View Item 

Show simple item record

A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations
dc.contributor.authorAyers, Phil
dc.contributor.authorAdams, Stephen
dc.contributor.authorBoullata, Joseph
dc.contributor.authorGervasio, Jane
dc.contributor.authorHolcombe, Beverly
dc.contributor.authorKraft, Michael D.
dc.contributor.authorMarshall, Neil
dc.contributor.authorNeal, Antoinette
dc.contributor.authorSacks, Gordon
dc.contributor.authorSeres, David S.
dc.contributor.authorWorthington, Patricia
dc.contributor.authorMalone, Ainsley
dc.date.accessioned2018-02-05T16:30:37Z
dc.date.available2018-02-05T16:30:37Z
dc.date.issued2014-03
dc.identifier.citationAyers, Phil; Adams, Stephen; Boullata, Joseph; Gervasio, Jane; Holcombe, Beverly; Kraft, Michael D.; Marshall, Neil; Neal, Antoinette; Sacks, Gordon; Seres, David S.; Worthington, Patricia; Malone, Ainsley (2014). "A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations." Journal of Parenteral and Enteral Nutrition 38(3): 296-333.
dc.identifier.issn0148-6071
dc.identifier.issn1941-2444
dc.identifier.urihttps://hdl.handle.net/2027.42/141288
dc.publisherSAGE Publications
dc.publisherWiley Periodicals, Inc.
dc.subject.otherparenteral formulas/compounding
dc.subject.othersafety
dc.subject.otherparenteral nutrition
dc.subject.othernutrition
dc.titleA.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbsecondlevelPediatrics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.contributor.affiliationumUniversity of Michigan Health System, Department of Pharmacy Services, Ann Arbor
dc.contributor.affiliationotherVitaline Infusion Pharmacy Services, Geisinger Medical Center, Danville, Pennsylvania
dc.contributor.affiliationotherUniversity of Pennsylvania, School of Nursing, Philadelphia
dc.contributor.affiliationotherButler University College of Pharmacy and Health Science, Indianapolis, Indiana
dc.contributor.affiliationotherAmerican Society for Parenteral and Enteral Nutrition, Silver Spring, Maryland
dc.contributor.affiliationotherWalgreens Infusion Services, Sun Valley, California
dc.contributor.affiliationotherInfusion Pharmacy, Cleveland Clinic at Home, Independence, Ohio
dc.contributor.affiliationotherDepartment of Pharmacy Practice, Harrison School of Pharmacy, Auburn University, Auburn, Alabama
dc.contributor.affiliationotherDivision of Preventive Medicine and Nutrition, New York Presbyterian Hospital–Columbia University Medical Center, New York
dc.contributor.affiliationotherBaptist Health Systems, Department of Pharmacy, Jackson, Mississippi
dc.contributor.affiliationotherThomas Jefferson University Hospital, Philadelphia, Pennsylvania
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/141288/1/jpen0296-sup-0001.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/141288/2/jpen0296.pdf
dc.identifier.doi10.1177/0148607113511992
dc.identifier.sourceJournal of Parenteral and Enteral Nutrition
dc.identifier.citedreferenceHilmas E, Peoples JD. Parenteral nutrition prescribing process using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012; 36: 32S – 35S.
dc.identifier.citedreferenceCummings K, McGowan R. “Smart” infusion pumps are selectively intelligent. Nursing. 2011; 41: 58 – 59.
dc.identifier.citedreferenceAAMI Foundation/HTSI. Safety innovations: best practice recommendations for infusion pump–information network integration. 2012. http://www.aami.org/htsi/SI_Series/Infusion_Pump_White_Paper.pdf. Accessed September 4, 2012.
dc.identifier.citedreferenceECRI Institute. Deep dive identifies treasures to prevent medication errors. PSO Monthly Brief. May 2012. https://www.ecri.org/EmailResources/PSO_Monthly_Brief/PSO_Brief_May12.pdf. Accessed June 24, 2012.
dc.identifier.citedreferenceHughes RG. Tools and strategies for quality improvement and patient safety. In: Hughes RG, ed. Patient Safety and Quality: An Evidence‐Based Handbook for Nurses. AHRQ Publication No. 08–0043. Rockville, MD: Agency for Healthcare Research and Quality; March 2008.
dc.identifier.citedreferenceLangley GL, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. San Francisco, CA: Jossey‐Bass; 2009.
dc.identifier.citedreferenceTrbovich P, Easty A. Safety innovations: smart pump implementation: a guide for healthcare institutions. 2012. AAMI Foundation HTSI. http://www.aami.org/htsi/SI_Series/Smart_Pump_Implementation.pdf. Accessed September 5, 2012.
