Standard Concentrations of Neonatal Drug Infusions
The List of Standard Concentrations of Neonatal Drug Infusions are the result of a national effort to create standard concentrations for typical neonatal drug infusions that could be used across all US hospitals for at least 80% of neonatal infusions. (The other 20% of infusions may require different concentrations based on the unique needs of the neonate.) ISMP and the Vermont Oxford Network (VON), a nonprofit voluntary group of healthcare professionals working to improve newborn care, collaborated with representatives from neonatal intensive care units in the US to identify and promote the standard concentrations of typical neonatal drug infusions listed in the table that follows.
Some drugs include two standard concentrations to accommodate various weights of neonates, including low-birth-weight infants. The safety benefits of all hospitals using the same standard concentrations whenever possible for neonates are vast and include the following:
Reduce medication error risk when critically-ill neonates are transferred from one facility to another
Stimulate development of standardized infusion device drug libraries
Provide the demand necessary for manufacturers to offer commercially prepared standard solutions (if not already available), thereby reducing the risk of extemporaneous compounding errors within hospitals.
We urge all hospitals where neonates are treated to join our national effort to reduce the risk of harmful errors when caring for our tiniest patients!