Development of a medication review service for patients with enteral tubes in a community teaching hospital

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Tracey LiJennifer Costello

Abstract

The results of a study to develop a hospital-wide medication review service for patients with enteral tubes to improve patient safety are presented. Inappropriate enteral administration of medications can result in occluded tubes, altered clinical response, and an increase in adverse effects. At Saint Barnabas Medical Center, a 600-bed community teaching hospital located in Livingston, New Jersey, a medication review service for patients with an enteral tube was developed. A phased approach was used. In phase 1, a retrospective chart review revealed that 43% of our patients with enteral tubes received at least one medication that should not be crushed. In phase 2, we identified formulary medications that should not be crushed based on guidance from the Institute for Safe Medication Practices. We added a "do not crush" warning to the identified medications in our electronic medication administration record and automated medication dispensing system. In phase 3, we created an automatic substitution list of medications. Phase 4 involved the development of the program in our health information technology platform. An electronic task list alerted pharmacists about patients with enteral tubes who required medication review and potent...Continue Reading

References

Feb 4, 2006·Quality & Safety in Health Care·P M L A van den BemtA C G Egberts
Dec 5, 2008·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Nancy Toedter Williams
Jan 28, 2009·JPEN. Journal of Parenteral and Enteral Nutrition·Robin BankheadUNKNOWN A.S.P.E.N. Board of Directors

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