메뉴 건너뛰기




Volumn 14, Issue 2, 2005, Pages 93-98

Use of a systematic risk analysis method to improve safety in the production or paediatric parenteral nutrition solutions

Author keywords

[No Author keywords available]

Indexed keywords

ANALYTIC METHOD; ARTICLE; CHILD NUTRITION; DATA ANALYSIS; HIGH RISK PATIENT; HUMAN; MICROBIOLOGICAL EXAMINATION; NUTRITIONAL STATUS; PARENTERAL NUTRITION; PRESCRIPTION; QUALITY CONTROL; RELIABILITY; RISK REDUCTION; SAFETY;

EID: 17144397201     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2003.007914     Document Type: Article
Times cited : (102)

References (41)
  • 1
    • 0034865782 scopus 로고    scopus 로고
    • Prospective survey of parenteral nutrition in Switzerland: A three-year nation-wide survey
    • Pichard C, Mühlebach S, Maisonneuve N, et al. Prospective survey of parenteral nutrition in Switzerland: a three-year nation-wide survey. Clin Nutr 2001;20:345-50.
    • (2001) Clin Nutr , vol.20 , pp. 345-350
    • Pichard, C.1    Mühlebach, S.2    Maisonneuve, N.3
  • 2
    • 0034235767 scopus 로고    scopus 로고
    • Pharmaceutical aspects of parenteral nutrition: From now to the future
    • Allwood MC. Pharmaceutical aspects of parenteral nutrition: from now to the future. Nutrition 2000;16:615-8.
    • (2000) Nutrition , vol.16 , pp. 615-618
    • Allwood, M.C.1
  • 3
    • 0015306956 scopus 로고
    • Intravenous alimentation in pediatric patients
    • Heird WC, Driscoll JM, Schullinger JN, et al. Intravenous alimentation in pediatric patients. J Pediatr 1972;80:351-72.
    • (1972) J Pediatr , vol.80 , pp. 351-372
    • Heird, W.C.1    Driscoll, J.M.2    Schullinger, J.N.3
  • 4
    • 0029951761 scopus 로고    scopus 로고
    • National survey of quality assurance activities for pharmacy-prepared sterile products in hospitals and home infusion facilities 1995
    • Santell JP, Kamalich RF. National survey of quality assurance activities for pharmacy-prepared sterile products in hospitals and home infusion facilities 1995. Am J Health-Syst Pharm 1996;53:2591-605.
    • (1996) Am J Health-Syst Pharm , vol.53 , pp. 2591-2605
    • Santell, J.P.1    Kamalich, R.F.2
  • 5
    • 0030940378 scopus 로고    scopus 로고
    • Observational study of accuracy in compounding i.v. admixtures at five hospitals
    • Flynn EA, Pearson RE, Barker KN. Observational study of accuracy in compounding i.v. admixtures at five hospitals. Am J Health-Syst Pharm 1997;54:904-12.
    • (1997) Am J Health-Syst Pharm , vol.54 , pp. 904-912
    • Flynn, E.A.1    Pearson, R.E.2    Barker, K.N.3
  • 6
    • 0028357228 scopus 로고
    • Automated compounders for parenteral nutrition admixtures
    • Driscoll DF, Bacon M, Provost PS, et al. Automated compounders for parenteral nutrition admixtures. JPEN 1994;18:385-6.
    • (1994) JPEN , vol.18 , pp. 385-386
    • Driscoll, D.F.1    Bacon, M.2    Provost, P.S.3
  • 7
    • 17144431524 scopus 로고
    • Automated dispensing and mixing machines in the preparation of parenteral nutrition. Experience with the MicroMacro compounder
    • Blok D, Vermelj P. Automated dispensing and mixing machines in the preparation of parenteral nutrition. Experience with the MicroMacro compounder. Eur J Hosp Pharm 1995;1:150-4.
    • (1995) Eur J Hosp Pharm , vol.1 , pp. 150-154
    • Blok, D.1    Vermelj, P.2
  • 8
    • 0033428990 scopus 로고    scopus 로고
    • Baxa MicroMacrocompounder for parenteral nutrition solutions in a pediatric hospital
    • Combeau D, Rey JB, Fontan JE, et al. Baxa MicroMacrocompounder for parenteral nutrition solutions in a pediatric hospital. PDA J Pharm Sciences Technol 1999;53:226-30.
    • (1999) PDA J Pharm Sciences Technol , vol.53 , pp. 226-230
    • Combeau, D.1    Rey, J.B.2    Fontan, J.E.3
  • 9
    • 17144368876 scopus 로고    scopus 로고
    • The use of automated compounding devices
    • Bethune K, Duncombe R. The use of automated compounding devices. Hosp Pharm Eur 2002;1:39-40.
