a slightly lower rate of serum phosphorus imbalance (p<.05) in Grp. II. There were no other significant differences in the clinical course of either group as determined by the parameters analyzed -- BUN, SGOT, alk. phos., triglycerides, Na, weight gain/week. However, after computerization housestaff time to write PN orders decreased from 20 min. to <2 min./order and pharmacy time was decreased by 15 min./order. With a mean of 8 orders/day, this represents a savings in pharmacy time alone of $10,950 per year!
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Quart, K., Poole, R., Mackenzie, N. et al. THE IMPACT OF COMPUTER-ASSISTED PARENTERAL NUTRITION (PN) FOR NEONATES. Pediatr Res 18 (Suppl 4), 112 (1984). https://doi.org/10.1203/00006450-198404001-00112
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DOI: https://doi.org/10.1203/00006450-198404001-00112