Smart infusion pumps reduce intravenous medication administration errors at an Australian teaching hospital

Journal of Pharmacy Practice and Research

Volumn 41, Issue 3, 2011, Pages 192-195

  Pang, Rebecca K Y ^a   Kong, David C M ^b   deClifford, Jan Marie ^a   Lam, Skip S ^a   Leung, Benjamin K ^a  

^a FRANKSTON HOSPITAL   (Australia)

^b MONASH UNIVERSITY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ABCIXIMAB; ACETYLCYSTEINE; ACICLOVIR; ADRENALIN; AMIODARONE; AZITHROMYCIN; CIPROFLOXACIN; DANAPAROID; DICLOXACILLIN; DOBUTAMINE; FLUCONAZOLE; GENTAMICIN; HEPARIN; INFLIXIMAB; LINEZOLID; METRONIDAZOLE; MILRINONE; NORADRENALIN; OCTREOTIDE; OXYTOCIN; PANTOPRAZOLE; PARACETAMOL; PROPOFOL; SALBUTAMOL; TIROFIBAN; VANCOMYCIN; VASOPRESSIN;

ARTICLE; AUSTRALIA; COMPUTER PROGRAM; CONTROLLED STUDY; HUMAN; INFUSION PUMP; MAJOR CLINICAL STUDY; MEDICATION ERROR; PRESCRIPTION; RISK REDUCTION; TEACHING HOSPITAL;

EID: 80053929985     PISSN: 1445937X     EISSN: None     Source Type: Journal    
DOI: 10.1002/j.2055-2335.2011.tb00860.x     Document Type: Article

References (19)

1. Institute for Safe Medication Practices. ISMP's list of high-alert medications. Horsham: Institute for Safe Medication Practices; 2008. Available from >www.ismp.org/Tools/highalertmedications.pdf<.
2. Maddox RR, Danello S, Williams CK, Fields M. Intravenous infusion safety initiative: collaboration, evidence-based best practices, and "smart" technology help avert high-risk adverse drug events and improve patient outcomes. Rockville: Agency for Healthcare Research and Quality; 2008. Available from >www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Maddox_38.pdf<.
3. Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp M, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 2001; 285: 2114-20.
4. Hunt ML Jr, Rapp RP. Intravenous medication errors. J Intraven Nurs 1996; 19 (3 suppl): S9-S15.
5. Bruce J, Wong I. Parenteral drug administration errors by nursing staff on an acute medical admissions ward during day duty. Drug Saf 2001; 24: 855-62.
6. Wirtz V, Taxis K, Barber ND. An observational study of intravenous medication errors in the United Kingdom and in Germany. Pharm World Sci 2003; 25: 104-11.
7. The Joint Commission. Preventing pediatric medication errors. Sentinel event alert. Issue 39. 11 April 2008. Available from >www.jointcommission.org/assets/1/18/SEA_39.PDF<.
8. Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care 2005; 14: 179-84.
9. Institute of Healthcare Improvement. Reduce adverse drug events involving intravenous medications: implement smart infusion pumps. Cambridge: Institute of Healthcare Improvement; 2006. Available from >www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/Changes/IndividualChanges/ImplementSmartInfusionPumps.html<.
10. Institute for Safe Medication Practices. Proceedings from the ISMP summit on the use of smart infusion pumps: guidelines for safe implementation and use. Horsham: Institute for Safe Medication Practices; 2009. Available from
11. Malashock CM, Shull SS, Gould DA. Effect of smart infusion pumps on medication errors related to infusion device programming. Hosp Pharm 2004; 39: 460-9.
12. Fields M, Peterman J. Intravenous medication safety system averts high-risk medication errors and provides actionable data. Nurs Adm Q 2005; 29: 78-87.
13. Fanikos J, Fiumara K, Baroletti S, Luppi C, Saniuk C, Mehta A, et al. Impact of smart infusion technology on administration of anticoagulants (unfractionated heparin, argatroban, lepirudin, and bivalirudin). Am J Cardiol 2007; 99: 1002-5.
14. Rothschild JM, Keohane CA, Cook EF, Orav EJ, Burdick E, Thompson S, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med 2005; 33: 533-40.
15. Burridge N, editor. Australian injectable drugs handbook. 3rd ed. Melbourne: The Society of Hospital Pharmacists of Australia; 2005.
16. SHPA Committee of Specialty Practice in Clinical Pharmacy. SHPA standards of practice for clinical pharmacy. J Pharm Pract Res 2005; 35: 122-46.
17. Larsen GY, Parker HB, Cash J, O'Connell M, Grant MC. Standard drug concentrations and smart-pump technology reduce continuous-medication- infusion errors in pediatric patients. Pediatrics 2005; 116: e21-e25.
18. Taxis K, Barber N. Ethnographic study of incidence and severity of intravenous drug errors. BMJ 2003; 326: 684-7.
19. Vicente KJ, Kada-Bekhaled K, Hillel G, Cassano A, Orser BA. Programming errors contribute to death from patient-controlled analgesia: case report and estimate of probability. Can J Anaesth 2003; 50: 328-32.