    • (2002) Hosp Pharm Eur , vol.1 , pp. 39-40
    • Bethune, K.1    Duncombe, R.2
  • 10
    • 0032144259 scopus 로고    scopus 로고
    • Accuracy of two filling systems for parenteral nutrient solutions
    • Combeau D, Rey JB, Rieutord A, et al. Accuracy of two filling systems for parenteral nutrient solutions. Am J Health-Syst Pharm 1998;55:1606-10.
    • (1998) Am J Health-Syst Pharm , vol.55 , pp. 1606-1610
    • Combeau, D.1    Rey, J.B.2    Rieutord, A.3
  • 11
    • 0032527818 scopus 로고    scopus 로고
    • Accuracy of three compounding systems determined by end-product laboratory testing and comparison with manual preparation
    • Johnson R, Coles BJ, Tribble DA. Accuracy of three compounding systems determined by end-product laboratory testing and comparison with manual preparation. Am J Health-Syst Pharm 1998;55:1503-7.
    • (1998) Am J Health-Syst Pharm , vol.55 , pp. 1503-1507
    • Johnson, R.1    Coles, B.J.2    Tribble, D.A.3
  • 12
    • 0027411884 scopus 로고
    • Automated compounder for adding ingredients to parenteral nutrient base solutions
    • Dickson LB. Automated compounder for adding ingredients to parenteral nutrient base solutions. Am J Hosp Pharm 1993;50:678-82.
    • (1993) Am J Hosp Pharm , vol.50 , pp. 678-682
    • Dickson, L.B.1
  • 13
    • 0025635946 scopus 로고
    • Standardized TPN order form reduces staff time and potential for error
    • Mitchell KA, Jones EA, Meguid MM, et al. Standardized TPN order form reduces staff time and potential for error. Nutrition 1990;6:457-60.
    • (1990) Nutrition , vol.6 , pp. 457-460
    • Mitchell, K.A.1    Jones, E.A.2    Meguid, M.M.3
  • 14
    • 0029284745 scopus 로고
    • Development of pediatric and neonatal parenteral nutrition order forms
    • Storm HM, Young SL, Sandler RH. Development of pediatric and neonatal parenteral nutrition order forms. Nutr Clin Practice 1995;10:54-9.
    • (1995) Nutr Clin Practice , vol.10 , pp. 54-59
    • Storm, H.M.1    Young, S.L.2    Sandler, R.H.3
  • 15
    • 0020840024 scopus 로고
    • Use of the handheld programmable calculator in the preparation of TPN solutions
    • DiDonato IJ. Use of the handheld programmable calculator in the preparation of TPN solutions. Hosp Pharm 1983;18:531-3.
    • (1983) Hosp Pharm , vol.18 , pp. 531-533
    • DiDonato, I.J.1
  • 16
    • 0018042311 scopus 로고
    • A computer program for parenteral nutrition solution preparation
    • May F, Robbins G. A computer program for parenteral nutrition solution preparation. JPEN 1978;2:646-51.
    • (1978) JPEN , vol.2 , pp. 646-651
    • May, F.1    Robbins, G.2
  • 17
    • 0021236626 scopus 로고
    • Prescribing and formulating neonatal intravenous feeding solutions by microcomputer
    • MacMahon P. Prescribing and formulating neonatal intravenous feeding solutions by microcomputer. Arch Dis Child 1984;59:548-52.
    • (1984) Arch Dis Child , vol.59 , pp. 548-552
    • MacMahon, P.1
  • 18
    • 0023105620 scopus 로고
    • Computerized prescription of total parenteral nutrition in pediatrics
    • Vandenplas Y, De Belder B, Bougatef A, et al. Computerized prescription of total parenteral nutrition in pediatrics. Acta Anaesthesiol Belg 1987;38:59-62.
    • (1987) Acta Anaesthesiol Belg , vol.38 , pp. 59-62
    • Vandenplas, Y.1    De Belder, B.2    Bougatef, A.3
  • 19
    • 0024344805 scopus 로고
    • A program for parenteral and combined parenteral and enteral nutrition of neonates and children in an intensive care unit
    • Picart D, Guillois B, Nevo L, et al. A program for parenteral and combined parenteral and enteral nutrition of neonates and children in an intensive care unit. Intensive Care Med 1989;15:279-82.
    • (1989) Intensive Care Med , vol.15 , pp. 279-282
    • Picart, D.1    Guillois, B.2    Nevo, L.3
  • 20
    • 0033970818 scopus 로고    scopus 로고
    • Electronic parenteral and enteral nutrition
    • Schloerb PR. Electronic parenteral and enteral nutrition. JPEN 2000;24:23-9.
