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Related Experiment Videos

Drafting a parenteral nutrition order form utilizing a physician assessment process

J S Lewis1

  • 1Pharmacy Service, McDonald Army Community Hospital, Fort Eustis, VA 23604-5553.

Military Medicine
|August 1, 1993
PubMed
Summary

Physician critique of a parenteral nutrition order form improved its design. This process ensures the form is user-friendly and effective before clinical implementation, enhancing patient care.

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Area of Science:

  • Clinical Pharmacy
  • Healthcare Quality Improvement
  • Medical Informatics

Background:

  • Parenteral nutrition (PN) ordering requires standardized and user-friendly forms.
  • Existing PN order forms may contain deficiencies impacting prescribing accuracy and efficiency.
  • Physician input is crucial for optimizing clinical documentation tools.

Purpose of the Study:

  • To assess the utility of a physician critique process for designing a standardized parenteral nutrition order form.
  • To identify and rectify deficiencies in a draft PN order form and accompanying guideline sheet through expert review.
  • To evaluate the effectiveness of physician feedback in improving the design of clinical order forms.

Main Methods:

  • A physician critique process was implemented involving surgeons, internists, and medical intensive care physicians.

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  • Physicians used a draft PN order form and guideline sheet to prescribe PN for a hypothetical patient.
  • Feedback and identified problems from the physician assessment guided revisions to the order form and guidelines.

    • Main Results:

    • Physician feedback highlighted specific problems and generated recommendations for improving the PN order form and guideline sheet.
    • The critique process effectively identified usability issues and potential prescribing errors.
    • Editorial improvements were made based on the prescriber recommendations and identified problems.

    Conclusions:

    • Physician assessment is an effective method for evaluating the utility of draft parenteral nutrition order forms and prescribing guidelines.
    • Incorporating physician expertise during the design phase allows for the correction of inherent deficiencies prior to implementation.
    • This iterative design approach enhances the quality and usability of clinical order forms, potentially improving patient safety.