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Electronic Health Record and Parenteral Nutrition Functionality: A Gap Analysis.

Phil Ayers¹, Jillian Foster², Anees Kanorwala³

¹Clinical Pharmacy Services, Mississippi Baptist Medical Center, Jackson, Mississippi, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition

|February 4, 2020

Summary

Parenteral nutrition (PN) delivery faces challenges with current electronic health record (EHR) systems. A multihospital system identified gaps to improve PN safety and efficiency using their EHR.

Keywords:

electronic health record nutrition support parenteral nutrition patient safety

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Area of Science:

Clinical Pharmacy
Health Informatics
Patient Safety

Background:

Parenteral nutrition (PN) is a complex medication regimen with up to 40 ingredients.
Existing electronic health record (EHR) systems may have limitations in supporting safe and optimal PN administration.
PN is classified as a high-alert medication, necessitating stringent safety protocols.

Purpose of the Study:

To conduct a gap analysis of the current PN process within a multihospital system.
To identify specific areas for improvement in PN delivery utilizing the organization's EHR.
To enhance the safety and efficiency of parenteral nutrition management through EHR optimization.

Main Methods:

A comprehensive gap analysis was performed by a multihospital system.
The analysis focused on the current parenteral nutrition (PN) process.
Evaluation was conducted within the context of the organization's existing electronic health record (EHR) system.

Main Results:

The gap analysis revealed deficiencies in current EHR functionalities for PN management.
Specific opportunities were identified to enhance the PN process.
The study highlighted the need for EHR system improvements to support safe PN delivery.

Conclusions:

Current EHR systems present challenges for the safe and optimal administration of parenteral nutrition.
A systematic gap analysis is crucial for identifying areas to improve PN processes.
Enhancements to EHR systems are necessary to optimize parenteral nutrition safety and efficiency.