Abstract
The identification of areas for performance improvement has originated from many sources and is best achieved through a collaborative effort from all health care team members. In 1987, five individuals spearheaded an organization-wide program to develop an optimal system for processing total parenteral nutrition (TPN) from initial order through administration. Secondary goals included staff education, improved patient care and monitoring, and an increase in interdisciplinary communication. Outcomes measured included cost data and patient outcomes. Key changes brought about by this group included a TPN form that was focused on patient needs and was also was used as an education tool, hospital-wide policy/procedure changes, and patient/staff education tools. Organizational improvements included a 60% decrease in inventory supplies, 59% increase in appropriate orders, and an 80% decline in nursing time. Overall changes resulted in an 843% reduction in TPN cost/day. The added benefits of “spin off” programs have improved our nutrition support delivery to patients.
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