[Protocolisation of parenteral artificial nutrition: Methodological and organisational bases for process design and review].
In the field of parenteral artificial nutrition (PN) there is debate over the application of such concepts as standardisation, individualisation, protocolisation and normalisation. Artificial Nutrition Units (ANU) that are designing or reviewing their PN provision system must take into account the existing methodological and regulatory references as well as the resources available for implementing the process. The aim of this article is to review and evaluate the possibilities that exist for designing an efficient, safe process, applying the methodology of continuous quality improvement. Current requirements are reviewed in terms of quality of formulation, safety, and cost containment, as well as the resources available to avoid jeopardising the possibilities of adapting the treatment to suit patient needs or compromising its efficacy. The solution to the problem of whether the chosen approach in the system of PN provision is appropriate must come from review of the quality of service through the evaluation of indicators both of process and results. In this task, the hospital pharmacist plays a significant role as an agent in guaranteeing compliance with good practice guidelines.
Schoenenberger Arnaiz
Juan Antonio
JA
Servicio de Farmacia, UVI, Hospital Universitari Arnau de Vilanova, IRB, Lleida, España. jas@arnau.scs.es
Rodríguez Pozo
A
A
D002985:Clinical Protocols / Q000592:standards*; D005526:Food, Formulated / Q000032:analysis; D006801:Humans; D010288:Parenteral Nutrition / Q000379:methods* / Q000592:standards*