Developing a drug library for smart pumps in a pediatric intensive care unit

Artificial Intelligence in Medicine

Volumn 54, Issue 3, 2012, Pages 155-161

  Manrique Rodríguez, Silvia ^a   Sánchez Galindo, Amelia ^a   Fernández Llamazares, Cecilia M ^a   López Herce, Jesús ^a   García López, Isabel ^a   Carrillo Álvarez, Ángel ^a   Sanjuro Sáez, María ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

Drug library; Intravenous administration; Pediatric critical care; Smart pumps

Indexed keywords

INFUSION PUMP; INTRAVENOUS ADMINISTRATION; KEY FACTORS; LITERATURE REVIEWS; LOW DOSAGE; MEDICATION ERRORS; MULTI-DISCIPLINARY TEAMS; PROGRAMMING ERRORS; PUMP TECHNOLOGY; SAFETY LIMITS; SYRINGE PUMPS;

ERRORS; INTENSIVE CARE UNITS; LIBRARIES; NURSING; PEDIATRICS; PUMPS; TECHNOLOGY;

DRUG DOSAGE;

ANALGESIC AGENT; ANTICONVULSIVE AGENT; ANTIEMETIC AGENT; ANTIFUNGAL AGENT; ANTIINFECTIVE AGENT; ANTIPROTOZOAL AGENT; ANTIVIRUS AGENT; CARDIAC AGENT; GASTROINTESTINAL AGENT; IMMUNOGLOBULIN; IMMUNOSUPPRESSIVE AGENT; RESPIRATORY TRACT AGENT; SEDATIVE AGENT;

ARTICLE; BLOOD TRANSFUSION; COMPUTER PROGRAM; DRUG DOSE REGIMEN; DRUG LIBRARY; FLUID THERAPY; INFUSION PUMP; INFUSION SYSTEM; INTENSIVE CARE UNIT; INTRAVENOUS ADMINISTRATION; MEDICATION ERROR; NURSE; PEDIATRICIAN; PHARMACIST; PRESCRIPTION; PRIORITY JOURNAL; PRODUCT DEVELOPMENT; PUMP DESIGN; RISK REDUCTION; SAFETY;

CHILD; DRUG THERAPY; HUMANS; INFUSION PUMPS; INFUSIONS, INTRAVENOUS; INTENSIVE CARE UNITS, PEDIATRIC; MEDICATION ERRORS; SOFTWARE;

EID: 84858334565     PISSN: 09333657     EISSN: 18732860     Source Type: Journal    
DOI: 10.1016/j.artmed.2011.12.001     Document Type: Article

References (50)