    • (2000) JPEN , vol.24 , pp. 23-29
    • Schloerb, P.R.1
  • 21
    • 0020606579 scopus 로고
    • Microcomputer organization of parenteral nutrition of the neonate
    • Mc Lellan N. Microcomputer organization of parenteral nutrition of the neonate. J Clin Hosp Pharm 1983;8:147-51.
    • (1983) J Clin Hosp Pharm , vol.8 , pp. 147-151
    • Mc Lellan, N.1
  • 22
    • 0036177698 scopus 로고    scopus 로고
    • Development and evaluation of VIE-PNN, a knowledge-based system for calculating the parenteral nutrition of newborn infants
    • Horn W, Popow C, Miksch S, et al. Development and evaluation of VIE-PNN, a knowledge-based system for calculating the parenteral nutrition of newborn infants. Arfif Intell Med 2002;24:217-28.
    • (2002) Arfif Intell Med , vol.24 , pp. 217-228
    • Horn, W.1    Popow, C.2    Miksch, S.3
  • 23
    • 0345939604 scopus 로고    scopus 로고
    • A Report to the Association of Anesthesia Programs Directors
    • Joint Commission on Accreditation of Healthcare Organizations. Medical errors, sentinel events, and accreditation. A report to the Association of Anesthesia Programs Directors, 2000.
    • (2000) Medical Errors, Sentinel Events, and Accreditation
  • 25
    • 85009661516 scopus 로고    scopus 로고
    • Quality improvement and proactive hazard analysis models: Deciphering a new tower of Babel
    • Aspen P, Corrigan JM, Wolcott J, Erikson SM, eds. Washington, DC: National Academic Press
    • McDonough JE, Soloman R, Petrosa L. Quality improvement and proactive hazard analysis models: deciphering a new tower of Babel. In: Aspen P, Corrigan JM, Wolcott J, Erikson SM, eds. Patient safety: achieving a new standard of care. Washington, DC: National Academic Press, 2003.
    • (2003) Patient Safety: Achieving a New Standard of Care
    • McDonough, J.E.1    Soloman, R.2    Petrosa, L.3
  • 27
    • 0346325831 scopus 로고    scopus 로고
    • Assessing patient safety risk before the injury occurs: An introduction to sociotechnical probabilistic risk modelling in health care
    • Marx DA, Slonim AD. Assessing patient safety risk before the injury occurs: an introduction to sociotechnical probabilistic risk modelling in health care. Qual Saf Health Care 2003;12(Suppl II):ii33-8.
    • (2003) Qual Saf Health Care , vol.12 , Issue.SUPPL. II
    • Marx, D.A.1    Slonim, A.D.2
  • 28
    • 0036615053 scopus 로고    scopus 로고
    • Failure mode and effect analysis: An application in reducing risk in blood transfusion
    • Burgmeier J. Failure mode and effect analysis: an application in reducing risk in blood transfusion. Jt Comm J Qual Improv 2002;28:331-9.
    • (2002) Jt Comm J Qual Improv , vol.28 , pp. 331-339
    • Burgmeier, J.1
  • 29
    • 0028717696 scopus 로고
    • Preventing deficiencies in the transfusion process
    • Hergon E, Rouger P, Garnerin P. Preventing deficiencies in the transfusion process. Transtus Clin Biol 1994;1:455-65.
    • (1994) Transtus Clin Biol , vol.1 , pp. 455-465
    • Hergon, E.1    Rouger, P.2    Garnerin, P.3
  • 30
    • 0028726402 scopus 로고
    • Failure mechanisms in the transfusion process. Importance of anticipatory operational safety analysis
    • Hergon E, Crespeau H, Rouger P. Failure mechanisms in the transfusion process. Importance of anticipatory operational safety analysis. Transfus Clin Biol 1994;1:379-86.
    • (1994) Transfus Clin Biol , vol.1 , pp. 379-386
    • Hergon, E.1    Crespeau, H.2    Rouger, P.3
  • 31
    • 0030691731 scopus 로고    scopus 로고
    • Impact of a quality approach for transfusion safety: Prescription, circuit optimization, traceability
    • Marey A, Coupez B, Gruca L, et al. Impact of a quality approach for transfusion safety: prescription, circuit optimization, traceability. Transfus Clin Biol 1997;4:469-84.
    • (1997) Transfus Clin Biol , vol.4 , pp. 469-484
    • Marey, A.1    Coupez, B.2    Gruca, L.3
  • 32
