[The methodology of quality control in parenteral nutrition. II. The application of the program to a therapeutic plan].
Patients subjected to parenteral nutrition (PN) must be treated based on a therapeutical plan which has been adapted to their nutritional and clinical needs within a normalizing framework. Furthermore, for this therapeutical plan to be effective and safe, not only must it be suitable for the patient, but also "exact" with regard to daily routines. The quality control programme designed was applied retrospectively to 148 patients. Evaluation was made based on the following indicators: a) delay in initiating parenteral nutrition, b) average intake of macronutrients, c) administration of micronutrients, d) duration of the PN, e) temporary interruptions of the PN, f) errors in medication and g) return of nutrient units. The compliance percentage obtained was 100, 100, 28.7, 89.5, 63.2 100 and 100 respectively. The results obtained have made it possible to understand the quality profile of the therapeutical plan applied to patients on PN. It is also a useful method for the continued improvement of this therapy.
Font Noguera
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Servicio de Farmacia, Hospital Gran Vía, Castellón.
Jiménez Torres
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D000367:Age Factors; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D006801:Humans; D010288:Parenteral Nutrition / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D010347:Patient Care Planning / Q000592:standards / Q000706:statistics & numerical data; D015397:Program Evaluation; D011786:Quality Control; D012189:Retrospective Studies; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology
Metodología de control de calidad en nutrición parenteral. II. Aplicación del programa al plan terapéutico.