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Enhancing Children's Safety by Barcoding Implementation at Breast Milk Feeding
Mariana Daus1, Thelma Maydana1, Daniel Rizzato Lede1
1Department of Health Informatics, Hospital Italiano de Buenos Aires, Argentina.
Insights
Implementing breast milk barcoding enhances patient safety in neonatal intensive care units. This technology ensures accurate milk administration, reducing risks associated with enteral nutrition for hospitalized newborns.
Area of Science:
- Neonatal care
- Healthcare technology
- Patient safety
Background:
- Hospitalized newborns in neonatal intensive care units (NICUs) often require enteral nutrition via orogastric or nasogastric tubes.
- Nursing staff manage the complex tasks of human milk fractionation, storage, and administration.
- Human milk, while optimal, poses disease transmission risks if not handled properly, highlighting the need for stringent safety protocols.
Purpose of the Study:
- To describe the implementation process of breast milk barcoding technology in an academic tertiary hospital.
- To enhance patient safety during the administration of human milk to vulnerable newborns.
- To leverage health information technology to prevent adverse events related to enteral feeding.
Main Methods:
- Detailed description of the steps undertaken to integrate barcoding technology into the breast milk feeding workflow.
- Focus on the verification of patient identity and prescription accuracy using barcoding prior to milk administration.
- Implementation within an academic tertiary hospital setting.
Main Results:
- Successful integration of breast milk barcoding technology into clinical practice.
- Demonstrated ability of barcoding to improve accuracy in patient identification and prescription verification.
- Enhanced safety measures for human milk administration in the NICU.
Conclusions:
- Barcoding technology is an effective tool for improving patient safety in neonatal enteral nutrition.
- The implementation process provides a model for other institutions seeking to enhance breast milk administration safety.
- Health information technology, specifically barcoding, plays a crucial role in preventing adverse events in NICU settings.
Abstract:
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.
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