Lucile Packard Children's Hospital and Monterey Medical Solutions Team Up to Improve Patient Safety

Use of TPN MedSoft(TM) Software Contributes to a 70% Reduction in Medication

Errors



Oct 13, 2004, 01:00 ET from Lucile Packard Children's Hospital from ,Monterey Medical Solutions, Inc.

    PALO ALTO, Calif., Oct. 13 /PRNewswire/ -- Lucile Packard Children's
 Hospital (LPCH) at Stanford, a national leader in patient and child safety,
 highlighted a variety of medication safety initiatives during its recent
 accreditation survey with JCAHO, the Joint Commission on Accreditation of
 Healthcare Organizations.  A centerpiece of the presentation was TPN
 MedSoft(TM) software used at LPCH, developed by founders of Monterey Medical
 Solutions, a leader in clinical software solutions designed to improve patient
 care.
     LPCH has been using TPN MedSoft software for more than 20 years and has
 one of the best Total Parenteral Nutrition (TPN) administration patient safety
 records in the country.  Now, Monterey Medical Solutions has commercialized
 the TPN MedSoft software to make it available to children's hospitals
 nationwide.
     Total Parenteral Nutrition therapy supplies life sustaining nutrients
 intravenously to premature or low-birth weight babies, infants, and children
 who are unable to breast-feed or take feeds orally. TPN solutions provide
 essential proteins, carbohydrates, fats, vitamins, minerals, trace elements,
 and fluids. It can also be administered to adult patients who cannot take food
 orally.
     "TPN is recognized throughout the children's hospital community as an
 essential life support therapy with a significant opportunity to cause serious
 harm if not administered correctly," said Paul Sharek, MD, MPH, chief clinical
 patient safety officer at LPCH.  "It is this potential for error coupled with
 manual pharmacy processes that are driving all children's hospitals to look
 for automation and quality control solutions, such as those offered by TPN
 MedSoft."
     According to Dr. Sharek, recent accelerated efforts in patient safety and
 medication error prevention included upgrades to TPN MedSoft and have resulted
 in improved safety outcomes at LPCH. These contributed to a 70 percent
 decrease in Adverse Drug Event (ADE) rates and a decline in the number of
 pharmacy interventions related to TPN therapy.
     "The team at Lucile Packard Children's Hospital continues to demonstrate
 significant leadership in the use of technology to maintain the highest
 standards of patient safety," said Mark Yelderman, MD, CEO of Monterey Medical
 Solutions. "We are proud of our 20-year development of this vital software
 that has proven ability to dramatically improve the safety and effectiveness
 of TPN therapy."
     Every year, approximately 1 million injuries and up to 100,000 deaths may
 be attributed to medical errors, according to the National Academy of
 Sciences' Institute of Medicine (IOM). Medical errors are the eighth leading
 cause of death in the United States, higher than auto accidents, breast cancer
 or HIV/AIDS related deaths.
     More than 7,000 people die each year from medication errors alone. The IOM
 estimates that half of Adverse Drug Events (ADEs) to medicines are the result
 of medical errors. The rate for potential medication errors and ADEs is three
 times higher in children than adults and significantly higher for babies in
 the neonatal intensive care unit (NICU).
     The TPN ordering, formulation calculating, and compounding process is one
 of the most complex, error prone, and labor intensive responsibilities of an
 inpatient children's hospital pharmacy. TPN MedSoft automates the processing
 of physician prescriptions for TPN and generates labels and mixing
 instructions for manual compounding by the pharmacist or for automated
 compounding.
     The system optimizes TPN therapy through the use a patient-centric model
 based on nutritional requirements and patient physiology. An interactive order
 process provides physicians with instant feedback and dosing guidance for each
 nutritional ingredient.  In addition, the software enforces standards-based
 nutritional protocols and notifies physicians of any variance.  The
 nutritional guidelines that serve as the foundation for TPN MedSoft are based
 on the gold standard Parenteral Nutrition textbook and chapters developed by
 John A. Kerner, Jr., MD, professor of pediatrics at Stanford University School
 of Medicine.  Additionally, Dr Kerner regularly monitors the scientific
 literature and conferences for updates and advances in parenteral nutrition
 that need to be incorporated in the software.
     "Over the past several years, there have been numerous reports of infants
 and children dying as a result of TPN related errors around the country. The
 real tragedy is that these deaths may have been averted with automated
 processes and adherence to standard protocols," said Robert Poole, Pharm.D,
 director of pharmacy, LPCH.   "Although a number of medical and pharmacy
 societies advocate for the need to follow rigid protocols and automated
 processes, a recent survey demonstrated that the majority of U.S. hospitals
 failed to comply with published guidelines.
     "I am excited to see that Monterey Medical Solutions is now making the
 software available for use in all children hospitals to improve patient care
 and safety. It is with software tools like TPN MedSoft that we can make TPN
 therapy truly safe for the first time," added Dr. Poole.
 
