Features and Benefits
For Care Providers
For the over thirty-five years that the core parenteral
nutrition (PN) computational engine has been used at Lucile Packard
Children's Hospital (LPCH), not a single PN-related
adverse event has been reported. In 1996, the American
Society for Parenteral Enteral Nutrition (A.S.P.E.N.)
published PN guidelines, many of which were adopted from
the pioneering work at LPCH and the Infusion Studio design
team. In 2003, Monterey Medical Solutions released
Infusion Studio for Windows with several enhancements,
most significant of which was paperless
Medication errors are among the top ten causes for
and LPCH estimates that PN orders account for one-fourth
of medication errors reported nationwide. In April of
2005, LPCH was awarded a national quality and safety award
for demonstrating significant and sustained improvements
in care. LPCH acknowledged that Infusion Studio played a
major role in this achievement. By redesigning medication
processes, of which PN is one, LPCH championed the
process for improved medication practices.
Parenteral nutrition orders are unequivocally intricate,
error-prone, and difficult to write because they require
consideration to fluids, calories (protein, carbohydrate, fat),
underlying acid-base and electrolyte disturbances, as well
as other metabolic challenges of high acuity patients.
In paper order processes, prescribing errors can arise
from unintentional oversights in dosing, under-recognition
of additional sources of fluid and electrolytes, or from
computational errors. Paper orders
are inherently at high risk for transcription and legibility errors.
In paper ordering processes, the burden of correcting a problematic order
generally falls to
the pharmacist who must negotiate a correction with the
ordering physician. Inevitably, some errors escape notice,
putting the patient at risk for an adverse event.
Infusion Studio offers a safer and more cost-effective
alternative to these risks.
There is no doubt that a well written, error-free PN
order minimizes staff frustration, reduces labor costs,
improves patient safety, and contributes to better patient
Infusion Studio achieves PN process improvement by
protocol management of additive ordering, completion of
limit-checking before order submission, and elimination
of transcription errors by using paperless order
transmission. Infusion Studio is a Computerized Provider Order
Entry (CPOE) system for Parenteral Nutrition that keeps
prescribers compliant with hospital PN protocols
established by its Nutritional Support Team and corrects
potential ordering errors at point of order entry. Because
the PN order complies with protocol dosing ranges and has
passed limit checks before becoming available for
pharmacy review, there is a limited need for order changes
by the pharmacy staff, saving pharmacists substantial time
expenditure on PN call-backs and error corrections.
performed detailed metrics on several hospitals and have
demonstrated that Infusion Studio saves money.
time the provider takes to manually calculate order
parameters and the amount of time the pharmacist spends
re-checking those computations. Consider the cost of just
getting the paper order to the pharmacy. Consider the time
the pharmacist spends on the telephone tracking down the
provider and discussing problematic orders. Consider the
time to re-enter a subsequent day's order where only a few
parameters have changed. With a paper system, every PN
order is an initial order. With Infusion Studio each
subsequent order can be "recalled" with the most
recent order entries, which generally require only minor
adjustments. Infusion Studio saves time and money by
eliminating, simplifying, and reducing process steps for
all personnel who are involved in the process.
Infusion Studio is innovative, cutting edge, and
incomparable, in a field by itself. Its implementation
assures your hospital compliance with A.S.P.E.N. and
American Academy of Pediatrics guidelines and starts the
process of becoming one of America's safe hospitals. We look forward to adding your hospital
to the list of exceptional hospitals in America.
Interested in improving
your institution's parenteral nutrition formulation process?
Fill out this questionnaire then let us help you
review and customize your formulation process.