dc.identifier.citedreferenceFood and Drug Administration. Infusion pump risk reduction strategies for clinicians. April 2010. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/InfusionPumps/ucm205406.htm. Accessed June 22, 2012.
dc.identifier.citedreferenceResar R, Griffin FA, Haraden C, Nolan TW. Using Care Bundles to Improve Health Care Quality. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2012.
dc.identifier.citedreferenceRollins CJ. Total nutrient admixtures: stability issues and their impact on nursing practice. J Intravenous Nurs. 1997; 20 ( 6 ): 299 – 303.
dc.identifier.citedreferenceThe Joint Commission on Accreditation of Healthcare Organizations. Tubing misconnections—a persistent and deadly occurrence. Sentinel Event Alert. 2006; 36: 1 – 3.
dc.identifier.citedreferencePennsylvania Patient Safety Advisory. Tubing misconnections: making the connection to patient safety. Pa Patient Saf Advis. 2010; 7: 41 – 45.
dc.identifier.citedreferenceAAMI Foundation/HTSI. Safety innovations: nine recommendations to prevent multiple line infusion medication errors. http://www.aami.org/htsi/SI_Series/Nine_Recommendations_Multiple_Line_Infusion.pdf. Accessed September 4, 2012.
dc.identifier.citedreferenceGuenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008; 34: 285 – 292.
dc.identifier.citedreferenceSimmons D, Symes L, Guenter P, Graves K. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011; 26: 286 – 293.
dc.identifier.citedreferenceISMP. Independent double checks: undervalued and misused: selective use of this strategy can play an important role in medication safety. ISMP Medication Safety Alert! June 13, 2013. http://www.ismp.org/newsletters/acutecare/issue.asp?dt=20130613. Accessed June 26, 2013.
dc.identifier.citedreferenceDickinson A, McCall E, Twomey B, James N. Paediatric nurses’ understanding of the process and procedure of double‐checking medications. JCN J Clin Nurs. 2010; 19: 728 – 735.
dc.identifier.citedreferenceGrissinger M. The virtue of independent double‐checks: they really are worth your time. P & T. 2006; 31: 492.
dc.identifier.citedreferenceAHRQ Health Care Innovations Exchange. Standardized ordering and administration of total parenteral nutrition reduces errors in children’s hospital. www.innovations.ahrq.gov/content.aspx?id=2323. Updated May 2011. Accessed June 2, 2012.
dc.identifier.citedreferenceO’Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter‐related infection, 2011. Centers for Disease Control and Prevention website. http://www.cdc.gov/hipac/pdf/guidelines/bse‐guidelines‐2011.pdf. Accessed June 24, 2012.
dc.identifier.citedreferenceInstitute for Healthcare Improvement. Implement the central line bundle. http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementCentralLineBundle.htm. Accessed June 24, 2012.
dc.identifier.citedreferenceBuchman AL, Opilla M, Kwasny M, Diamantidis TG, Okamoto R. Risk factors for the development of catheter‐related bloodstream infection in patients receiving home parenteral nutrition [published online June 6, 2013 ]. JPEN J Parenter Enteral Nutr.
dc.identifier.citedreferenceThe Joint Commission. Preventing Central Line–Associated Bloodstream Infections: A Global Challenge, a Global Perspective. Oak Brook, IL: Joint Commission Resources; May 2012. http://www.PreventingCLABSIs.pdf. Accessed June 12, 2012.
dc.identifier.citedreferenceBinkley JE, Mills B, Roy MA, Diaz JJ, Jensen GL. Spurious laboratory values from improper sampling of blood containing parenteral nutrition. Nutr Clin Pract. 2004; 19: 540 – 541.
dc.identifier.citedreferenceFairholm L, Saqui O, Baun M, Yeung M, Fernandes G, Allard JP. Monitoring parenteral nutrition in hospitalized patients: issues related to spurious bloodwork. Nutr Clin Pract. 2011; 26: 700 – 707.
dc.identifier.citedreferenceFood and Drug Administration. Safety alert: hazards of precipitation with parenteral nutrition. Am J Hosp Pharm. 1994; 51: 1427 – 1428.
dc.identifier.citedreferenceHoff DS, Michaelson AS. Effects of light exposure on total parenteral nutrition and its implications in the neonatal population. J Pediatr Pharmacol Ther. 2009; 14 ( 3 ): 132 – 143.
dc.identifier.citedreferenceSherlock R, Chessex P. Shielding parenteral nutrition from light: does the available evidence support a randomized controlled trial? Pediatrics. 2009; 123 ( 6 ): 1529 – 1533.
dc.identifier.citedreferenceDolan SA, Felizardo G, Barnes S, et al. APIC position paper: safe injection, infusion and medication vial practices in healthcare. Am J Infect Control. 2010; 38: 167 – 172.
