Implementation and Optimization of Smart Infusion Systems: Are we Reaping the Safety Benefits?

To address the high incidence of infusion errors, manufacturers have replaced the development of standard infusion pumps with smart pump systems. The implementation and ongoing optimization processes for smart pumps are more complex, as they require larger coordinated efforts with stakeholders throu...

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Publicado en:Journal for Healthcare Quality: Promoting Excellence in Healthcare Vol. 35; no. 2; pp. 33 - 41
Autores principales: Trbovich, Patricia L., Cafazzo, Joseph A., Easty, Anthony C.
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins Mar2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2013
      vid: 35
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      pub: Lippincott Williams & Wilkins
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        atl: Implementation and Optimization of Smart Infusion Systems: Are we Reaping the Safety Benefits?
      aug:
        au:
          Trbovich, Patricia L.
          Cafazzo, Joseph A.
          Easty, Anthony C.
      sug:
        subj:
          Infusion Pumps Classification
          Medication Errors Prevention and Control
          Quality Improvement
          Transitional Programs
          Diffusion of Innovation Ontario
          Human
          Multicenter Studies Ontario
          Ontario
          Investments
          Motivation
          Dosage Calculation Standards
          Software
          Systems Integration
          Staff Development
          Wireless Communications
          Product Surveillance
          Survey Research Ontario
          Descriptive Statistics
          Chi Square Test
          Q-Sort
          Step-Wise Multiple Regression
          Correlational Studies
          Post Hoc Analysis
          Guideline Adherence
      ab: To address the high incidence of infusion errors, manufacturers have replaced the development of standard infusion pumps with smart pump systems. The implementation and ongoing optimization processes for smart pumps are more complex, as they require larger coordinated efforts with stakeholders throughout the medication process. If improper implementation/optimization processes are followed, hospitals invest in this technology while extracting minimal benefit. We assessed the processes hospitals employed when migrating from standard to smart infusion systems, and the extent to which they leveraged their investments from both a systems and resource perspective. Twenty-nine hospitals in Ontario, Canada, were surveyed that had either implemented smart pump systems or were in the process of implementing, representing a response rate of 69%. Results demonstrated that hospitals purchased smart pumps for reasons other than safety, did not involve a multidisciplinary team during implementation, made little effort to standardize drug concentrations or develop drug libraries and dosing limits, seldom monitored how nurses use the pumps, and failed to ensure wireless connectivity to upgrade protocols and download use data. Consequently, they are failing to realize the safety benefits these systems can provide.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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