Using Smart Pumps to Reduce Medication Errors in the NICU

Lemoine, Jennifer; Hurst, Helen

doi:10.1111/j.1751-486x.2012.01721.x

Cited by 20 publications

(12 citation statements)

References 13 publications

(13 reference statements)

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“…It is important to note that we encountered air bubble formation in the tubing mainly in the first year; such an issue could have contributed to the increase of AIIV, but most events were dealt with by the implementation committee via In their 2013 edition, the top two hazards were medication administration errors using infusion pumps and alarm hazards in which caregivers can become overwhelmed trying to respond to alarms or where they can become desensitized to alarms. Some articles shed light on the challenges and difficulties facing hospitals and clinicians to achieve the promises of smart pumps [18,[33][34][35][36][37]. A single intervention can rarely have a significant impact on complex processes.…”

Section: Discussionmentioning

confidence: 99%

Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital

et al. 2015

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“…Preparation technique errors could be reduced by providing medications, particularly intravenous ones, with simple preparations such as ready to use medications which either prepared by pharmaceutical company or pharmacy department [ 23 ]. Administration technique errors, especially rate errors, could be eliminated by using (smart) infusion pumps [ 30 ]. However, in the context of resource limited settings, the implementations of such interventions may be too costly and unfeasible.…”

Section: Discussionmentioning

confidence: 99%

Medication Errors in Vietnamese Hospitals: Prevalence, Potential Outcome and Associated Factors

Nguyen

Heuvel

et al. 2015

PLoS ONE

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BackgroundEvidence from developed countries showed that medication errors are common and harmful. Little is known about medication errors in resource-restricted settings, including Vietnam.ObjectivesTo determine the prevalence and potential clinical outcome of medication preparation and administration errors, and to identify factors associated with errors.MethodsThis was a prospective study conducted on six wards in two urban public hospitals in Vietnam. Data of preparation and administration errors of oral and intravenous medications was collected by direct observation, 12 hours per day on 7 consecutive days, on each ward. Multivariable logistic regression was applied to identify factors contributing to errors.ResultsIn total, 2060 out of 5271 doses had at least one error. The error rate was 39.1% (95% confidence interval 37.8%- 40.4%). Experts judged potential clinical outcomes as minor, moderate, and severe in 72 (1.4%), 1806 (34.2%) and 182 (3.5%) doses. Factors associated with errors were drug characteristics (administration route, complexity of preparation, drug class; all p values < 0.001), and administration time (drug round, p = 0.023; day of the week, p = 0.024). Several interactions between these factors were also significant. Nurse experience was not significant. Higher error rates were observed for intravenous medications involving complex preparation procedures and for anti-infective drugs. Slightly lower medication error rates were observed during afternoon rounds compared to other rounds.ConclusionsPotentially clinically relevant errors occurred in more than a third of all medications in this large study conducted in a resource-restricted setting. Educational interventions, focusing on intravenous medications with complex preparation procedure, particularly antibiotics, are likely to improve patient safety.

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“…Com o objetivo de amenizar os erros e aplicar uma dose mais fidedigna, foram criadas as bombas inteligentes para identificar as características especificas dos pacientes, sugerir informações sobre a diluição, taxas de infusão recomendadas, cálculos de dosagem de acordo com o peso, verificação prévia de fatores imprescindíveis para assegurar a administração do medicamento, evitando assim uma situação insegura. A nova tecnologia evidenciou uma redução de erros de 3,1 para 0,8 por 1.000 doses (9) . Outra tecnologia implantada no intuito de promover a segurança do paciente é o Processo de Enfermagem Informatizado (PEI), embasado na Classificação Internacional para as Práticas de Enfermagem (CIPE) para UTI.…”

Section: Discussão Uso De Tecnologias Durasunclassified

Aplicabilidade De Inovações E Tecnologias Assistenciais Para a Segurança Do Paciente: Revisão Integrativa

Cestari

Ferreira²,

Garcês³

et al. 2017

Cogitare Enferm.

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RESUMO: Objetivou-se identificar as tecnologias utilizadas pelo enfermeiro para promoção da segurança do paciente no contexto hospitalar. Revisão integrativa, com busca de artigos em bases de dados na área da saúde, no período de janeiro a fevereiro de 2016. Foram selecionados 20 artigos, divididos segundo as tecnologias assistenciais utilizadas. No intuito de promover a segurança do paciente, os enfermeiros utilizam tecnologias duras -implantação de registros eletrônicos, bombas de infusão, sensores e sistemas computadorizados e de alerta; incorporam as boas práticas em saúde -construção de instrumentos voltados para segurança do paciente e identificação de riscos; e realizam/participam de cursos de capacitação profissional -cálculo e administração de medicamentos e infusões intravenosas e higienização das mãos. Conclui-se que o enfermeiro é um profissional que tem se preocupado com a segurança do paciente, o que reforça a necessidade da realização de mais estudos que tenham como foco a utilização de estratégias que promovam tal prática. DESCRITORES: Segurança do paciente; Enfermagem; Tecnologia biomédica; Assistência à saúde; Capacitação em serviço. APLICABILIDADE DE INOVAÇÕES E TECNOLOGIAS ASSISTENCIAIS APPLICABILITY OF ASSISTIVE INNOVATIONS AND TECHNOLOGIES FOR PATIENT SAFETY: INTEGRATIVE REVIEWABSTRACT: The present study aimed to identify the technologies used by nurses to promote patient safety in hospital settings. Integrative review, with search of articles in databases in the health area, from January to February, 2016. Twenty articles were selected and sorted according to the assistive technologies used. In the promotion of patient safety, nurses use hard technologiesimplementation of electronic records, automated drug infusion pumps, sensors and computer-based monitoring systems. They also incorporate good practices in health -construction of instruments targeted to patient safety and identification of risks, and promote/ participate in professional training courses -calculation and administration of medications and intravenous infusions and hand hygiene. It is concluded that nursing professionals are concerned with patient safety, which reinforces the need to conduct further studies on the use of relevant strategies. RESUMEN: Estudio cuyo propósito fue identificar las tecnologías utilizadas por el enfermero para promover la seguridad del paciente en el contexto hospitalar. Revisión integrativa, con búsqueda de artículos en bases de datos en el área de la salud, en periodo de enero a febrero de 2016. Se seleccionaron 20 artículos, organizados de acuerdo a las tecnologías asistenciales utilizadas. Para promover la seguridad del paciente, los enfermeros utilizan tecnologías duras -implantación de registros electrónicos, bombas de infusión, sensores y sistemas computarizados y de alerta; añaden las buenas prácticas en salud -construcción de instrumentos para dar seguridad al paciente, así como para identificación de riesgos; y realizan/participan de cursos de capacitación profesional -cálculo y administ...

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Using Smart Pumps to Reduce Medication Errors in the NICU

Cited by 20 publications

References 13 publications

Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital

Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital

Medication Errors in Vietnamese Hospitals: Prevalence, Potential Outcome and Associated Factors

Aplicabilidade De Inovações E Tecnologias Assistenciais Para a Segurança Do Paciente: Revisão Integrativa

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