dc.identifier.citedreferenceCommittee on Nutrition, American Academy of Pediatrics; Kleinman RE, ed. Pediatric Nutrition Handbook. 6th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2004.
dc.identifier.citedreferenceKoletzko E, Goulet O, Hunt J, Krihn K, Shamir R. Guidelines on paediatric parenteral nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), supported by the European Society of Pediatric Research (ESPR). J Pediatr Gastroenterol Nutr. 2005; 31: S1 – S87.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Pharmacist supervision is critical for proper preparation of Clinimix multichamber bags. ISMP Medication Safety Alert! Nurse Adviser‐Err. 2011; 9 ( 4 ).
dc.identifier.citedreferenceCohen MR. Safe practices for compounding of parenteral nutrition. JPEN J Parenter Enteral Nutr. 2012; 36: 14S – 19S.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Lack of standard dosing methods contribute to IV errors. ISMP Medication Safety Alert! Nurse Adviser‐Err. 2007; 12 ( 17 ): 1 – 3.
dc.identifier.citedreferenceStout SM, Cober MP. Metabolic effects of cyclic parenteral nutrition infusion in adults and children. Nutr Clin Pract. 2010; 25: 277 – 281.
dc.identifier.citedreferenceSuryadevara S, Celestin J, DeChicco R, et al. Type and prevalence of adverse events during the parenteral nutrition cycling process in patients being prepared for discharge. Nutr Clin Pract. 2012; 27: 268 – 273.
dc.identifier.citedreferenceAusthof SI, DeChicco R, Corrigan ML, et al. Cycling parenteral nutrition from 24 hours to 12 hours in 1 step is safe in patients requiring long‐term therapy [published online January 2013 ]. JPEN J Parenter Enteral Nutr. Abstract Data Supplement.
dc.identifier.citedreferenceKrzywda EA, Andris DA, Whipple JR, et al. Glucose response to abrupt discontinuation of total parenteral nutrition. JPEN J Parenter Enteral Nutr. 1993; 17: 64 – 67.
dc.identifier.citedreferenceNewton AF, DeLegge MH. Home initiation of parenteral nutrition. Nutr Clin Pract. 2007; 22: 57 – 64.
dc.identifier.citedreferenceNorman JL, Crill CM. Optimizing the transition to home parenteral nutrition in pediatric patients. Nutr Clin Pract. 2011; 26: 273 – 285.
dc.identifier.citedreferenceAyers J, Graves SA. Perioperative management of total parenteral nutrition, glucose containing solutions, and intraoperative glucose monitoring in paediatric patients: a survey of clinical practice. Paediatr Anesth. 2001; 11: 41 – 44.
dc.identifier.citedreferenceBarber JR, Sacks GS. Parenteral nutrition formulations. In: Muller CM, ed. The A.S.P.E.N. Adult Nutrition Support Core Curriculum. 2nd ed. Silver Spring, MD: American Society for Parenteral and Enteral Nutrition; 2012: 245 – 264.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. ISMP’s list of high‐alert medications, 2012. http://www.ismp.org/Tools/highalertmedications.pdf. Accessed May 2012.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Results of ISMP survey on high alert medications. ISMP Medication Safety Alert! 2012; 7 ( 3 ): 1 – 4.
dc.identifier.citedreferenceKochevar M, Guenter P, Holcombe B, Malone A, Mirtallo J; A.S.P.E.N. Board of Directors and Task Force on Parenteral Nutrition Standardization. A.S.P.E.N. statement on parenteral nutrition standardization. JPEN J Parenter Enteral Nutr. 2007; 31: 441 – 448.
dc.identifier.citedreferenceMirtallo JM, Guenter P. Introduction and goals of the A.S.P.E.N. parenteral nutrition safety summit. JPEN J Parenter Enteral Nutr. 2012; 36: 7S – 9S.
dc.identifier.citedreferenceDruyan ME, Compher C, Boullata JI, et al; A.S.P.E.N. Board of Directors. Clinical guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients: applying the GRADE system to development of A.S.P.E.N. clinical guidelines. JPEN J Parenter Enteral Nutr. 2012; 36: 77 – 80.
dc.identifier.citedreferenceAmerican Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors and Clinical Practice Committee. Definition of terms, style, and conventions used in A.S.P.E.N. Board of Directors—approved documents May 2012. http://nutritioncare.org/Professional_Resources/Guidelines_and_Standards/Guidelines/2012_Definitions_of_Terms,_Style,_and_Conventions_Used_in_A_S_P_E_N__Board_of_Directors‐Approved_Documents/ Accessed November 25, 2012.
