For Care Providers
In the twenty-five years the core parenteral
nutrition (PN) computational engine was at Lucile Packard
Children's Hospital (LPCH), not a single PN related death
or significant morbid event was reported. In 1996 the
American Society for Parenteral Enteral Nutrition
(A.S.P.E.N.) published PN guidelines, many of which were
adopted from the pioneering work from LPCH and the
Infusion Studio design team. In 2003, Monterey Medical
Solutions released Windows Infusion Studio with
significant enhancements, most significantly paperless
Medication errors are among the top ten causes for death,
and LPCH estimates that PN orders account for one-fourth
of medications errors reported nationwide. In April of
2005, LPCH was awarded a national quality and safety award
for demonstrating significant and sustained improvements
in care. LPCH acknowledged that Infusion Studio played a
major role in this achievement. By redesigning medication
processes, of which PN is one, LPCH championed the
process for improved medication practices.
Parenteral nutrition orders are unequivocally intricate,
error-prone, and difficult to write, requiring
considerations to fluids, calories (protein, carbohydrate, fat),
electrolyte adjustments, and a host of other additives.
Like playing Scrabble, changing one additive (letter) can
impact all the others. Errors arise from unintentional
oversights or from computational errors. Paper orders
inherently contain transcription and legibility errors.
The burden of correcting a problematic order gravitates to
the pharmacist who must negotiate a correction with the
ordering physician. For some orders the patient becomes
the "lab test" as inevitably some error filled orders
escape notice and the patient is put at risk.
There is no doubt that a well written, error-free PN
order minimizes staff frustration, reduces labor costs,
and improves patient safety, likely reducing hospital
stays. In a follow up study, A.S.P.E.N. reported that less
than half of America's hospitals were even aware of the
guidelines and very few were compliant.
Infusion Studio achieves PN process improvement by
protocol management of each additive, virtual formulation
before order submission, and paperless order transmission.
Infusion Studio is a true Computerized Provider Order
Entry (C.P.O.E.) system, which keeps the ordering
physician compliant with hospital PN protocols
established by its Nutritional Support Team. Potential
ordering errors are corrected at order entry. The
completed order is electronically transmitted to the
pharmacy eliminating transcription errors and reducing
time. Because the PN order complies with the protocol and
has passes the virtual formulation step, there is rarely
any reason change the order at the time of Pharmacy
Although the Infusion Studio software is proprietary, it
runs on industry standard operating systems (Windows 2000
or Windows XP and utilizes existing hospital data
networks. Monterey Medical Solutions (MMS) does not sell
nor license the software but rather charges a simple usage
fee per pharmacy-approved order. (There is no charge for
practice or deleted orders.) This is a pay-as-you go or
software-as-a-service contract without minimum usage
requirements. MMS fully supports the software, and
provides routine upgrades, for which there are no
Initiating Infusion Studio in your hospital is like moving
from a typewriter to a word processor in efficiency and
productivity. Sure, a typewriter works, but a word
processor reduces time and improves quality. We have
performed detailed metrics on several hospitals and have
demonstrated that Infusion Studio actually saves money.
Cost reduction in several areas is obvious. Consider the
time the provider takes to manually calculate order
parameters and the amount of time the pharmacist spends
re-checking those computations. Consider the costs of just
getting the paper order to the pharmacy. Consider the time
the pharmacist spends on the telephone tracking down the
provider and discussing problematic orders. Consider the
time to re-enter a subsequent day's order where only a few
parameters have changed. In a paper system, every PN
order is an initial order. With Infusion Studio each
subsequent order can be "populated" with the previous
order requiring generally only minor adjustments. Infusion
Studio saves time and money by eliminating, simplifying,
and reducing process steps.
Infusion Studio is truly an innovative software solution.
Although other vendors offer software programs to compute
PN formulations, none have the performance or features of
Infusion Studio. None have true protocol management and
remote multi-terminal functionality. None have the ability
to customize performance to hospital specifications.
Infusion Studio is innovative, cutting edge, and
incomparable, in a field by itself. Its implementation
assures your hospital compliance with A.S.P.E.N. and
American Academy of Pediatrics guidelines and starts the
process of becoming one of America's safe hospitals.
Monterey Medical Solutions offers complete education and
customer support. We look forward to adding your hospital
to the list of exceptional hospitals in America.
Interested in improving
your institution's parenteral nutrition formulation process?
Fill out this questionnaire then let us help you
review and customize your formulation process.