Quality-improvement analytics for intravenous infusion pumps.
Purpose. The implementation of a smartpump continuous quality-improvement (CQI) program across a large health system is described, with an emphasis on key metrics for outcomes analyses and program refinement. Summary. Three years ago, the University of Pittsburgh Medical Center health system launche...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 70; no. 8; pp. 680 - 687 |
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| Autores principales: | , , , , , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
4/15/2013
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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=104190018&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104190018 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: 4/15/2013 vid: 70 iid: 8 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104190018 88878572 10.2146/ajhp120104 NLM23552046 104190018 ppf: 680 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Quality-improvement analytics for intravenous infusion pumps. aug: au: Skledar, Susan J. Niccolai, Cynthia S. Schilling, Dennis Costello, Susan Mininni, Nicolette Ervin, Kelly Urban, Alana affil: Director, Pharmacy Drug Use and Disease State Management Program, Department of Pharmacy, University of Pittsburgh Medical Center (UPMC); Associate Professor, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA sug: subj: Infusion Pumps Infusions, Intravenous Quality Improvement Patient Safety Pennsylvania Academic Medical Centers Medication Errors Prevention and Control Program Development Hospital Programs ab: Purpose. The implementation of a smartpump continuous quality-improvement (CQI) program across a large health system is described, with an emphasis on key metrics for outcomes analyses and program refinement. Summary. Three years ago, the University of Pittsburgh Medical Center health system launched a CQI initiative to help ensure the safe use of 6000 smart pumps in its 14 inpatient facilities. A centralized team led by pharmacists is responsible for the retrieval and interpretation of smart-pump data, which is continuously transmitted to a main server. CQI findings are regularly posted on the health system's interdisciplinary intranet. Monitored metrics include rates of compliance with preprogrammed infusion limits, the top 20 drugs involved in alerts, drugs associated with alert-override rates of ≥90%, numbers of alerts by infusion type, nurse responses to alerts, and alert rate per drug library update. Based on the collected CQI data and site-specific requests, four systemwide updates of the smart-pump drug library were performed during the first 18 months of the program, reducing 'nuisance alerts' by about 10% per update cycle and enabling targeted interventions to reduce rapid-infusion errors, other adverse drug events (ADEs), and pump-programming workarounds. Over one 12-month period, bedside alerts prompted nurses to reprogram or cancel continuous infusions an average of 400 times per month, potentially averting i.v. medication ADEs. Conclusion. A smart-pump CQI program is an effective tool for enhancing the safety of i.v. medication administration. The ongoing refinement of the drug library through the development and implementation of key interventions promotes the growth and sustainability of the smart-pump initiative systemwide. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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