dc.identifier.citedreferenceMirtallo J, Canada T, Johnson D, et al; A.S.P.E.N. Board of Directors and Task Force for the Revision of Safe Practices for Parenteral Nutrition. Safe practices for parenteral nutrition [published correction appears in JPEN J Parenter Enteral Nutr. 2006;30:177]. JPEN J Parenter Enteral Nutr. 2004; 28: S39 – S70.
dc.identifier.citedreferenceDe Vries TP, Henning RH, Hogerzeil HV, Fresle DA; World Health Organization. Guide to good prescribing: a practical manual. http://whqlibdoc.who.int/hq/1994/WHO_DAP_94.11.pdf. Accessed May 20, 2012.
dc.identifier.citedreferencePollock M, Bazaldua O, Dobie A. Appropriate prescribing of medications: an eight‐step approach. Am Fam Physician. 2007; 75: 231 – 236, 239–240.
dc.identifier.citedreferenceJacobson JO, Polovich M, Gilmore TR, et al. Revisions to the 2009 American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards: expanding the scope to include inpatient settings. Oncology Nurs Forum. 2012; 39: 31 – 38.
dc.identifier.citedreferenceKochevar M, Guenter P, Holcombe B, Malone A, Mirtallo J; A.S.P.E.N. Board of Directors and Task Force on Parenteral Nutrition Standardization. A.S.P.E.N. statement on parenteral nutrition standardization. JPEN J Parenter Enteral Nutr. 2007; 31: 441 – 448.
dc.identifier.citedreferenceStandardized ordering and administration of total parenteral nutrition reduces errors in children’s hospital. Agency for Healthcare Research and Quality website. http://www.innovations.ahrq.gov/content.aspx?id=2323. Updated July 17, 2013. Accessed May 20, 2012.
dc.identifier.citedreferenceMaat B, Rademaker Carin MA, Oostveen MI, et al. The effect of a computerized prescribing and calculating system on hypo‐ and hyperglycemias and on prescribing time efficiency in neonatal intensive care patients. JPEN J Parenter Enteral Nutr. 2013; 37: 85 – 91.
dc.identifier.citedreferenceShamliyan TA, Duval S, Du J, Kane RL. Just what the doctor ordered: review of the evidence of the impact of computerized physician order entry on medication errors. Health Serv Res. 2008; 43: 32 – 53.
dc.identifier.citedreferenceBrown CL, Garrison NA, Hutchinson AA. Error reduction when prescribing neonatal parenteral nutrition. Am J Perinatol. 2007; 24: 417 – 427.
dc.identifier.citedreferenceInformation to use in the event of an intravenous multivitamin shortage—May 2012: information to use in the event of adult IV multivitamin shortage. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/lcontent.aspx?id=5346. Accessed August 5, 2013.
dc.identifier.citedreferenceInformation to use in the event of an intravenous amino acids shortage—October 2010. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/Index.aspx?id=5646. Accessed August 5, 2013.
dc.identifier.citedreferenceInformation to use in the event of an intravenous fat emulsion shortage—June 2010. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/Professional_Resources/Information_to_Use_in_the_Event_of_an_Intravenous_Fat_Emulsion_Shortage/. Accessed August 5, 2013.
dc.identifier.citedreferenceParenteral nutrition trace element product shortage considerations (5‐19‐2011). American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/News/Parenteral_Nutrition_Trace_Element_Product_Shortage_Considerations/. Accessed August 5, 2013.
dc.identifier.citedreferenceParenteral nutrition cysteine product shortage considerations: September, 2011. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/Professional_Resources/Guidelines_and_Standards/Guidelines/PN_Cysteine_Product_Shortage_Considerations/. Accessed August 5, 2013.
dc.identifier.citedreferenceHolcombe B, Andris DA, Brooks G, Houston DR, Plogsted SW. Parenteral nutrition electrolyte/mineral product shortage considerations. JPEN J Parenter Enteral Nutr. 2011; 35: 434 – 436.
dc.identifier.citedreferenceThe Joint Commission. Official “Do Not Use” abbreviations list. Information Management Standard IM 02.02.01.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. List of error‐prone abbreviations, symbols, and dose designations. http://www.ismp.org/tools/errorproneabbreviations.pdf. Accessed September 21, 2012.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Fatal 1,000‐fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! September 6, 2007. http://www.ismp.org/Newsletters/acutecare/articles/20070906.asp. Accessed June 2012.
dc.identifier.citedreferenceGervasio J., Compounding vs. standard commercial parenteral nutrition product: pros and cons. JPEN J Parenter Enteral Nutr. 2012; 36: 40S – 41S.
