Smart pump alerts: All that glitters is not gold

International Journal of Medical Informatics

Volumn 81, Issue 5, 2012, Pages 344-350

  Manrique Rodríguez, Silvia ^a   Sánchez Galindo, Amelia ^a   Fernández Llamazares, Cecilia M ^a   López Herce, Jesús ^a   Echarri Martínez, Lara ^a   Escudero Vilaplana, Vicente ^a   Sanjuro Sáez, María ^a   Carrillo álvarez, Ángel ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

Alerts; Drug library; Intensive care; Pediatrics; Smart pumps

Indexed keywords

ALERTS; CLINICAL PRACTICES; CORRECT ERROR; IMPROVEMENT MEASURE; INFUSION PUMP; INTENSIVE CARE; MULTI-DISCIPLINARY TEAMS; PRELIMINARY ANALYSIS; PROGRAMMING ERRORS; PUMP TECHNOLOGY; SYRINGE PUMPS; USER TRAINING; VOLUMETRIC PUMPS;

ALARM SYSTEMS; ERRORS; INTENSIVE CARE UNITS; PEDIATRICS;

PUMPS;

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

ALARM MONITOR; ARTICLE; BLOOD TRANSFUSION; CLINICAL PRACTICE; COMPUTER PROGRAM; DESCRIPTIVE RESEARCH; FEMALE; FLUID THERAPY; HUMAN; INTENSIVE CARE UNIT; MEDICAL ERROR; MEDICAL TECHNOLOGY; NURSE; PEDIATRICIAN; PHARMACIST; PRIORITY JOURNAL; PUMP; SMART PUMP; SYRINGE;

CHILD; DECISION SUPPORT SYSTEMS, CLINICAL; DRUG THERAPY; DRUG THERAPY, COMPUTER-ASSISTED; EQUIPMENT SAFETY; HUMANS; INFUSION PUMPS; INFUSIONS, INTRAVENOUS; INTENSIVE CARE UNITS, PEDIATRIC; MEDICATION ERRORS; RISK MANAGEMENT; SOFTWARE;

EID: 84859161898     PISSN: 13865056     EISSN: 18728243     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2011.10.010     Document Type: Article

References (31)

