Implantación de un sistema msalud para la gestión y trazabilidad de la nutrición parenteral domiciliaria

  1. Mercedes Cervera Peris 1
  2. Victor M. Alonso Roris 2
  3. Juan M. Santos Gago 2
  4. Luis M. Álvarez Sabucedo 2
  5. Carmina Wanden-Berghe 3
  6. Javier Sanz Valero 1
  1. 1 Universidad Miguel Hernández, Elche, España
  2. 2 Universidad de Vigo, Vigo, España.
  3. 3 Hospital General Universitario de Alicante, Alicante, España.
Aldizkaria:
Hospital a Domicilio

ISSN: 2530-5115

Argitalpen urtea: 2017

Alea: 1

Zenbakia: 3

Orrialdeak: 129-139

Mota: Artikulua

DOI: 10.22585/HOSPDOMIC.V1I3.19 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Hospital a Domicilio

Laburpena

Objective: To put into practice an mSalud system for the management and traceability of parenteral nutrition (PN) at home. Methods: Descriptive cross-sectional study, taking as subject of the study the PN bags from the unit for home-care department of the University Hospital Son Espases de Palma (HUSE), Spain, during 3 months. The bags were labeled with a distinctive identifier (QR tag) that facilitated their reading of data through a mobile device. The stages to be controlled were: validation and transcription of the prescription, elaboration, conservation and administration. Critical control points to be checked are the gravimetric control, the storage temperature, the volume and infusion time (pump for administration) and the existence and integrity of the filter (administration stage). Geolocation was done through the GPS on mobile devices and it is presented using a mash-up based on Google Maps. Results: Two pharmacists and 20 nurses took part in the process and 90 NP bags were operated. The control operations showed a 100% compliance with the established stages and the static location of PN administration (including date and time). The mean results of the critical points were: gravimetry 2217.76 ± 13.70 g, fridge temperature 4.20 ± 0.33 and 4.03 ± 0.34, volume to be administered 1949.81 ± 7.52 ml and infusion time 15.22 ± 0.20 h. Conclusions: A system for the management and traceability of NP in home care at a low cost and quantifying the main control points was successfully implemented and verified at the HUSE in Palma (Spain).