dc.identifier.citedreferenceJacobson JO, Polovich M, McNiff KK, et al. American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. Oncology Nurs Forum. 2009; 36: 651 – 658.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! June 28, 2012; 17 ( 13 ).
dc.identifier.citedreferenceBoullata J, Guenter P, Mirtallo J. A parenteral nutrition use survey with a gap analysis. JPEN J Parenter Enteral Nutr. 2013; 37: 212 – 222.
dc.identifier.citedreferenceRadley DC, Wasserman MR, Olsho LEW, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inform Assoc. 2013; 20: 470 – 476.
dc.identifier.citedreferenceUSP Chapter <1066> Physical Environments That Promote Safe Medication Use. 2010. The United States Pharmacopeial Convention.
dc.identifier.citedreferenceHicks RW, Becker SC, Cousins DD, eds. USP MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine’s Call for Action. Rockville, MD: Center for Advancement of Patient Safety, U.S. Pharmacopeia; 2008.
dc.identifier.citedreferenceBoitano M, Bojak S, McCloskey S, McCaul DS, McDonough M. Improving the safety and effectiveness of parenteral nutrition: results of a quality improvement collaboration. Nutr Clin Pract. 2010; 25: 663 – 671.
dc.identifier.citedreferenceScobie SD, Lawson M, Cavell G, Taylor K, Jackson SH, Roberts TE. Meeting the challenge of prescribing and administering medicines safely: structured teaching and assessment for final year medical students. Med Educ. 2003; 37: 434 – 437.
dc.identifier.citedreferenceNaritoku DK, Faingold CL. Development of a therapeutics curriculum to enhance knowledge of fourth‐year medical students about clinical uses and adverse effects of drugs. Teach Learn Med. 2009; 21: 148 – 152.
dc.identifier.citedreferenceTobaiqy M, McLay J, Ross S. Foundation year 1 doctors and clinical pharmacology and therapeutics teaching: a retrospective view in light of experience. Br J Clin Pharmacol. 2007; 64: 363 – 372.
dc.identifier.citedreferenceGarbutt JM, Highstein G, Jeffe DB, Dunagan WC, Fraser VJ. Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. Acad Med. 2005; 80: 594 – 599.
dc.identifier.citedreferenceMirtallo J, Canada T, Johnson D, et al; A.S.P.E.N. Board of Directors and Task Force for the Revision of Safe Practices for Parenteral Nutrition. Safe practices for parenteral nutrition [published correction appears in JPEN J Parenter Enteral Nutr. 2006;30:177]. JPEN J Parenter Enteral Nutr. 2004; 28: S39 – S70.
dc.identifier.citedreferenceBoullata JI. Overview of the parenteral nutrition use process. JPEN J Parenter Enteral Nutr. 2012; 36: 10S – 13S.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! June 28, 2012. Accessed November 25, 2012.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Independent double‐checks: undervalued and misused. ISMP Medication Safety Alert! June 13, 2013. Accessed June 2, 2013.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. 1,000‐Fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! September 6, 2007. Accessed November 25, 2012.
dc.identifier.citedreferenceO’Neal BC, Schneider PJ, Pedersen CA, Mirtallo JM. Compliance with safe practices for preparing parenteral nutrition formulations. Am J Health‐Syst Pharm. 2002; 59: 264 – 269.
dc.identifier.citedreferenceSeres D, Sacks GS, Pedersen CA, et al. Parenteral nutrition safe practices: results of the 2003 American Society for Parenteral and Enteral Nutrition survey. JPEN J Parenter Enteral Nutr. 2006; 30: 259 – 265.
dc.identifier.citedreferenceBoullata J, Guenter P, Mirtallo J. A parenteral nutrition use survey with a gap analysis. JPEN J Parenter Enteral Nutr. 2012; 13: 212 – 222.
dc.identifier.citedreferenceKoppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005; 293: 1197 – 1203.
dc.identifier.citedreferenceShamliyan TA, Duval S, Du J, Kane RL. Just what the doctor ordered: review of the evidence of the impact of computerized physician order entry on medication errors. HSR Health Serv Res. 2008; 43: 32 – 53.
dc.identifier.citedreferenceSacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Pharmacotherapy. 2009; 29: 966 – 974.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! April 21, 2011. Accessed November 25, 2012.
dc.identifier.citedreferenceJacobson JO, Polovich M, Gilmore TR, et al. Revisions to the 2009 American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards: expanding the Scope to Include Inpatient Settings. Oncology Nurs Forum. 2012; 39: 31 – 38.
dc.identifier.citedreferenceThe Joint Commission. Official “Do Not Use” abbreviations list. Information Management Standard IM 02.02.01.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. List of error‐prone abbreviations, symbols, and dose designations. http://www.ismp.org/tools/errorproneabbreviations.pdf. Accessed January7, 2013.
