{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T04:12:55Z","timestamp":1783656775743,"version":"3.55.0"},"reference-count":66,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Parenteral nutrition is a high\u2010alert medication with the potential for errors that result in patient harm. The American Society for Parenteral and Enteral Nutrition has published guidance to support safe parenteral nutrition practices; however, the current implementation of this guidance or improvement in clinical practice over time remains unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey on current parenteral nutrition practice was distributed to US\u2010based clinicians. Survey items addressed multiple steps in the parenteral nutrition use process. Descriptive statistics were performed and presented as number and percentage of respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1160 participants were included. Critical safety gaps included: prescribing practices that lack standardization and do not align with guidance; inadequate storage practices between compounding and administration; lack of adherence to specific filter type guidance; lack of adherence to the maximum hang time of separate lipid injectable emulsion infusions; limited oversight; minimal quality improvement activities; inadequate evaluation of errors; and pervasive unawareness of key institutional parenteral nutrition practices. Practice improvements included greater adoption of safety technologies and an increased use of filters during administration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This survey of current parenteral nutrition practice reveals some improvements in clinical practice; however, it highlights several critical gaps in the adoption of guidance with ongoing unsafe practices, which can result in patient harm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.70087","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T08:13:17Z","timestamp":1774685597000},"page":"701-716","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parenteral nutrition practice in the United States: A cross\u2010sectional survey with gap analysis"],"prefix":"10.1002","volume":"50","author":[{"given":"Phil","family":"Ayers","sequence":"first","affiliation":[{"name":"University of Mississippi School of Pharmacy Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4768-7703","authenticated-orcid":false,"given":"Joseph I.","family":"Boullata","sequence":"additional","affiliation":[{"name":"JBoullata PharmD Consulting Services Troy Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2704-5749","authenticated-orcid":false,"given":"Todd W.","family":"Canada","sequence":"additional","affiliation":[{"name":"Division of Pharmacy, University of Texas MD Anderson Cancer Center Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5386-8714","authenticated-orcid":false,"given":"Sarah V.","family":"Cogle","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Clinical Programs Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Mays","sequence":"additional","affiliation":[{"name":"FMOL Health\u2014St. Dominic Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Monczka","sequence":"additional","affiliation":[{"name":"Option Care Health Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Owen\u2010Michaane","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine and Nutrition, Columbia University Irving Medical Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6043-6445","authenticated-orcid":false,"given":"Titilola M.","family":"Afolabi","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Translational Sciences University of Tennessee Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Biggs","sequence":"additional","affiliation":[{"name":"Fresenius Kabi USA, LLC Lake Zurich Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Petrea Cober","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Northeast Ohio Medical University Rootstown Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Coscia","sequence":"additional","affiliation":[{"name":"University of North Carolina Medical Center Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon M.","family":"Durfee","sequence":"additional","affiliation":[{"name":"Central Admixture Pharmacy Services, Inc. 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