Erreferentzia bibliografikoak

  • Cardona Pera D, Cervera Peris M, Fernández Arévalo M, Gomis Muñoz P, Martínez Tutor M, Piñeiro Corrales G, et al; Grupo Nutrición de Farmacia de SENPE-SEFH. Consenso español sobre la preparación de mezclas nutrientes parenterales. Farm Hosp. 2009;33(Supl 1):78–107.
  • Sirvent M, Calvo MV, Pérez-Pons JC, Rodríguez-Penín I, Marti-Bonmatí E, Vázquez A, et al; Grupo de Nutrición Clínica de la SEFH. Buenas prácticas para el uso seguro de las bolsas tricamerales de nutrición parenteral. Farm Hosp. 2014;38(5):389–97. DOI: 10.7399/fh.2014.38.5.8085; PMID: 25344132
  • Martínez Gabarrón J, Sanz-Valero J, Wanden-Berghe C. Information systems in clinical pharmacy applied to parenteral nutrition management and traceability: a systematic review. Farm Hosp. 2017;41(1):89–104. DOI: 10.7399/fh.2017.41.1.10610; PMID: 28045654
  • Wanden-Berghe C. Calidad, innovación y desarrollo tecnológico en nutrición enteral en el siglo XXI. Nutr Hosp. 2015;(5):67–76. DOI: 10.3305/nh.2015.31.sup5.9133
  • Siquier Homar P, Pinteño Blanco M, Calleja Hernández MÁ, Fernández Cortés F, Martínez Sotelo J. Development of integrated support software for clinical nutrition. Farm Hosp. 2015;39(5):240–68. DOI: 10.7399/fh.2015.39.5.8807; PMID: 26546938
  • Juana-Roa J, Wanden-Berghe C, Sanz-Valero J. The reality of home-based parenteral nutrition in Spain. Nutr Hosp. 2011;26(2):364–8. DOI:10.3305/nh.2011.26.2.5203; PMID: 21666975
  • Engel A. Verification, validation, and testing of engineered systems. Hoboken, N.J: Wiley & Sons; 2010.
  • Alonso Rorís VM, Santos Gago JM, Álvarez Sabucedo L, Ramos Merino M, Sanz-Valero J. An ICT-Based Platform to Monitor Protocols in the Healthcare Environment. J Med Syst. 2016;40(10):225. DOI: 10.1007/s10916-016-0593-3; PMID: 27624494
  • Alonso-Rorís VM, Álvarez-Sabucedo L, Santos-Gago JM, Ramos‐Merino M. Towards a cost-effective and reusable traceability system. A semantic approach. Comput Ind. 2016;83:1–11. DOI: 10.1016/j.compind.2016.08.003
  • Alonso Rorís VM, Álvarez Sabucedo LM, Wanden-Berghe C, Santos Gago JM, Sanz-Valero J. Towards a Mobile-Based Platform for Traceability Control and Hazard Analysis in the Context of Parenteral Nutrition: Description of a Framework and a Prototype App. JMIR Res Protoc. 2016;5(2):e57. DOI: 10.2196/resprot.4907; PMID: 27269189
  • Bernabeu Soria B, Mateo García M, Wanden-Berghe C, Cervera Peris M, Piñeiro Corrales G, Sanz-Valero J. Development of the management for parenteral nutrition traceability in a standard hospital. Farm Hosp. 2015;39(6):358–68. DOI: 10.7399/fh.2015.39.6.9689; PMID: 26618380
  • Boitano M, Bojak S, McCloskey S, McCaul DS, McDonough M. Improving the safety and effectiveness of parenteral nutrition: results of a quality improvement collaboration. Nutr Clin Pract. 2010;25(6):663–71. DOI: 10.1177/0884533610385349; PMID: 21139133
  • Dickerson RN, Hamilton LA, Brown RO. Use of a standardized progress note and assessment form for performance evaluation and quality improvement. Nutr Clin Pract. 2010;25(5):490–6. DOI: 10.1177/0884533610379607; PMID: 20962308
  • Pérez Serrano R, Vicente Sánchez MP, Arteta Jiménez M. Control gravimétrico en la nutrición parenteral: de la teoría a la práctica. Nutr Hosp. 2011;26(5):1041–4. DOI: 10.3305/nh.2011.26.5.5125; PMID: 22072350
  • Sirvent M, Victoria Calvo M, Sagalés M, Rodríguez-Penin I, Cervera M, Piñeiro G, et al; Grupo de Nutrición de la SEFH. Indicadores de monitorización del proceso de soporte nutricional especializado. Farm Hosp. 2013;37(1):15–26. DOI: 10.7399/FH.2013.37.1.154; PMID: 23461496
  • Boullata JI, Holcombe B, Sacks G, Gervasio J, Adams SC, Christensen M, et al; Parenteral Nutrition Safety Committee (American Society for Parenteral and Enteral Nutrition). Standardized Competencies for Parenteral Nutrition Order Review and Parenteral Nutrition Preparation, Including Compounding: The ASPEN Model. Nutr Clin Pract. 2016;31(4):548–55. DOI: 10.1177/0884533616653833; PMID: 27317615
  • Ayers P, Adams S, Boullata J, Gervasio J, Holcombe B, Kraft MD, et al; American Society for Parenteral and Enteral Nutrition. ASPEN parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296–333. DOI: 10.1177/0148607113511992; PMID: 24280129
  • Worthington P, Balint J, Bechtold M, Bingham A, Chan L-N, Durfee S, et al. When Is Parenteral Nutrition Appropriate? JPEN J Parenter Enteral Nutr. 2017;41(3):324–77. DOI: 10.1177/0148607117695251; PMID: 28333597.
  • Tuan F, Perone V, Verdini R, Pell MB, Traverso ML. Validación de la conservación de la cadena de frío durante la distribución de mezclas de nutrición parenteral. Farm Hosp. 2015;39(5):269–74. DOI: 10.7399/fh.2015.39.5.8869; PMID: 26546939
  • Cheung K-H, Yip KY, Townsend JP, Scotch M. HCLS 2.0/3.0: health care and life sciences data mashup using Web 2.0/3.0. J Biomed Inform. 2008;41(5):694–705. DOI: 10.1016/j.jbi.2008.04.001; PMID: 18487092
  • Martínez Pérez M, Vázquez González G, Dafonte C. Safety and Traceability in Patient Healthcare through the Integration of RFID Technology for Intravenous Mixtures in the Prescription-Validation-Elaboration-Dispensation-Administration Circuit to Day Hospital Patients. Sens Basel. 2016;16(8):E1188. DOI: 10.3390/s16081188; PMID: 27483269