Amino Acids Shortage Update

ASPEN continues to advocate for our patients and clinicians during this critical shortage of amino acids and will continue with weekly updates. This week we want to emphasize safety and quality during this amino acids shortage as well as shortages of any component used in parenteral nutrition (PN) admixtures. Errors and adverse events can occur in any step of the PN Use Process from prescribing PN, verification and review of the PN order, compounding the PN admixture, and administering PN to patients.  Make sure to report any errors or adverse events associated with PN to your institution’s safety officer as well as to the Institute for Safe Medication Practices Medication Error Reporting Program and to FDA MedWatch . Gathering information nationally through these patient safety venues allows the field to learn important lessons on PN shortage management that can prevent errors in the future.

In the next few weeks, ASPEN will be developing a more specific list of suggestions for managing the amino acids shortage. For now, refer to the ASPEN Drug Shortage Considerations for Amino Acids . Continue to conserve as much as possible until the shortage is resolved.  

On November 6, ASPEN joined the Institute for Safe Medication Practices (ISMP), the American Society of Health-System Pharmacists (ASHP), American Hospital Association (AHA), American Society of Clinical Oncology (ASCO), and American Society of Anesthesiologists (ASA) for a meeting about drug shortages. The meeting was held to identify new opportunities to address the ongoing patient care challenges associated with drug shortages. Representatives from the American Medical Association, Society of Critical Care Medicine, US Food and Drug Administration (FDA) Drug Shortages Program, University of Utah Drug Information Service, and US Department of Health and Human Services Office of Emergency Management also participated in the meeting. In addition, the meeting organizers, ASHP, ISMP, AHA, ASPEN, ASA, and ASCO, jointly signed a letter asking Congress to take immediate action to address the public health crisis caused by persistent shortages of critical medications.

Because of this issue, ASPEN has added a special session on PN product shortages to our ASPEN 2018 Nutrition Science & Practice Conference for lunchtime, Thursday, January 25, 2018. Come spend lunch with experts and bring your questions!