Implementation of an mSalud system for the management and traceability of the home parenteral nutrition

Objective: To put into practice an mSalud system for the management and traceability of parenteral nutrition (PN) at home. Methods: Descriptive cross-sectional study, taking as subject of the study the PN bags from the unit for home-care department of the University Hospital Son Espases de Palma (HUSE), Spain, during 3 months. The bags were labeled with a distinctive identifier (QR tag) that facilitated their reading of data through a mobile device. The stages to be controlled were: validation and transcription of the prescription, elaboration, conservation and administration. Critical control points to be checked are the gravimetric control, the storage temperature, the volume and infusion time (pump for administration) and the existence and integrity of the filter (administration stage). Geolocation was done through the GPS on mobile devices and it is presented using a mash-up based on Google Maps. Results: Two pharmacists and 20 nurses took part in the process and 90 NP bags were operated. The control operations showed a 100% compliance with the established stages and the static location of PN administration (including date and time). The mean results of the critical points were: gravimetry 2217.76 ± 13.70 g, fridge temperature 4.20 ± 0.33 and 4.03 ± 0.34, volume to be administered 1949.81 ± 7.52 ml and infusion time 15.22 ± 0.20 h. Conclusions: A system for the management and traceability of NP in home care at a low cost and quantifying the main control points was successfully implemented and verified at the HUSE in Palma (Spain).