1. a ed. Consejo General de Colegios Oficiales de Farmacéuticos (Ed.).
2. Technology today. Smart IV pumps - RNweb (Internet), Available from: <> [accessed 14.04.11]. http://rn.modernmedicine.com/rnweb/CE+Library/Technology-today-Smart-IV-pumps/ArticleStandard/Article/detail/254828?contextCategoryId=5757.
3. Leape L.L. Preventing adverse drug events. American Journal of Health System Pharmacists 1995, 52(4):379-382.
4. Pepper G.A. Errors in drug administration by nurses. American Journal of Health System Pharmacists 1995, 5(4):390-395.
5. Stefl M.E. To err is human: Building a safer health system in 1999. Front Health Service Management 2001, 1(1):1-2.
6. Bates D.W. Preventing medication errors: A summary. American Journal of Health System Pharmacists 2007, 6(14):24-26.
7. Hadaway L.C. Managing i.v. therapy: high-alert drugs keep nurse managers ever watchful. Nursing Management 2000, 3(10):38-40.
8. Scroggs J. Improving patient safety using clinical needs assessments in IV therapy. British Journal of Nursing 2008, 1(19):22-28.
9. Proceedings from the ISMP summit on the use of smart infusion pumps. Guidelines for safe implementation and use. (Internet), Available from: <> [accessed 16.04.11]. http://www.ismp.org/Tools/guidelines/smartpumps/comments/default.asp.
10. Institute for Safe Medication Practices (Internet), Available from: <> [accessed 03.08.11]. http://www.ismp.org/.
11. Institute for Safe Medication Practices: High-alert medication list (Internet), Available from: <> [accessed 03.08.11]. http://www.ismp.org/.
12. National Quality Forum Serious reportable events in patient safety: a national quality forum consensus report 2002, National Quality Forum, Washington, DC.
13. Kaushal R., Bates D.W., Landrigan C., McKenna K.J., Clapp M.D., Federico F., et al. Medication errors and adverse drug events in pediatric inpatients. The Journal of the American Medical Association 2001, 28(16):2114-2120.
14. Eskew J.A., Jacobi J., Buss W.F., Warhurst H.M., DeBord C.L. Using innovative technologies to set new safety standards for the infusion of intravenous medication. Hospital Pharmacy 2002, 37:1179-1189.
15. Husch M., Sullivan C., Rooney D., Barnard C., Fotis M., Clarke J., et al. Insights from the sharp end of intravenous medication errors: implications for infusion pump technology. Quality and Safety in Health Care 2005, 1(2):80-86.
16. Siv Lee L., Morgan L. Implementation of wireless intelligent pump IV infusion technology in a not-for-profit academic hospital. Hospital Pharmacy 2007, 42(9):832-840.
17. ISMP. Effective approaches to standardization and implementation of smart pump technology. 1st ed. Huntingdon Valley, PA; 2006.
18. Phelps P.K. Smart infusion pumps: implementation, management, and drug libraries 2011, American Society of Health-System Pharmacists, Bethesda, MD. 1st ed.
19. Lexi-comp ONLINE™ (Internet), Available from: <> [accessed 19.02.11]. http://online.lexi.com/crlsql/servlet/crlonline.
20. MICROMEDEX® healthcare series: Document (Internet), Available from: <> [accessed 24.01.11]. http://www.thomsonhc.com/hcs/librarian/ND_PR/Main/SBK/2/PFPUI/DS1299E2fYTfUG/ND_PG/PRIH/CS/31D07D/ND_T/HCS/ND_P/Main/DUPLICATIONSHIELDSYNC/9E3B38/ND_B/HCS/PFActionId/hcs.common.RetrieveDocumentCommon/DocId/1602/ContentSetId/31.
21. Agencia española de medicamentos y productos sanitarios. Fichas técnicas. (Internet), Available from: Agencia Española de Medicamentos y Productos Sanitarios. Fichas técnicas. Available from: <> [accessed 17.11.11]. https://sinaem4.agemed.es/consaem/fichasTecnicas.do?metodo=detalleForm.
22. Phelps S.J., Hak E.B., Crill C.M. Teddy bear book: pediatric injectable drugs 2007, American Society of Health-System Pharmacists, Bethesda, MD. 8th ed. S.J. Phelps, E.B. Hak, C.M. Crill (Eds.).
23. Trissel L.A. Handbook on injectable drugs 2009, American Society of Health-System Pharmacists, Bethesda, MD. 15th ed. L.A. Trissel (Ed.).
24. BMJ Group BNF for children 2009, Royal Pharmaceutical Society of Great Britain, London, UK.
25. Nemec K., Kopelent-Frank H., Greif R. Standardization of infusion solutions to reduce the risk of incompatibility. American Journal of Health System Pharmacists 2008, 6(17):1648-1654.