1. Aranaz J.M., Aibar C., Vitaller J., Ruiz P. Estudio nacional sobre los efectos adversos ligados a la hospitalización (ENEAS) 2006, Ministerio Sanidad y Consumo, Madrid (ESP).
2. Bates D.W. Preventing medication errors: A summary. Am J Health Syst Pharm. 2007, 64(15 July (14 Suppl. (9))):S24-S26. S3,9; quiz.
3. Stefl M.E. To err is human: Building a safer health system in 1999. Front Health Serv. Manage. 2001, 18(1):1-2.
4. Pepper G.A. Errors in drug administration by nurses. Am. J. Health Syst. Pharm. 1995, 52(4):390-395.
5. Leape L.L., Bates D.W., Cullen D.J., Cooper J., Demonaco H.J., Gallivan T., et al. Systems analysis of adverse drug events. ADE prevention study group. JAMA 1995, 274(1):35-43.
6. Hatcher I., Sullivan M., Hutchinson J., Thurman S., Gaffney F.A. An intravenous medication safety system: Preventing high-risk medication errors at the point of care. J. Nurs. Admin. 2004, 34(10):437-439.
7. Hadaway L.C. Managing i.v. therapy: " high-alert" drugs keep nurse managers ever watchful. Nurs. Manage. 2000, 31(10):38-40.
8. National Quality Forum Serious Reportable Events in Patient Safety: A National Quality Forum Consensus Report 2002, National Quality Forum, Washington, DC.
9. 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. JAMA 2001, 285(16):2114-2120.
10. Sullivan J.E., Buchino J.J. Medication errors in paediatrics-the octopus evading defeat. J. Surg. Oncol. 2004, 88(3):182-188.
11. Wong I.C., Ghaleb M.A., Franklin B.D., Barber N. Incidence and nature of dosing errors in paediatric medications: a systematic review. Drug Saf. 2004, 27(9):661-670.
12. Institute for Safe Medication Practices [Internet] [cited October 17, 2011]. Available from: http://www.ismp.org/.
13. 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. Hosp 2002, 37:1179-1189.
14. 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. Qual. Saf. Health Care 2005, 14(2):80-86.
15. Technology Today: Smart IV Pumps 2005, Modern Medicine, Columbia, MO [cited 2011 Sep 20]. Available from: http://rn.modernmedicine.com/rnweb/CE+Library/Technology-today-Smart-IV-pumps/ArticleStandard/Article/detail/254828?contextCategoryId=5757. S. Beattie (Ed.).
16. Giannopoulos H.T. Smart pump technology. The Pharmacy Informatics Primer 2008, 119-127. American Society of Health-System Pharmacists, Bethesda, MD. First edition. D. Dumitru (Ed.).
17. Breland B.D. Continuous quality improvement using intelligent infusion pump data analysis. Am. J. Health Syst. Pharm. 2010, 67(17):1446-1455.
18. Lexicomp ONLINE™ [Internet]. American Pharmacists Association [cited October 17, 2011]. Available from: http://online.lexi.com/crlsql/servlet/crlonline.
19. Thomson healthcare products: select a product [Internet]. Thomson Reuters Healthcare [cited October 17, 2011]. Available from: http://www.thomsonhc.com/home/dispatch.
20. Agencia española de medicamentos y productos sanitarios. Fichas técnicas [Internet]. Ministerio de Sanidad [cited October 17, 2011]. Available from: https://sinaem4.agemed.es/consaem/fichasTecnicas.do?metodo=detalleForm.
21. Phelps S.J., Hak E.B., Crill C.M. Pediatric injectable drugs. The Teddy Bear Book 2007, American Society of Health-System Pharmacists, Bethesda, MD. Eighth edition. S.J. Phelps, E.B. Hak, C.M. Crill (Eds.).
22. Trissel L.A. Handbook on Injectable Drugs 2009, American Society of Health-System Pharmacists, Bethesda, MD. fifteenth edition. L.A. Trissel (Ed.).
23. BMJ Group BNF for Children 2008-2009: The Essential Resource for Children Use of Medicines in Children 2009, Royal Pharmaceutical Society of Great Britain, London, UK.
24. Bates D.W., Vanderveen T., Seger D., Yamaga C., Rothschild J. Variability in intravenous medication practices: Implications for medication safety. J. Comm. J. Qual. Patient Saf. 2005, 31(4):203-210.
25. Irwin D., Vaillancourt R., Dalgleish D., Thomas M., Grenier S., Wong E., et al. Standard concentrations of high-alert drug infusions across paediatric acute care. Paediatr. Child Health 2008, 13(5):371-376.
26. 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, 116(1):21-25.
27. Hilmas E., Sowan A., Gaffoor M., Vaidya V. Implementation and evaluation of a comprehensive system to deliver pediatric continuous infusion medications with standardized concentrations. Am. J. Health Syst. Pharm. 2010, 67(1):58-69.
28. Manrique-Rodríguez S., Fernández-Llamazares C.M., Herranz-Alonso A., Sanjurjo-Sáez M. Bombas de infusión inteligentes: luces y sombras de una tecnología en desarrollo. Med. Clin. (Barc) 2011, 137(8):361-365.
29. Imhoff M., Kuhls S., Gather U., Fried R. Smart alarms from medical devices in the OR and ICU. Best. Pract. Res. Clin. Anaesthesiol. 2009, 23(1):39-50.
30. 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. Pharm. World Sci. 1998, 20(4):178-182.
31. Siv Lee L., Morgan L. Implementation of wireless " intelligent" pump IV infusion technology in a Not-for-profit Academic Hospital. Hosp. Pharm. 2007, 42(9):832-840.