Impact of implementing smart infusion pumps in a pediatric intensive care unit.
Purpose. The impact of smart infusion pumps on the interception of errors in the programming of i.v. drug administrations on a pediatric intensive care unit (PICU) is investigated. Methods. A prospective observational intervention study was conducted in the PICU of a hospital in Madrid, Spain, to es...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 70; no. 21; pp. 1897 - 1907 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
11/1/2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104144173&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104144173 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 11/1/2013 vid: 70 iid: 21 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104144173 91282817 10.2146/ajhp120767 NLM24128965 104144173 ppf: 1897 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Impact of implementing smart infusion pumps in a pediatric intensive care unit. aug: au: Manrique-RodrÃguez, Silvia Sánchez-Galindo, Amelia C. López-Herce, Jesús Calleja-Hernández, Miguel Ãngel MartÃnez-MartÃnez, Fernando Iglesias-Peinado, Irene Carrillo-Ãlvarez, Ãngel Sanjurjo Sáez, MarÃa Fernández-Llamazares, Cecilia M. affil: Clinical Hospital Pharmacist, Pediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain sug: subj: Intensive Care Units, Pediatric Infusion Pumps Utilization Medication Errors Prevention and Control Severity of Injury Classification Human Prospective Studies Observational Methods Spain Descriptive Statistics Data Analysis Software kappa Statistic Chi Square Test Physicians Pharmacists Nurses ab: Purpose. The impact of smart infusion pumps on the interception of errors in the programming of i.v. drug administrations on a pediatric intensive care unit (PICU) is investigated. Methods. A prospective observational intervention study was conducted in the PICU of a hospital in Madrid, Spain, to estimate the patient safety benefits resulting from the implementation of smart pump technology (Alaris System, CareFusion, San Diego, CA). A systematic analysis of data stored by the devices during the designated study period (January 2010-June 2011) was conducted using the system software (Guardrails CQI Event Reporter, CareFusion). The severity of intercepted errors was independently classified by a group of four clinical pharmacists and a group of four intensive care pediatricians; analyses of intragroup and intergroup agreement in perceptions of severity were performed. Results. During the 17-month study period, the overall rate of user compliance with the safety software was 78%. The use of smart pump technology resulted in the interception of 92 programming errors, 84% of which involved analgesics, antiinfectives, inotropes, and sedatives. About 97% of the errors resulted from user programming of doses or infusion rates above the hard limits defined in the smart pump drug library. The potential consequences of the intercepted errors were considered to be of moderate, serious, or catastrophic severity in 49% of cases. Conclusion. The use of smart pumps in a PICU improved patient safety by enabling the interception of infusion programming errors that posed the potential for severe injury to pediatric patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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