Titre
Parenteral nutrition in the hospital setting/short-term parenteral nutrition.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Cogle, S.V.
Auteure/Auteur
Ayers, P.
Auteure/Auteur
Berger, M.M.
Auteure/Auteur
Berlana, D.
Auteure/Auteur
Wischmeyer, P.E.
Auteure/Auteur
Ybarra, J.
Auteure/Auteur
Zeraschi, S.
Auteure/Auteur
De Cloet, J.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1535-2900
Statut éditorial
Publié
Date de publication
2024-06-13
Volume
81
Numéro
Supplement_3
Première page
S102
Dernière page/numéro d’article
S111
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
This article is based on presentations and discussions held at the International Safety and Quality of Parenteral Nutrition (PN) Summit concerning the acute care setting. Some European practices presented in this article do not conform with USP general chapter <797> requirements. Nevertheless, the purpose is to cover the challenges experienced in delivering high-quality PN within hospitals in the United States and Europe, in order to share best practices and experiences more widely.
Core issues regarding the PN process within an acute care setting are largely the same everywhere: There are ongoing pressures for greater efficiency, optimization, and also concurrent commitments to make PN safer for patients. Within Europe, in recent years, the use of market-authorized multi-chamber bags (MCBs) has increased greatly, mainly for safety, cost-effectiveness, and efficiency purposes. However, in the US, hospitals with low PN volumes may face particular challenges, as automated compounding equipment is often unaffordable in this setting and the variety of available MCBs is limited. This can result in the need to operate several PN systems in parallel, adding to the complexity of the PN use process. Ongoing PN quality and safety initiatives from US institutions with various PN volumes are presented. In the future, the availability of a greater selection of MCBs in the US may increase, leading to a reduction in dependence on compounded PN, as has been seen in many European countries.
The examples presented may encourage improvements in the safety and quality of PN within the acute care setting worldwide.
Core issues regarding the PN process within an acute care setting are largely the same everywhere: There are ongoing pressures for greater efficiency, optimization, and also concurrent commitments to make PN safer for patients. Within Europe, in recent years, the use of market-authorized multi-chamber bags (MCBs) has increased greatly, mainly for safety, cost-effectiveness, and efficiency purposes. However, in the US, hospitals with low PN volumes may face particular challenges, as automated compounding equipment is often unaffordable in this setting and the variety of available MCBs is limited. This can result in the need to operate several PN systems in parallel, adding to the complexity of the PN use process. Ongoing PN quality and safety initiatives from US institutions with various PN volumes are presented. In the future, the availability of a greater selection of MCBs in the US may increase, leading to a reduction in dependence on compounded PN, as has been seen in many European countries.
The examples presented may encourage improvements in the safety and quality of PN within the acute care setting worldwide.
PID Serval
serval:BIB_ED0BE7BE5753
PMID
Open Access
Oui
Date de création
2024-06-20T12:28:24.303Z
Date de création dans IRIS
2025-05-21T05:27:05Z
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Nom
38869256_BIB_ED0BE7BE5753.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by-nc-nd/4.0
Taille
388.19 KB
Format
Adobe PDF
PID Serval
serval:BIB_ED0BE7BE5753.P001
URN
urn:nbn:ch:serval-BIB_ED0BE7BE57537
Somme de contrôle
(MD5):1bf3addb37bdcdc7e7e15f2a329e60e9