Intravenous medication safety and smart infusion systems: Lessons learned and future opportunities

Journal of Infusion Nursing

Volumn 28, Issue 5, 2005, Pages 321-328

  Keohane, Carol A ^a   Hayes, Judy ^a   Saniuk, Catherine ^a   Rothschild, Jeffrey M ^c   Bates, David W ^a,b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b PARTNERS HEALTHCARE   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ALTEPLASE; HEPARIN; INSULIN; MIDAZOLAM; MORPHINE; NITROPRUSSIDE SODIUM; POTASSIUM CHLORIDE; PROPOFOL;

AWARENESS; COMPUTER PROGRAM; DRUG INFUSION; DRUG SAFETY; DRUG SURVEILLANCE PROGRAM; HEALTH CARE ORGANIZATION; HUMAN; HYPOTENSION; INTRAVENOUS DRUG ADMINISTRATION; MEDICAL ERROR; PRACTICE GUIDELINE; PRIORITY JOURNAL; QUALITY CONTROL; REVIEW; TECHNOLOGY;

EID: 25444469372     PISSN: 15331458     EISSN: None     Source Type: Journal    
DOI: 10.1097/00129804-200509000-00005     Document Type: Review

References (21)

1. Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington DC: National Academy Press; 1999.
2. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability in the eye if the reviewer. JAMA. 2001; 286(4):415-420.
3. In-hospital deaths from medical errors at 195,000 per year Health-grades study finds. Available at: http://www.healthgrades.com/ media/DMS/doc/ PatientSafetyPressReleaseFINAL.doc. Accessed November 23, 2004.
4. National Patient Safety Foundation. 100 million Americans see medical mistakes directly touching them as patients, friends, relatives. Available at: http://www.npsf.org/html/pressrel/finalsur.htm. Accessed November 29, 2004.
5. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-384.
6. Morimoto T, Gandhi TK, Seger AC, et al. Adverse drug events and medication errors: detection and classification methods. Qual Safe Health Care. 2004;13:306-314.
7. Bates DW, Cullen DW, Laird N, et al. Incidence of adverse drug events and potential adverse drug events: implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34.
8. Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. JAMA. 1995;274(1):35-43.
9. Barker KN, Flynn EA, Pepper GA, et al. Medication errors observed in 39 health care facilities. Arch Intern Med. 2002;162(16): 1897-1903.
10. Benner P, Sheets V, Uris P, et al. Individual, practice, and system causes of error in nursing: a taxonomy. J Nurs Adm. 2002;32(10): 509-523.
11. Hatcher I, Sullivan M, Hutchinson J, et al. An intravenous medication safety system: preventing high-risk medication errors at the point of care. J Nurs Adm. 2004;34(10):437-439.
12. Santell J, Hicks, R, McMeekin J, et al. Medication errors: experience of the United States Pharmacopeia (USP) MEDMARX Reporting System. J Clin Pharmacol. 2003;43(7):760-767.
13. ISMP list of high alert medications. Available at: www.ismp.org/ MSAarticles/highalert.htm. Accessed December 31, 2004.
14. Winterstein AG, Hatton RC, Gonzalez-Rothi R, et al. Identifying clinically significant preventable adverse drug events through a hospital's database of adverse drug reaction reports. Am J HealthSyst Pharm. 2002;59(18):1742-1749.
15. Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16): 2114-2120.
16. Schneider PJ. Infusion safety: addressing harm with high-risk drug administration. Hosp Health Networks. 2004;78(5 Suppl):18-20.
17. Reason J. Human error: models and management. Br Med J. 2000; 320(7237):768-770.
18. ECRI: Executive Summary Evaluating General Purpose Infusion Pumps. Health Devices. 2002;31(10):351-352.
19. Wilson K, Sullivan M. Preventing medication errors with smart infusion technology. Am J Health-Syst Pharm. 2004;61(2):177-183.
20. Kremsdorf R. Using innovative technology to enhance patient care delivery. Paper presented at the American Academy of Nursing Annual Meeting and Conference; July 12-14, 2002; Washington, DC.
21. Vanderveen T. Variability in IV therapy: a 65-hospital analysis of IV best practices. In: Schneider PJ, ed. Infusion safety: addressing harm with high-risk drug administration. Hosp Health Networks. 2004;78 (5 Suppl):18-20.