    • 0035675350 scopus 로고    scopus 로고
    • Analysis of mode of failure, their effects and criticality: Improving of the hospital drug prescribing process
    • Saizy-Callaert S, Causse R, Thebault A, et al. Analysis of mode of failure, their effects and criticality: improving of the hospital drug prescribing process. Therapie 2001;56:525-31.
    • (2001) Therapie , vol.56 , pp. 525-531
    • Saizy-Callaert, S.1    Causse, R.2    Thebault, A.3
  • 33
    • 0031025195 scopus 로고    scopus 로고
    • Failure-mode and effects analysis in improving drug distribution system
    • McNally KM, Page MA, Sunderland VB. Failure-mode and effects analysis in improving drug distribution system. Am J Health Syst Pharm 1997;15:171-7.
    • (1997) Am J Health Syst Pharm , vol.15 , pp. 171-177
    • McNally, K.M.1    Page, M.A.2    Sunderland, V.B.3
  • 34
    • 0026578150 scopus 로고
    • Failure mode and effects analysis in clinical engineering
    • Willis G. Failure mode and effects analysis in clinical engineering. J Clin Eng 1992;17:59-63.
    • (1992) J Clin Eng , vol.17 , pp. 59-63
    • Willis, G.1
  • 35
    • 0031196232 scopus 로고    scopus 로고
    • A systems analysis approach to medical errors
    • Leape LL. A systems analysis approach to medical errors. J Eval Clin Pract 1997;3:213-22.
    • (1997) J Eval Clin Pract , vol.3 , pp. 213-222
    • Leape, L.L.1
  • 36
    • 0028271622 scopus 로고
    • Failure mode and effects analysis: A novel approach to avoiding dangerous medication errors and accidents
    • Cohen MR, Senders J, Davis NM. Failure mode and effects analysis: a novel approach to avoiding dangerous medication errors and accidents. Hosp Pharm 1994;29:319-30.
    • (1994) Hosp Pharm , vol.29 , pp. 319-330
    • Cohen, M.R.1    Senders, J.2    Davis, N.M.3
  • 37
    • 0031451848 scopus 로고    scopus 로고
    • Failure mode and effects analysis. An interdisciplinary way to analyze and reduce medication errors
    • Fletcher CE. Failure mode and effects analysis. An interdisciplinary way to analyze and reduce medication errors. J Nurs Admin 1997;27:19-26.
    • (1997) J Nurs Admin , vol.27 , pp. 19-26
    • Fletcher, C.E.1
  • 38
    • 0036580468 scopus 로고    scopus 로고
    • Using health care failure mode and effect analysis: The VA national center for patient safety's prospective risk analysis system
    • De Rosier J, Stalhandske E, Bagian JP, et al. Using health care failure mode and effect analysis: the VA national center for patient safety's prospective risk analysis system. J Qual Improv 2002;28:248-67.
    • (2002) J Qual Improv , vol.28 , pp. 248-267
    • De Rosier, J.1    Stalhandske, E.2    Bagian, J.P.3
  • 39
    • 0028316872 scopus 로고
    • The use of failure mode effect and criticality analysis in a medication error subcommittee
    • Williams E. The use of failure mode effect and criticality analysis in a medication error subcommittee. Hosp Pharm 1994;29:331-7.
    • (1994) Hosp Pharm , vol.29 , pp. 331-337
    • Williams, E.1
  • 40
    • 17144382577 scopus 로고    scopus 로고
    • Développement d'un programme de prescription des alimentations parentérales totales pédiatriques
    • Ing H, Pfister R, Fonzo-Christe C, et al. Développement d'un programme de prescription des alimentations parentérales totales pédiatriques. Schweiz Med Forum 2002;(Suppl 10):28S.
    • (2002) Schweiz Med Forum , Issue.SUPPL. 10
    • Ing, H.1    Pfister, R.2    Fonzo-Christe, C.3
  • 41
    • 17144371073 scopus 로고    scopus 로고
    • Validation of paediatric total parenteral nutrient solutions production with Baxa MM12 automated compounder
    • Sadeghipour F, Ing H, Sierra C, et al. Validation of paediatric total parenteral nutrient solutions production with Baxa MM12 automated compounder. Clin Nutr 2002;21(Suppl 1):82.
    • (2002) Clin Nutr , vol.21 , Issue.SUPPL. 1 , pp. 82
    • Sadeghipour, F.1    Ing, H.2    Sierra, C.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.