Safe practices for sterile compounding are essential to preventing errors, particularly with parenteral nutrition (PN). This article reports several areas of errors in PN processes and provides recommendations for error prevention.
Institute for Safe Medication Practices (ISMP). Mixing multi-chamber bags of CLINIMIX (amino acid and dextrose) or CLINIMIX E (amino acid and dextrose with electrolytes)ISMP Quarterly Action Agenda. http://www.ismp.org/Newsletters/acutecare/articles/ActionAgenda1102.doc. Accessed November 19, 2011.
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Institute for Safe Medication Practices (ISMP). Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert!August11, 2011. http://www.ismp.org/Newsletters/acutecare/archives/Aug11.asp