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      Design and Implementation of an Analgesia, Sedation, and Paralysis Order Set to Enhance Compliance of pro re nata Medication Orders with Joint Commission Medication Management Standards in a Pediatric ICU.

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          Abstract

          The use of pro re nata (PRN) medication orders increases nursing flexibility and efficiency of bedside patient care. However, misuse and/or ambiguity of PRN medication orders may increase the propensity for medication errors. The Joint Commission has Medication Management (MM) standards to mitigate such risks. This quality improvement study with a pre-post design aimed to increase compliance of PRN sedative and analgesic orders with use of failure mode and effects analysis (FMEA) and human factors risk assessment methodologies in a pediatric ICU (PICU).

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          Author and article information

          Journal
          Jt Comm J Qual Patient Saf
          Joint Commission journal on quality and patient safety
          Elsevier BV
          1938-131X
          1553-7250
          December 2020
          : 46
          : 12
          Article
          S1553-7250(20)30135-5
          10.1016/j.jcjq.2020.06.003
          32653365
          6b0bcde2-ac5f-403c-ba7a-d8e46070ee70
          Published by Elsevier Inc.
          History

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