Document Detail

Preparation of parenteral medicines in clinical areas: how can the risks be managed - a UK perspective?
MedLine Citation:
PMID:  20579198     Owner:  NLM     Status:  MEDLINE    
AIMS AND OBJECTIVES: This article provides an overview of preparation of parenteral medicines in clinical areas. It describes the development of a tool to allow preparation of these medicines to be scored for risk. The article shows how this work was adopted by the National Patient Safety Agency (NPSA) and was subsequently issued as Patient Safety Alert 20 (Injectable Medicines). BACKGROUND: Although there are well-established standards for preparation of parenteral medicines in pharmacy, there were no equivalent standards for their preparation in clinical areas, where risks to patients from medication error and microbiological contamination are greater. Use of a risk assessment process allows highest risk items to be targeted for transfer to pharmacy preparation. Defined standards and competency-based training should reduce risk for preparation of those items remaining in clinical areas. METHOD: Discursive. CONCLUSIONS: This article identifies the risks involved in the preparation of parenteral medicines in clinical areas and describes ways in which these risks can be minimised. RELEVANCE TO CLINICAL PRACTICE: Use of risk assessment allows targeted transfer of high-risk parenteral medicines to pharmacy preparation, where risks of medication error and microbiological contamination are lower. This transfer liberates nursing time for patient benefit.
Alison M Beaney
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical nursing     Volume:  19     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  1569-77     Citation Subset:  N    
The Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK.
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MeSH Terms
Great Britain
Infusions, Parenteral*
Medication Errors / prevention & control*
Risk Management*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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