dc.identifier.citedreferenceInformation to use in the event of an intravenous multivitamin shortage—May 2012: information to use in the event of adult IV multivitamin shortage. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/lcontent.aspx?id=5346. Accessed January 6, 2013.
dc.identifier.citedreferenceMeyer LD, Raymond CB, Rodrigue CM. Development and evaluation of a checklist for medication order review by pharmacists. Can J Hosp Pharm. 2011; 64: 199 – 206.
dc.identifier.citedreferencePedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2012. Am J Health‐Syst Pharm. 2013; 70: 787 – 803.
dc.identifier.citedreferenceDurfee SM. Pharmacist specialty certification. JPEN J Parenter Enteral Nutr. 2012; 36 ( 2 )(suppl): 51S – 52S.
dc.identifier.citedreferenceBoitano M, Bojak S, McCloskey S, McCaul DS, McDonough M. Improving the safety and effectiveness of parenteral nutrition: results of a quality improvement collaboration. Nutr Clin Pract. 2010; 25: 663 – 671.
dc.identifier.citedreferenceUSP General Chapter <17> Prescription Container Labeling. 2012. The United States Pharmacopeial Convention.
dc.identifier.citedreferenceIron overdose due to miscommunication of TPN order: error alert. Pharmacy Today. September 1995.
dc.identifier.citedreferenceCarey LC, Haffey M. Incident: home TPN formula order misinterpreted after hospital admission. Home Care Highlights. Spring 1995: 7.
dc.identifier.citedreferenceThe Joint Commission. Medication Management Standard MM. 02.01. 2012.
dc.identifier.citedreferenceInformation to use in the event of an intravenous amino acids shortage. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/Index.aspx?id=5646. Accessed January 6, 2013.
dc.identifier.citedreferenceInformation to use in the event of an intravenous fat emulsion shortage—June 2010. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/Professional_Resources/Information_to_Use_in_the_Event_of_an_Intravenous_Fat_Emulsion_Shortage/. Accessed January 6, 2013.
dc.identifier.citedreferenceParenteral nutrition trace element product shortage considerations (5‐19‐2011). American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/News/Parenteral_Nutrition_Trace_Element_Product_Shortage_Considerations/. Accessed January 6, 2013.
dc.identifier.citedreferenceHolcombe B, Andris DA, Brooks G, Houston DR, Plogsted SW. Parenteral nutrition electrolyte/mineral product shortage considerations. JPEN J Parenter Enteral Nutr. 2011; 35: 434 – 436.
dc.identifier.citedreferenceParenteral nutrition cysteine product shortage considerations—September, 2011. American Society for Parenteral and Enteral Nutrition website. http://www.nutritioncare.org/Professional_Resources/Guidelines_and_Standards/Guidelines/PN_Cysteine_Product_Shortage_Considerations/. Accessed January 6, 2013.
dc.identifier.citedreferenceHolcombe B. Parenteral nutrition product shortages: impact on safety. JPEN J Parenter Enteral Nutr. 2012; 36: 44S – 47S.
dc.identifier.citedreferenceInstitute for Safe Medical Practices. Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! 2010; 15 ( 19 ): 1 – 4. http://www.ismp.org/newsletters/acutecare/articles/20100923.asp. Accessed September 2, 2012.
dc.identifier.citedreferenceCherici C, Frazier J, Feldman M, et al. Navigating drug shortages in American healthcare: a premier healthcare alliance analysis. Premier drug shortage white paper. http://www.premierinc.com/about/news/11‐mar/drug‐shortage‐white‐paper‐3‐28‐11.pdf. Accessed September 4, 2012.
dc.identifier.citedreferencePramyothin P, Kim DW, Young LS, Wichansawakun S, Apovian CM. Anemia and leukopenia in a long‐term parenteral nutrition patient during a shortage of parenteral trace element products in the United States. JPEN J Parenter Enteral Nutr. 2013; 37: 425 – 429.
dc.identifier.citedreferenceIsanhart CM, McCall KL, Kretschmer D, Grimes BA. Parenterals laboratory course to reduce microbial contamination rates in media fill tests performed by pharmacy students. Am J Pharm Edu. 2008; 72 ( 2 ): 27.
dc.identifier.citedreferenceRich DS, Fricker MP, Cohen MR, Levine SR. Guidelines for the safe preparation of sterile compounds: results of the ISMP sterile preparation compounding safety summit of October 2011. Hosp Pharm. 2013; 48: 282 – 294, 301.
dc.identifier.citedreferenceGarris K, Wellein MG, Wessell A, Ragucci D, Blair MM. First‐year residency candidates’ experience in various areas of pharmacy practice. Am J Pharm Edu. 2008; 72 ( 1 ): 6.
