Evaluation of a Computer-Assisted TPN Prescription System in Tokushima University Hospital, and its Improvement

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  • Ikuta Masako
    Graduate School of Pharmaceutical Sciences, The University of Tokushima
  • Aida Maki
    Graduate School of Pharmaceutical Sciences, The University of Tokushima
  • Ishizawa Keisuke
    Department of Pharmacy, Tokushima University Hospital
  • Minakuchi Kazuo
    Graduate School of Pharmaceutical Sciences, The University of Tokushima Department of Pharmacy, Tokushima University Hospital
  • Tsuchiya Koichiro
    Graduate School of Pharmaceutical Sciences, The University of Tokushima
  • Kihara Masaru
    Graduate School of Pharmaceutical Sciences, The University of Tokushima
  • Yamauchi Aiko
    Graduate School of Pharmaceutical Sciences, The University of Tokushima

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  • 徳島大学病院におけるＴＰＮ処方設計支援ソフトの使用評価と改良

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Fluid therapy is a fundamental treatment for almost all inpatients, and nutritional therapy is the most important type of such therapy. Currently, total parenteral nutrition (TPN) is widely used to provide complete nutritional support but 30-40% of TPN recipients are considered to in a malnourished state due to inappropriate TPN prescriptions. Computer-assisted TPN prescription systems are thought to be useful to clinical professionals in solving this problem because they can perform complicated calculations that make it easy to draw up correct TPN prescriptions. So, we made a prototype system for aiding the preparation of TPN prescriptions based on Microsoft® EXCEL and it was tested by physicians, pharmacists, dietitians and nurses engaged in TPN therapy at Tokushima University Hospital. We also had them fill out a questionnaire on the system in which they rated it for ease of operation and usefulness according to a scoring system in which 5 indicated full marks.<BR>Our Computer-Assisted TPN Prescription System was improved on the basis of the questionnaire results and is now being effectively used by the nutrition support team (NST) in Tokushima University Hospital.

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