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Abstract

A LITERATURE REVIEW ON IMPORTANCE OF PARENTERAL NUTRITION SAFETY PROCESS

Bismi S.* and Dhanya Dharman

Abstract

Parenteral nutrition (PN) is a complex therapy that requires a robust system to assure its safety and efficacy. Since its inception, PN has been associated with serious issues, ranging from catheter complications, such as thrombosis and infection, to metabolic complications, such as hyperglycemia, refeeding syndrome, and fluid/electrolyte disorders. Complications can occur as a result of the therapy and as the result of the PN process. These consensus recommendations are based on practices that are generally accepted to minimize errors with PN therapy, categorized in the areas of PN prescribing, order review and verification, compounding, and administration. This review aims to describe PN as a system of care and identify the processes that are prone to error, provide evidence to explain why PN errors are likely to reach patients and cause harm and to explain the rationale for a standardized process for PN therapy. This review will provide important insight and recommendations to promote a safe PN process.

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