dc.identifier.citedreferenceFlynn EA, Pearson RE, Barker KN. Observational study of accuracy in compounding I.V. admixtures at five hospitals. Am J Health Syst Pharm. 1997; 54: 904 – 912.
dc.identifier.citedreferenceOutterson K. Regulating compounding pharmacies after NECC. N Engl J Med. 2012; 367: 1969 – 1972.
dc.identifier.citedreferenceFlynn EA, Pearson RE, Barker K. Observational study of accuracy in compounding IV admixtures in five hospitals. Am J Health‐Syst Pharm. 1997; 54 ( 8 ): 904 – 912.
dc.identifier.citedreferenceBoullata JI, Guenter P, Mirtallo JM. A parenteral nutrition use survey with gap analysis. JPEN J Parenter Enteral Nutr. 2013; 37: 212 – 222.
dc.identifier.citedreferenceInstitute for Safe Medication Practices, Medication Safety Alert, April 21, 2011. Safety Brief: Parenteral Nutrition deaths tied to drug shortage. http://www.ismp.org/newsletters/acutecare/articles/20110421.asp. Accessed June 2012.
dc.identifier.citedreferenceInstitute for Safe Medication Practices, Medication Safety Alert, September 6, 2007. Fatal 1,000‐fold overdoses can occur, particularly in neonates, by transposing mcg and mg. http://www.ismp.org/Newsletters/acutecare/articles/20070906.asp. Accessed June 2012.
dc.identifier.citedreferenceAmerican Society of Health‐System Pharmacists. ASHP guidelines on the safe use of automated compounding devices for the preparation of parenteral nutrition admixtures. Am J Health‐Syst Pharm. 2000; 57: 1343 – 1348.
dc.identifier.citedreferenceDeBoer E, Maddox M. Advancing Medication Safety with Smart Pump Data. May 2011. http://www.pppmag.com/article_print.php?articleid=898. Accessed May 2012.
dc.identifier.citedreferenceUnited States Pharmacopeia. USP chapter <797>; Pharmaceutical Compounding–Sterile Preparations. United States Pharmacopeial Convention, Inc. 2006.
dc.identifier.citedreferenceMirtallo J, Canada T, Johnson D, et al. Safe practices for parenteral nutrition [published correction appears in JPEN J Parenter Enteral Nutr. 2006;30:177]. JPEN J Parenter Enteral Nutr. 2004: 28: S39 – S70.
dc.identifier.citedreferenceUnited States Pharmacopeial Convention. Chapter <1066> Physical Environments That Promote Safe Medication Use. The United States Pharmacopeial Convention. 2010.
dc.identifier.citedreferencePedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. Am J Health‐Syst Pharm. 2012; 69: 768 – 852.
dc.identifier.citedreferenceKochevar M, Guenter P, Holcombe B, Malone A, Mirtallo JM. A.S.P.E.N. statement on parenteral nutrition standardization. JPEN J Parenter Enteral Nutr. 2007; 31: 441 – 448.
dc.identifier.citedreferenceGervasio J. Compounding vs. standardized commercial parenteral nutrition product: pros and cons. JPEN J Parenter Enteral Nutr. 2012; 36: 40S – 41S.
dc.identifier.citedreferenceKastango ES. Compounding USP <797>: inspection, regulation, and oversight of sterile compounding pharmacies. JPEN J Parenter Enteral Nutr. 2012; 36: 38S – 39S.
dc.identifier.citedreferenceSacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Pharmacotherapy. 2009; 29 ( 8 ): 966 – 974.
dc.identifier.citedreferenceBonan B, Martelli N, Berhoune M, et al. The application of hazard analysis and critical control points and risk management in the preparation of anti‐cancer drugs. Int J Qual Health Care. 2009; 21: 44 – 50.
dc.identifier.citedreferenceAboumatar HJ, Winner L, Davis R, et al. Applying Lean Sigma solutions to mistake‐proof the chemotherapy preparation process. Joint Comm J Qual Pat Safety. 2010; 36: 79 – 86.
dc.identifier.citedreferenceBoullata J, Guenter P, Mirtallo J. A parenteral nutrition survey with gap‐analysis. JPEN J Parenter Enteral Nutr. 2013; 37 ( 2 ): 212 – 222.
dc.identifier.citedreferenceMirtallo J, Canada T, Johnson D, et al; Task Force for the Revision of Safe Practices for Parenteral Nutrition. Safe practices for parenteral nutrition. JPEN J Parenter Enteral Nutr. 2004; 28: S39 – S70.
dc.identifier.citedreferenceSacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Pharmacotherapy. 2009; 29 ( 8 ): 966 – 974.