26. Bullock J., Jordan D., Gawlinski A., Henneman E.A. Standardizing IV infusion medication concentrations to reduce variability in medication errors. Critical Care Nursing Clinics of North America 2006, 1(4):515-521.
27. Gaffoor M., Hilmas E., Mathews L. National online survey of rule of six versus standardized concentrations. Pediatric Critical Care Medicine 2005, 6:104.
28. Roman N. Innovative solutions: standardized concentrations facilitate the use of continuous infusions for pediatric intensive care unit nurses at a community hospital. Dimensions of Critical Care Nursing 2005, 2(6):275-278.
29. Bates D.W., Vanderveen T., Seger D., Yamaga C., Rothschild J. Variability in intravenous medication practices: implications for medication safety. Joint Commission Journal on Quality and Patient Safety 2005, 3(4):203-210.
30. Hilmas E., Sowan A., Gaffoor M., Vaidya V. Implementation and evaluation of a comprehensive system to deliver pediatric continuous infusion medications with standardized concentrations. American Journal of Health System Pharmacists 2010, 6(1):58-69.
31. Irwin D., Vaillancourt R., Dalgleish D., Thomas M., Grenier S., Wong E., et al. Standard concentrations of high-alert drug infusions across pediatric acute care. Pediatrics and Child Health 2008, 1(5):371-376.
32. Larsen G.Y., Parker H.B., Cash J., O'Connell M., Grant M.C. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics 2005, 11(1):21-25.
33. Mitchell A., Sommo P., Mocerine T. A standardized approach to pediatric parenteral medication delivery. Hospital Pharmacy 2004, 39:433-459.
34. Hospira Manual de uso del sistema de infusión PLUM A+; 2009.
35. Apkon M., Leonard J., Probst L., DeLizio L., Vitale R. Design of a safer approach to intravenous drug infusions: Failure mode effects analysis. Quality Safety in Health Care 2004, 1(4):265-271.
36. Lehmann C.U., Kim G.R., Gujral R., Veltri M.A., Clark J.S., Miller M.R. Decreasing errors in pediatric continuous intravenous infusions. Pediatric Critical Care Med 2006, 7(3):225-230.
37. Thompson C.A. Robotic workbench to prepare hazardous drugs. American Journal of Health System Pharmacists 2008, 6(1):14-15.
38. Reason J. Human error: models and management. BMJ 2000, 32(7237):768-770.
39. Hospira - symbiq infusion system with hospira MedNet® software (Internet), Available from: <> [accessed 25.11.11]. http://www.hospira.com/products/Symbiqinfusionsystem.aspx.
40. Schneider M.P., Cotting J., Pannatier A. Evaluation of nurses' errors associated in the preparation and administration of medication in a pediatric intensive care unit. Pharmacy World and Science 1998, 2(4):178-182.
41. Cardinal Health Alaris syringe pumps (with plus software); 2009.
42. Giannopoulos H.T. Smart pump technology. The pharmacy informatics primer 2008, 119-127. American Society oh Health System Pharmacists, Bethesda, MD. D. Dumitru (Ed.).
43. Imhoff M., Kuhls S., Gather U., Fried R. Smart alarms from medical devices in the OR and ICU. Best Practice and Research. Clinical Anaesthesiology 2009, 2(1):39-50.
44. Dusing Wiest M., Longshore L., Harger N. Implementation of intelligent infusion technology in a multihospital setting. American Journal of Health System Pharmacists 2010, 67(11):878-883.
45. Cassano A.T. IV medication safety software implementation in a multihospital health system. Hospital Pharmacy 2006, 41:151-156.
46. Carayon P., Hundt A.S., Wetterneck T.B. Nurses' acceptance of smart IV pump technology. International Journal of Medical Informatics 2010, 7(6):401-411.
47. Harding A.D., Connolly M.W., Wilkerson T.O. Nurses' risk without using smart pumps. JONAS Healthcare Law, Ethics and Regulation 2011, 1(1):17-20.
48. Harding A.D. Use of intravenous smart pumps for patient safety. Journal of Emergency Nursing 2011, 3(1):71-72.
49. Breland B.D. Continuous quality improvement using intelligent infusion pump data analysis. American Journal of Health System Pharmacists 2010, 6(17):1446-1455.
50. 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). American Journal of Cardiology 2007, 9(7):1002-1005.