Management of the General Process of Parenteral Nutrition Using mHealth Technologies: Evaluation and Validation Study

Any system applied to the control of parenteral nutrition (PN) ought to prove that the process meets the established requirements and include a repository of records to allow evaluation of the information about PN processes at any time. The goal of the research was to evaluate the mobile health (mHe...

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Bibliographic Details
Published in:JMIR mHealth and uHealth 2018-04, Vol.6 (4), p.e79-e79
Main Authors: Cervera Peris, Mercedes, Alonso Rorís, Víctor Manuel, Santos Gago, Juan Manuel, Álvarez Sabucedo, Luis, Wanden-Berghe, Carmina, Sanz-Valero, Javier
Format: Article
Language:English
Subjects:
Design
Nutrition
Original Paper
Parenteral nutrition
Pharmacy
Process controls
Questionnaires
Semantic web
Semantics
Software
Usability
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Summary:Any system applied to the control of parenteral nutrition (PN) ought to prove that the process meets the established requirements and include a repository of records to allow evaluation of the information about PN processes at any time. The goal of the research was to evaluate the mobile health (mHealth) app and validate its effectiveness in monitoring the management of the PN process. We studied the evaluation and validation of the general process of PN using an mHealth app. The units of analysis were the PN bags prepared and administered at the Son Espases University Hospital, Palma, Spain, from June 1 to September 6, 2016. For the evaluation of the app, we used the Poststudy System Usability Questionnaire and subsequent analysis with the Cronbach alpha coefficient. Validation was performed by checking the compliance of control for all operations on each of the stages (validation and transcription of the prescription, preparation, conservation, and administration) and by monitoring the operative control points and critical control points. The results obtained from 387 bags were analyzed, with 30 interruptions of administration. The fulfillment of stages was 100%, including noncritical nonconformities in the storage control. The average deviation in the weight of the bags was less than 5%, and the infusion time did not present deviations greater than 1 hour. The developed app successfully passed the evaluation and validation tests and was implemented to perform the monitoring procedures for the overall PN process. A new mobile solution to manage the quality and traceability of sensitive medicines such as blood-derivative drugs and hazardous drugs derived from this project is currently being deployed.
ISSN:2291-5222
2291-5222
DOI:10.2196/mhealth.9896