Tracking the Progress of Wireless Infusion Pump Drug Library Updates- A Data-Driven Analysis of Pump Update Delays.

Modern smart infusion pumps are wirelessly connected to a network server for easy data communications. The two-way communication allows uploading of infusion data and downloading of drug library updates. We have discovered significant delays in library updates. This research aimed at studying the dr...

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Published in:Journal of Medical Systems Vol. 43; no. 3; pp. 1 - 2
Main Authors: Hsu, Kang-Yu, DeLaurentis, Poching, Yih, Yuehwern, Bitan, Yuval
Format: research tables/charts Journal Article
Published: Springer Nature Mar2019
Online Access:View this record in EBSCOhost
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      dt: Mar2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-019-1189-5
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        atl: Tracking the Progress of Wireless Infusion Pump Drug Library Updates- A Data-Driven Analysis of Pump Update Delays.
      aug:
        au:
          Hsu, Kang-Yu
          DeLaurentis, Poching
          Yih, Yuehwern
          Bitan, Yuval
        affil: Regenstrief Center for Healthcare Engineering, School of Industrial Engineering, Purdue University, 47907, West Lafayette, IN, USA
      sug:
        subj:
          Drug Delivery Systems Methods
          Wireless Communications Methods
          Infusion Pumps
          Libraries
          Human
          Funding Source
          Descriptive Statistics
          Patient Safety
          Medical Informatics
          Computer Systems
          Analysis of Variance
          Pearson's Correlation Coefficient
          Post Hoc Analysis
      ab: Modern smart infusion pumps are wirelessly connected to a network server for easy data communications. The two-way communication allows uploading of infusion data and downloading of drug library updates. We have discovered significant delays in library updates. This research aimed at studying the drug library update process of one vendor pump and the contributing factors of pump update delays. Our data included BD Alaris™ pump status and infusion reports of two hospital systems (92 and 80 days, respectively, in 2015). We analyzed drug library update progressions at the individual device and fleet levels. To complete a library update, a pump goes through two status transitions: from noncurrent to a new library pending, and from pending to current. On average it took five to nine days for 50% of a pump fleet to become current after a new drug library was disseminated. We confirmed factors that affect noncurrent-to-pending time to include time to first power-on and total power-on time. We also found that high pump utilization promotes shorter pending-to-current time. Two distinctive and important steps of a drug library update on Alaris™ pumps are pending a new library and completing the library installation. To avoid potential patient harm caused by infusion pumps without appropriate drug limits due to update delays, hospitals should monitor the progression of a drug library update on its pump fleet. Potential ways to improve drug library updates on a fleet of pumps include better technologies, improved pump user-interface design, and more staff training.
      pubtype: Academic Journal
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    language: English
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