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Patient Safety Incidents Related to the Use of Parenteral Nutrition in All Patient Groups: A Systematic Scoping Review

Abstract

Introduction

There is limited comprehensive literature focussing on the range of patient safety incidents related to parenteral nutrition (PN).

Objective

The aim of this review was to examine patient safety incidents related to the use of PN in all patient age groups.

Methods

Literature published in the English language between January 2000 and April 2020 were searched across the MEDLINE, CINHAL and Embase databases. Articles were included if they contained PN-related patient safety incidents related to an avoidable event. No restrictions were applied to patient populations. The screening process was undertaken independently by two authors.

Results

In total, 108 records were included in the review: 52 case studies, 54 observation studies (e.g. prevalence studies, surveys) and two experimental studies. All age groups were represented, with 62% of studies in paediatrics (of which two-thirds were neonates) and 23% in adults. They included all medication processes: prescribing, dispensing, compounding, administration and monitoring. Incidents were related to microbial contamination, venous access and specific components (e.g. lipid emulsion, amino acids, glucose, micronutrients and electrolytes) or the whole product. Incident outcomes ranging from near miss to death were reported. Intervention studies looked at the impact on patient safety incidents of computerised tools, healthcare processes, e.g. pharmacist screening, and standardisation. One study demonstrated more severe outcomes with paediatric than with adult PN.

Conclusions

This review demonstrates the vast range of PN-related patient safety incidents in all patient age groups and all medication process stages. The need for a national study looking at patient safety incidents related to PN in England is highlighted.

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Acknowledgements

The authors thank the University of Southampton Health Sciences Library specialists and Angela Badiani, Medicines Advice service at the University Hospital Southampton NHS Foundation Trust, for their advice and contribution to the search strategy. We also thank Dr Emily Smith, Pharmacy Research Fellow at the University Hospital Southampton NHS Foundation Trust, for guidance during study set-up.

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PM, RHS and AF have no conflicts of interest that might be relevant to the contents of this manuscript.

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PM and AF contributed to the study conception and design. PM completed the database searches. PM, RHS and AF completed the study selection process. Systematic review planning and data analysis was led by PM and supported by AF. PM drafted the manuscript. RHS and AF commented on previous versions. All authors read and approved the final manuscript.

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Mistry, P., Smith, R.H. & Fox, A. Patient Safety Incidents Related to the Use of Parenteral Nutrition in All Patient Groups: A Systematic Scoping Review. Drug Saf 45, 1–18 (2022). https://doi.org/10.1007/s40264-021-01134-3

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