The analysis and improvements of pharmacist-led parenteral nutrition prescription review strategies

doi:10.5246/jcps.2022.02.012

Journal of Chinese Pharmaceutical Sciences ›› 2022, Vol. 31 ›› Issue (2): 142-152.DOI: 10.5246/jcps.2022.02.012

• Drug administration and clinical pharmacy column • Previous Articles Next Articles

The analysis and improvements of pharmacist-led parenteral nutrition prescription review strategies

Yingqiu Tu^#, Tiantian Xu^#, Hongwei Peng, Zhangren Chen, Xin Lai, Qing Wan, Decheng Pan^*(), Jie Zhang^*()

The First Affiliated Hospital of Nanchang University, Nanchang 330004, Jiangxi, China

Received:2021-10-09 Revised:2021-12-05 Accepted:2021-12-14 Online:2022-02-27 Published:2022-02-25
Contact: Decheng Pan, Jie Zhang
About author:
# Yingqiu Tu and Tiantian Xu contributed equally to this work.

Abstract

Abstract:

To improve the efficiency and correctness of the review, we aimed to continuously improve the review strategy of parenteral nutrition (PN) prescriptions. A calculation formula (CF) and an electronic prescription reviewing system (EPRS) were designed to improve efficiency. The improvements were divided into three periods: pre-improvement, improvement period-1 (CF was used), and improvement period-2 (EPRS-CF was used). A retrospective analysis for inpatients receiving PN support from January to May 2019, June to October 2019, and June to October 2020, was conducted to evaluate the defect and efficiency of the PN prescription review. Compared with the pre-improvement period, the efficiency of the PN prescription review in the CF period was improved. In addition, in the EPRS-CF period, the efficiency and correctness of the PN prescription review were remarkably increased (P < 0.01). Moreover, through the verification of PN prescriptions in the EPRS-CF period, pharmacists improved the efficiency and correctness of the PN prescription review. Besides, the PDCA (plan-do-check-act) circulation method could help improve the PN reviewing process in the future.

Key words: Prescription-reviewing pharmacists, Parenteral nutrition, Review strategies, PDCA circulation methods

Supporting:

Yingqiu Tu, Tiantian Xu, Hongwei Peng, Zhangren Chen, Xin Lai, Qing Wan, Decheng Pan, Jie Zhang. The analysis and improvements of pharmacist-led parenteral nutrition prescription review strategies[J]. Journal of Chinese Pharmaceutical Sciences, 2022, 31(2): 142-152.

Figures/Tables 7

Table 1. (A) Nutrition content per unit for medications; (B) Nutrition contents calculation table; (C) Indexes in parenteral nutrients.

Table 2. Comparison for work efficiencies of PN prescription review.

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The analysis and improvements of pharmacist-led parenteral nutrition prescription review strategies

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