Int J Med Inform - Implementing smart pump technology in a pediatric intensive care unit: a cost-effective approach.

Tópicos

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Resumo

JECTIVE: To analyze the cost effectiveness of implementing smart infusion pump technology in a pediatric intensive care unit (PICU).MATERIAL AND METHODS: An observational, prospective, intervention study with analytical components was carried out. A drug library was developed and integrated into the Carefusion Alaris Guardrails? infusion systems. A systematic analysis of all the data stored on the devices during use was performed by the data processing program Guardrails? CQI v4.1 Event Reporter. Intercepted errors were classified in terms of their potential severity and probability of causing an adverse effect (PAE) had they reached the patient. Knowing the estimated cost of a preventable adverse effect (AE), we analyzed costs saved and the profit/cost ratio resulting from the implementation process.RESULTS: Compliance with the drug library was 92% and during the study period 92 infusion-related programming errors were intercepted, leading to a saving of 172,279 euros by preventing AEs. This means that 2.15 euros would be obtained for each euro invested in hiring a pharmacist to implement this technology.DISCUSSION: The high percentage of use of safety software in our study compared to others allowed for the interception of 92 errors. The estimation of the potential impact of these errors is based on clinical judgment. The cost saved might be underestimated because the cost of an AE is usually higher in pediatrics, indirect and intangible costs were not considered and pharmacists involved do not spend the whole day on this task.CONCLUSIONS: Smart pumps have shown to be profitable in a PICU because they have the ability to intercept potentially serious medication errors and reduce costs associated with such errors.

Resumo Limpo

jectiv analyz cost effect implement smart infus pump technolog pediatr intens care unit picumateri method observ prospect intervent studi analyt compon carri drug librari develop integr carefus alari guardrail infus system systemat analysi data store devic use perform data process program guardrail cqi v event report intercept error classifi term potenti sever probabl caus advers effect pae reach patient know estim cost prevent advers effect ae analyz cost save profitcost ratio result implement processresult complianc drug librari studi period infusionrel program error intercept lead save euro prevent ae mean euro obtain euro invest hire pharmacist implement technologydiscuss high percentag use safeti softwar studi compar other allow intercept error estim potenti impact error base clinic judgment cost save might underestim cost ae usual higher pediatr indirect intang cost consid pharmacist involv spend whole day taskconclus smart pump shown profit picu abil intercept potenti serious medic error reduc cost associ error

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