     About Monterey Medical Solutions, Inc.
     Monterey Medical Solutions, Inc. was founded in 2004 to provide a
 commercial platform for the TPN MedSoft system, a clinically proven process
 for management of Total Parenteral Nutrition (TPN). TPN Medsoft sets the
 standard of excellence for performance and patient safety in the TPN order
 management process. A fully implemented TPN Medsoft software system fulfills
 all the Safe Practices for Parenteral Nutrition Formulations standards
 developed by the National Advisory Group on Standards and Practice Guidelines
 for Parenteral Nutrition, approved by A.S.P.E.N. It also complies with the
 guidelines of the American Academy of Pediatrics.  For more information,
 contact Monterey Medical Solutions at 800-651-8836 or
 info@montereymedicalsolutions.com
 
     About Lucile Packard Children's Hospital
     Lucile Packard Children's Hospital at Stanford is a 264-bed hospital
 devoted to the care of children and expectant mothers. Providing pediatric and
 obstetric medical and surgical services and associated with Stanford School of
 Medicine, LPCH offers patients locally, regionally and nationally the full
 range of health care programs and services -- from preventive and routine care
 to the diagnosis and treatment of serious illness and injury. To learn more
 about Lucile Packard Children's Hospital, please visit our Web site at
 http://www.lpch.org .
 
     NOTE:  TPN MedSoft is a trademark of Monterey Medical Systems.
 
 

