Risk management in the hospital environment
Application to the preparation process of parenteral nutrition bags in a neonatology centre
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Parenteral nutrition is an artificial feeding technique that is an integral part of neonatal management if enteral feeding is impossible, insufficient or contraindicated. The preparation of parenteral nutrition mixtures is a vital but not risk-free pharmaceutical activity. This book details a study aimed at guaranteeing the quality and safety of mixtures for newborns by carrying out a risk analysis in a neonatology centre. Thus, an analysis of failure modes, their effects and criticality was conducted by a multidisciplinary team. After modeling the process, the team identified potential failur...
Parenteral nutrition is an artificial feeding technique that is an integral part of neonatal management if enteral feeding is impossible, insufficient or contraindicated. The preparation of parenteral nutrition mixtures is a vital but not risk-free pharmaceutical activity. This book details a study aimed at guaranteeing the quality and safety of mixtures for newborns by carrying out a risk analysis in a neonatology centre. Thus, an analysis of failure modes, their effects and criticality was conducted by a multidisciplinary team. After modeling the process, the team identified potential failure modes and focused on determining their causes and effects. Then, a risk prioritization was conducted after scoring the failure modes. An action plan was finally proposed that allowed the control of 80% of the global criticality. The areas for improvement mainly targeted pharmaceutical validation, production and quality control. A second study is to be considered to evaluate the residual criticality.
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