Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems

Dunford, Benjamin B.; Perrigino, Matthew B.; Tucker, Sharon; Gaston, Cynthia L.; Young, Jack; Vermace, Beverly J.; Walroth, Todd; Buening, Natalie R.; Skillman, Katherine L.; Berndt, Dawn

doi:10.1097/pts.0000000000000137

Cited by 15 publications

(18 citation statements)

References 22 publications

(25 reference statements)

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“…SMART pumps are infusion delivery systems that provide decision support for users in order to reduce programming errors and decrease reliance on memory while programming infusion pump doses and rates 20. The use of this technology has significantly increased in recent years, although there is mixed evidence on its effectiveness in improving paediatric patient safety 21.…”

Section: Medication Administrationmentioning

confidence: 99%

What is new in paediatric medication safety?

Kahn

Abramson

2018

Arch Dis Child

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Medication-related errors are among the most common medical errors, and studies have shown that the paediatric population is particularly vulnerable. Errors can occur during any step in the medication process. This review article seeks to highlight new advancements in the field of paediatric medication safety at each stage of the medication process, from ordering and transcribing to medication dispensing and administration. We will focus on interventions that are increasingly widely used, such as computerised provider order entry with clinical decision support, barcoding technologies and safe medication administration through technologies pumps (SMART pumps), as well as innovative mobile application devices and workflow management systems that are being piloted at single institutions. By highlighting what is new in paediatric medication safety, as well as the gaps that remain, we hope to continue to foster focus on this critically important area in order to create the safest possible environment for children.

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Section: Medication Administrationmentioning

confidence: 99%

What is new in paediatric medication safety?

Kahn

Abramson

2018

Arch Dis Child

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“…Smart pumps were designed to replace the traditional intravenous drip bag, adding a level of automation to the process of administering an infusion with the intention of preventing nursing errors and ensuring patient safety (see Carayon, Hundt, & Wetterneck, 2010, for a more technical overview). Whereas smart pumps were implemented in only 32% of hospitals in 2005, by 2012 approximately 77% of hospitals were using this technology (Dunford et al, 2014). Despite favorable responses, negative factors including adverse drug events, barcoding errors, dosing issues, and the absence of drugs from the smart pump libraries can reduce positive attitudes toward smart pumps (Sakowski, Newman, & Dozier, 2008).…”

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confidence: 99%

The unique effects of general and specific support in health care technology

Perrigino

Dunford

2016

Health Care Manage Rev

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“…Using BCMA has an impact on the knowledge that nurses have; nurses were better prepared to have discussions with physicians 36 . On the other hand, workload challenges arising from the implementation of telemedicine contribute to workarounds that can be problematic when they influence the safety of the intervention and could create medical errors 47 . Moreover, nurses are concerned about how patients view nurses' performance when they spend more time on a computer due to the implementation of the EHR and BCMA 41,44 .…”

Section: Resultsmentioning

confidence: 99%

Individual and Team Factors Influencing the Adoption of Information and Communication Technology by Nurses

Coffetti

Paans

Roodbol

et al. 2022

CIN: Computers, Informatics, Nursing

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The aim of this review was to explore which factors influence nurses' adoption of information and communication technology. A systematic review was conducted using qualitative and quantitative studies. The authors performed the search strategy in the databases of PubMed, CINAHL, and IEEE and included articles published between January 2011 and July 2021. This review explores the following factors: collaboration, leadership, and individual and team factors-that, according to qualitative and quantitative research, seem to influence nurses' adoption of information and communication technology. A gradual implementation process of the information and communication technology, involvement from care professionals in the implementation process, and team functioning are important factors to consider when adopting information and communication technology. In addition to these, individual factors such as age, experience, attitude, and knowledge are also influencing factors. The review suggests that collaboration is important within the implementation of information and communication technology in care and that it positively influences nurses' adoption of it. Individual factors are researched more extensively than collaboration, leadership, and team factors. Although they also appear to influence the adoption of information and communication technology, there is insufficient evidence to convincingly substantiate this.

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Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems

Abstract: Hospitals may significantly improve adherence to smart pump safety features by addressing the nontechnical causes of work arounds and by providing more leadership and formalized training for resolving smart pump-related problems.

Cited by 15 publications

References 22 publications

What is new in paediatric medication safety?

What is new in paediatric medication safety?

The unique effects of general and specific support in health care technology

Individual and Team Factors Influencing the Adoption of Information and Communication Technology by Nurses

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