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Does a parenteral nutrition decision support system for total nutrients improve prescription procedure and neonatal

Panos Papandreou1, Dimitrios Ntountaniotis2, Maria Skouroliakou3

  • 1Department of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|May 25, 2019
PubMed

Insights

A new decision support system for total nutrients (DSSFTN) improved parenteral nutrition (PN) for critically ill neonates, ensuring appropriate nutrient dosing and reducing errors. While growth outcomes were similar, the system enhanced communication and consistency in PN prescriptions.

Area of Science:

  • Neonatal intensive care
  • Clinical nutrition
  • Medical informatics

Background:

  • Parenteral nutrition (PN) is crucial for critically ill neonates in intensive care units (ICUs).
  • Evaluating decision support systems for total nutrients (DSSFTN) is vital for clinical practice.
  • This study assessed the impact of a DSSFTN on PN support and neonatal growth.

Purpose of the Study:

  • To evaluate the impact of implementing a DSSFTN on PN support.
  • To assess the effect of DSSFTN on neonatal growth.
  • To determine the benefits of DSSFTN use, supported by the hospital's PN team.

Main Methods:

  • DSSFTN was developed incorporating pharmaceutical and therapeutic protocols.
  • Thirty-eight neonates (birth weight 550-1600g, hospitalized in ICU for ≥15 days, no inborn errors of metabolism) were studied.
  • Two groups received PN: Group 1 (19 neonates) had PN calculated by doctors; Group 2 (19 neonates) had PN calculated by DSSFTN and checked by doctors.

Main Results:

  • DSSFTN implementation resulted in appropriate PN composition and administration.
  • No significant differences in growth were observed between the groups.
  • Compliance with guidelines improved, and DSSFTN enhanced interprofessional communication.

Conclusions:

  • DSSFTN facilitates complex PN prescription tasks for healthcare professionals.
  • The system ensures consistent PN prescriptions with appropriate nutrient dosing.
  • DSSFTN offers real-time PN interventions, minimizing human error exposure.

Keywords:
Compliance to guidelines for customized parenteral nutritiondecision support toolneonatespharmaceutical and therapeutic protocolsprescribing methods

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