SOURCE Lucile Packard Children's Hospital; Monterey Medical Solutions, Inc.
    PALO ALTO, Calif., Oct. 13 /PRNewswire/ -- Lucile Packard Children's
 Hospital (LPCH) at Stanford, a national leader in patient and child safety,
 highlighted a variety of medication safety initiatives during its recent
 accreditation survey with JCAHO, the Joint Commission on Accreditation of
 Healthcare Organizations.  A centerpiece of the presentation was TPN
 MedSoft(TM) software used at LPCH, developed by founders of Monterey Medical
 Solutions, a leader in clinical software solutions designed to improve patient
 care.
     LPCH has been using TPN MedSoft software for more than 20 years and has
 one of the best Total Parenteral Nutrition (TPN) administration patient safety
 records in the country.  Now, Monterey Medical Solutions has commercialized
 the TPN MedSoft software to make it available to children's hospitals
 nationwide.
     Total Parenteral Nutrition therapy supplies life sustaining nutrients
 intravenously to premature or low-birth weight babies, infants, and children
 who are unable to breast-feed or take feeds orally. TPN solutions provide
 essential proteins, carbohydrates, fats, vitamins, minerals, trace elements,
 and fluids. It can also be administered to adult patients who cannot take food
 orally.
     "TPN is recognized throughout the children's hospital community as an
 essential life support therapy with a significant opportunity to cause serious
 harm if not administered correctly," said Paul Sharek, MD, MPH, chief clinical
 patient safety officer at LPCH.  "It is this potential for error coupled with
 manual pharmacy processes that are driving all children's hospitals to look
 for automation and quality control solutions, such as those offered by TPN
 MedSoft."
     According to Dr. Sharek, recent accelerated efforts in patient safety and
 medication error prevention included upgrades to TPN MedSoft and have resulted
 in improved safety outcomes at LPCH. These contributed to a 70 percent
 decrease in Adverse Drug Event (ADE) rates and a decline in the number of
 pharmacy interventions related to TPN therapy.
     "The team at Lucile Packard Children's Hospital continues to demonstrate
 significant leadership in the use of technology to maintain the highest
 standards of patient safety," said Mark Yelderman, MD, CEO of Monterey Medical
 Solutions. "We are proud of our 20-year development of this vital software
 that has proven ability to dramatically improve the safety and effectiveness
 of TPN therapy."
     Every year, approximately 1 million injuries and up to 100,000 deaths may
 be attributed to medical errors, according to the National Academy of
 Sciences' Institute of Medicine (IOM). Medical errors are the eighth leading
 cause of death in the United States, higher than auto accidents, breast cancer
 or HIV/AIDS related deaths.
     More than 7,000 people die each year from medication errors alone. The IOM
 estimates that half of Adverse Drug Events (ADEs) to medicines are the result
 of medical errors. The rate for potential medication errors and ADEs is three
 times higher in children than adults and significantly higher for babies in
 the neonatal intensive care unit (NICU).
     The TPN ordering, formulation calculating, and compounding process is one
 of the most complex, error prone, and labor intensive responsibilities of an
 inpatient children's hospital pharmacy. TPN MedSoft automates the processing
 of physician prescriptions for TPN and generates labels and mixing
 instructions for manual compounding by the pharmacist or for automated
 compounding.
     The system optimizes TPN therapy through the use a patient-centric model
 based on nutritional requirements and patient physiology. An interactive order
 process provides physicians with instant feedback and dosing guidance for each
 nutritional ingredient.  In addition, the software enforces standards-based
 nutritional protocols and notifies physicians of any variance.  The
 nutritional guidelines that serve as the foundation for TPN MedSoft are based
 on the gold standard Parenteral Nutrition textbook and chapters developed by
 John A. Kerner, Jr., MD, professor of pediatrics at Stanford University School
 of Medicine.  Additionally, Dr Kerner regularly monitors the scientific
 literature and conferences for updates and advances in parenteral nutrition
 that need to be incorporated in the software.
     "Over the past several years, there have been numerous reports of infants
 and children dying as a result of TPN related errors around the country. The
 real tragedy is that these deaths may have been averted with automated
 processes and adherence to standard protocols," said Robert Poole, Pharm.D,
 director of pharmacy, LPCH.   "Although a number of medical and pharmacy
 societies advocate for the need to follow rigid protocols and automated
 processes, a recent survey demonstrated that the majority of U.S. hospitals
 failed to comply with published guidelines.
     "I am excited to see that Monterey Medical Solutions is now making the
 software available for use in all children hospitals to improve patient care
 and safety. It is with software tools like TPN MedSoft that we can make TPN
 therapy truly safe for the first time," added Dr. Poole.
 
     About Monterey Medical Solutions, Inc.
     Monterey Medical Solutions, Inc. was founded in 2004 to provide a
 commercial platform for the TPN MedSoft system, a clinically proven process
 for management of Total Parenteral Nutrition (TPN). TPN Medsoft sets the
 standard of excellence for performance and patient safety in the TPN order
 management process. A fully implemented TPN Medsoft software system fulfills
 all the Safe Practices for Parenteral Nutrition Formulations standards
 developed by the National Advisory Group on Standards and Practice Guidelines
 for Parenteral Nutrition, approved by A.S.P.E.N. It also complies with the
 guidelines of the American Academy of Pediatrics.  For more information,
 contact Monterey Medical Solutions at 800-651-8836 or
 info@montereymedicalsolutions.com
 
     About Lucile Packard Children's Hospital
     Lucile Packard Children's Hospital at Stanford is a 264-bed hospital
 devoted to the care of children and expectant mothers. Providing pediatric and
 obstetric medical and surgical services and associated with Stanford School of
 Medicine, LPCH offers patients locally, regionally and nationally the full
 range of health care programs and services -- from preventive and routine care
 to the diagnosis and treatment of serious illness and injury. To learn more
 about Lucile Packard Children's Hospital, please visit our Web site at
 http://www.lpch.org .
 
     NOTE:  TPN MedSoft is a trademark of Monterey Medical Systems.
 
 SOURCE  Lucile Packard Children's Hospital; Monterey Medical Solutions, Inc.