Development of a standardized, citywide process for managing smart-pump drug libraries.
Purpose. Development and implementation of an interprofessional consensus--driven process for review and optimization of smart-pump drug libraries and dosing limits are described. Summary. The Indianapolis Coalition for Patient Safety (ICPS), which represents 6 Indianapolis-area health systems, iden...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 75; no. 12; pp. 893 - 901 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
6/15/2018
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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=130268627&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130268627 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: 6/15/2018 vid: 75 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 130268627 130268627 130268627 10.2146/ajhp170262 130268627 ppf: 893 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Development of a standardized, citywide process for managing smart-pump drug libraries. aug: au: Walroth, Todd A. Smallwood, Shannon Arthur, Karen Vance, Betsy Washington, Alana Staublin, Therese Haslar, Tammy Reddan, Jennifer G. Fuller, James affil: Eskenazi Health, Indianapolis, IN sug: subj: Infusion Pumps Drug Information Patient Safety Health Services Accessibility Medical Practice Consensus Human ab: Purpose. Development and implementation of an interprofessional consensus--driven process for review and optimization of smart-pump drug libraries and dosing limits are described. Summary. The Indianapolis Coalition for Patient Safety (ICPS), which represents 6 Indianapolis-area health systems, identified an opportunity to reduce clinically insignificant alerts that smart infusion pumps present to end users. Through a consensus-driven process, ICPS aimed to identify best practices to implement at individual hospitals in order to establish specific action items for smart-pump drug library optimization. A work group of pharmacists, nurses, and industrial engineers met to evaluate variability within and lack of scrutiny of smart-pump drug libraries. The work group used Lean Six Sigma methodologies to generate a list of key needs and barriers to be addressed in process standardization. The group reviewed targets for smart-pump drug library optimization, including dosing limits, types of alerts reviewed, policies, and safety best practices. The work group also analyzed existing processes at each site to develop a final consensus statement outlining a model process for reviewing alerts and managing smart-pump data. Analysis of the total number of alerts per device across ICPS-affiliated health systems over a 4-year period indicated a 50% decrease (from 7.2 to 3.6 alerts per device per month) after implementation of the model by ICPS member organizations. Conclusion. Through implementation of a standardized, consensusdriven process for smart-pump drug library optimization, ICPS member health systems reduced clinically insignificant smart-pump alerts. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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