Health Informatics J - Implementation of smart pump technology in a paediatric intensive care unit.

Tópicos

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Resumo

Patient safety is a matter of major concern that involves every health professional. Nowadays, emerging technologies such as smart pumps can diminish medication errors as well as standardise and improve clinical practice with the subsequent benefits for patients. The aim of this paper was to describe the smart pump implementation process in a paediatric intensive care unit (PICU) and to present the most relevant infusion-related programming errors that were prevented. This was a comparative study between CareFusion Alaris Guardrails(?) and Hospira MedNet(?) systems, as well as a prospective and intervention study with analytical components carried out in the PICU of Gregorio Mara??n General and Teaching Hospital. All intravenous infusions programmed with a pump in the eleven beds of the unit were analyzed. A drug library was developed and subsequently loaded into CareFusion and Hospira pumps that were used during a three month period each. The most suitable system for implementation was selected according to their differences in features and users' acceptance. Data stored in the pumps were analyzed to assess user compliance with the technology, health care setting and type of errors intercepted. The implementation process was carried out with CareFusion systems. Compliance with the technology was 92% and user acceptance was high. Vacation substitution and drug administration periods were significantly associated with a greater number of infusion-related programming errors. High risk drugs were involved in 48% of intercepted errors. Based on these results we can conclude that implementation of smart pumps proved effective in intercepting infusion-related programming errors from reaching patients. User awareness of the importance of programming infusions with the drug library is the key to succeed in the implementation process.

Resumo Limpo

patient safeti matter major concern involv everi health profession nowaday emerg technolog smart pump can diminish medic error well standardis improv clinic practic subsequ benefit patient aim paper describ smart pump implement process paediatr intens care unit picu present relev infusionrel program error prevent compar studi carefus alari guardrail hospira mednet system well prospect intervent studi analyt compon carri picu gregorio maran general teach hospit intraven infus program pump eleven bed unit analyz drug librari develop subsequ load carefus hospira pump use three month period suitabl system implement select accord differ featur user accept data store pump analyz assess user complianc technolog health care set type error intercept implement process carri carefus system complianc technolog user accept high vacat substitut drug administr period signific associ greater number infusionrel program error high risk drug involv intercept error base result can conclud implement smart pump prove effect intercept infusionrel program error reach patient user awar import program infus drug librari key succeed implement process

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