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A nutrition support service web application to manage patients receiving parenteral nutrition.
- Source :
-
Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2009 Aug-Sep; Vol. 24 (4), pp. 447-58. - Publication Year :
- 2009
-
Abstract
- Parenteral nutrition (PN) is a complex therapy that requires expertise and experience to avoid errors in prescribing and management. Because of care coordination issues, one medical center has developed and implemented a Web-based application to manage PN patients. PN orders have already been programmed into the physician order entry system, but the nutrition support service (NSS) consult and daily PN management have been performed using paper forms. The Web system is developed for ease of use by clinicians and accessibility at any computer within the medical center. The database consists of 12 tables interrelated by the patient medical record number, admission number, or location. The NSS consult is the main table used to navigate to the other tables. Update of the laboratory and PN formula table must be done through the consult table. The system is compliant with the Health Insurance Portability and Accountability Act guidelines, and has been developed so that the forms that are required to be placed in the patient's permanent record can be printed. Demographic information and laboratory data are automatically populated via a link to the medical center's medication management system. At present, there are 1393 patients in the database and 21,000 pages are viewed each month during daily PN management by clinicians. Data can be easily retrieved for management reports. Data elements can be exported directly from the database to worksheets. This function has been used for projects designed to improve the efficiency of this PN system.
- Subjects :
- Ancillary Services, Hospital organization & administration
Continuity of Patient Care
Databases, Factual
Decision Support Systems, Clinical
Hospitals, University
Humans
Ohio
Patient Care Planning organization & administration
Referral and Consultation
User-Computer Interface
Internet
Medical Order Entry Systems organization & administration
Medical Records Systems, Computerized organization & administration
Parenteral Nutrition methods
Software
Subjects
Details
- Language :
- English
- ISSN :
- 0884-5336
- Volume :
- 24
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 19605799
- Full Text :
- https://doi.org/10.1177/0884533609339068