system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: INTRODUCTION, OBJECTIVE, METHODS, RESULTS. Meshes: Adult, Aged, Algorithms, Child, Preschool, Constipation, Enema, Female, Humans, Laxatives, Nursing Audit, Phosphoric Monoester Hydrolases, Practice Guidelines as Topic, Risk Assessment, Risk Factors.
user
Phosphate containing enemas: one undervalued risky practice? Context: The phosphate-containing enemas are widely used, both to manage constipation and as a preparation for endoscopic procedures and surgery in adults and children. Many studies report that the use of these laxatives can be dangerous. To identify possible prevention strategies starting from a severe adverse reaction due to repeated administrations of phosphate enemas. A working group was started, the literature was reviewed and recommendations for an appropriate use of enemas were discussed and implemented, to improve patients' safety. Phosphate-containing enemas were replaced with 125 ml water enemas; recommendations were spread to strongly limit the use of phosphate containing enemas and the use of laxative in the first and second semester of 2012, were confronted showing a change in habits and a reduction in the use of phosphate containing enemas.
assistant
The implementation of several strategies, originated from an adverse event, succeeded in modifying the use of laxatives and phosphate-containing enemas.