dc.identifier.citedreferenceNarula P, Hartigan D, Puntis JWL. The frequency and significance of errors related to parenteral nutrition in children. Proc Nutr Soc. 2010; 69 ( OCE7 ): E556.
dc.identifier.citedreferenceChuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. J Qual Patient Saf. 2007; 33: 104 – 111.
dc.identifier.citedreferenceHicks RW, Becker SC, Chuo J. A summary of NICU fat emulsion medication errors and nursing services: data from MEDMARX. Adv Neonatal Care. 2007; 7: 299 – 310.
dc.identifier.citedreferenceColevas AH, Rempe B. Nurse sensitive indicators: integral to the Magnet™ journey. Am Nurse Today. 2011; 6: 39 – 41.
dc.identifier.citedreferenceSacks GS. Safety surrounding parenteral nutrition systems. JPEN J Parenter Enteral Nutr. 2012; 36: 20S – 22S.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. The five rights cannot stand alone. ISMP Medication Safety Alert! Nurse Adviser‐Err. 2004; 2 ( 11 ).
dc.identifier.citedreferenceBoitano M, Bojak S, McCloskey S, McCaul DS, McDonough M. Improving the safety and effectiveness of parenteral nutrition: results of a quality improvement collaboration. Nutr Clin Pract. 2010; 25 ( 6 ): 663 – 671.
dc.identifier.citedreferenceInfusion Nursing Society. Infusion nurses standards of practice. J Infusion Nurs. 2011; 34: S1 – S110.
dc.identifier.citedreferenceWinkler M, Hagen E, Albina J. Home nutrition support. In: Muller CM, ed. The A.S.P.E.N. Adult Nutrition Support Core Curriculum. 2nd ed. Silver Spring, MD: American Society for Parenteral and Enteral Nutrition; 2012: 639 – 655.
dc.identifier.citedreferenceHughes RG, Blegen MA. Medication administration safety. In: Hughes RG, ed. Patient Safety and Quality: An Evidence‐Based Handbook for Nurses. AHRQ Publication No. 08–0043. Rockville, MD: Agency for Healthcare Research and Quality; 2008.
dc.identifier.citedreferenceGil ME, Mateu J. Treatment of extravasation from parenteral nutrition solution. Ann Pharmacother. 1998; 32: 51 – 55.
dc.identifier.citedreferenceKumar RJ, Pegg SP, Kimble RM. Management of extravasation injuries. ANZ J Surg. 2001; 71: 285 – 289.
dc.identifier.citedreferenceWilkens CE, Emmerson AJB. Extravasation injuries on regional neonatal units. Arch Dis Child Fetal Neonatal Ed. 2004; 89: F274 – F275.
dc.identifier.citedreferenceDoellman D, Hadaway L, Bowe‐Geddes LA, et al. Infiltration and extravasation. J Infusion Nurs. 2009; 32: 203 – 211.
dc.identifier.citedreferenceBenedetta B, Andres C. Extravasation of peripherally administered parenteral nutrition. N Engl J Med. 2011; 364: e20.
dc.identifier.citedreferenceWeigand R, Brown J. Hyaluronidase for the management of dextrose extravasation. Am J Emerg Med. 2010; 28 ( 2 ): 257.e1 – 2.
dc.identifier.citedreferenceJoint Commission. Standard MM.03.01.05. In: Comprehensive Medication Manual for Hospital: The Official Handbook, Update 2 (CAMH). Oakbrook Terrace, IL: Joint Commission Resources; September 2011.
dc.identifier.citedreferenceHusch M, Sullivan C, Rooney D, et al. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Qual Saf Health Care. 2005; 14: 80 – 86.
dc.identifier.citedreferencePederson CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2012. Am J Health‐Syst Pharm. 2013; 70: 787 – 797.
dc.identifier.citedreferenceECRI Institute. General purpose infusion pumps. Health Devices. 2007. https://www.ecri.org/Documents/Infusion_Pumps_Evaluation.pdf. Accessed June 20, 2012.
dc.identifier.citedreferenceInstitute for Safe Medication Practices. Proceedings from the ISMP Summit on the Use of Smart Infusion Pumps: Guidelines for Safe Implementation and Use. 2009. ismp.org/Tools/guidelines/smartpumps/default.asp. Accessed June 1, 2012.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Name:
jpen0296-sup-0001.pdf
Size:
59.07KB
Format:
PDF
View/Open
Name:
jpen0296.pdf
Size:
264.6KB
Format:
PDF
View/Open

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe its collections in a way that respects the people and communities who create, use, and are represented in them. We encourage you to Contact Us anonymously if you encounter harmful or problematic language in catalog records or finding aids. More information about our policies and practices is available at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.