Development and Application of Clinical Nutrition Assistant Program
Objective To improve the safety of clinical parenteral nutrition(PN)support.Methods Based on the common problems in PN prescriptions,clinical pharmacists designed and developed a clinical nutrition assistant program by Java language,and set the system parameters according to monographs on enteral and parenteral nutrition,relevant guidelines,expert consensus and drug instructions.A total of 20 patients needing PN support were randomly selected,the PN prescriptions were prescribed by five physicians manually and using the program(each physician prescribed for four cases),the prescribing rate(calculated by per capita time for prescribing a single prescription)and accuracy rate of the two methods were compared.A total of 200 medical records of inpatients receiving PN support in hospital surgery from January to May 2021(before application of program,100 medical records)and from July to November 2021(after application of program,100 medical records)were retrospectively collected to analyze the rationality of PN prescriptions.Results The prescribing rate of physicians using the program was(4.53±0.57)min,and the accuracy rate was(99.00±0.14)%,which were significantly better than(16.15±1.54)min and(80.00±0.42)%by manual prescribing(P<0.01).After the application of this program,the quantity of irrational prescriptions significantly decreased(P<0.05),the improvement rate of prescriptions was in the range of 8.70%to 44.78%.Conclusion The development and application of clinical nutrition assistant program improve the efficiency of physicians in prescribing PN prescriptions,ensure the safe and rational application of PN prescriptions.
万方数据
维普
