Evaluating an approach to improving the adoption rate of wireless drug library updates for smart pumps

Poppe, Lindsey B.; Eckel, Stephen F.

doi:10.2146/ajhp100300

Cited by 10 publications

(2 citation statements)

References 2 publications

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“…23 Research has shown that it may take days or even weeks for the new drug library to be installed on all smart infusion pumps within a hospital. [24][25][26] Using an out-of-date drug library on a smart pump can lead to medication errors due to incorrect drug dosing limits. 27 Although a smart pump can still function normally without an updated drug library, there may be negative consequences for not using the most current library.…”

Section: Stakeholder Perceptions Of Smart Infusion Pumps and Drug Libmentioning

confidence: 99%

Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary study

DeLaurentis

Walroth

Fritschle

et al. 2019

American Journal of Health-System Pharmacy

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Purpose Results of a questionnaire-based study to evaluate smart infusion pump end users’ perceptions and understanding of the drug library update process are reported. Methods The Indianapolis Coalition for Patient Safety, Inc., in partnership with the Regenstrief Center for Healthcare Engineering, conducted a 33-item electronic, cross-sectional survey across 5 Indiana health systems from May through November 2017. Interdisciplinary participants identified for survey distribution included nurses, pharmacists, biomedical engineers, administrators, and medication safety officers. The survey assessed the following domains: patient safety, the drug library update process, knowledge of drug libraries and the update process, and end-user perceptions. Results A total of 778 submitted surveys were included in the data analysis, with a large majority of responses (90.2%) provided by nurses. The use of drug libraries for ensuring patient safety was deemed extremely important or important by 88% of respondents, but 36% indicated that they were unsure of whether drug libraries are updated on a routine basis in their health system. Approximately two-thirds agreed that the current update process improves quality of care (65.0%) and patient safety (68.1%). Moreover, 53.3% agreed that the current drug library update process was effective. However, less than 10% responded correctly when asked about the steps required to update the drug library. Furthermore, only 18% correctly indicated that when a pump is on it may not necessarily contain the most up-to-date version of the drug library. Conclusion A survey of 5 health systems in Indianapolis identified several end-user knowledge gaps related to smart pump drug library updates. The results suggest that these gaps were most likely due to a combination of the 2-step update process and the fact that the current drug library version is not easy to find and/or user-friendly and it is unclear when an update is pending.

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Section: Stakeholder Perceptions Of Smart Infusion Pumps and Drug Libmentioning

confidence: 99%

Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary study

DeLaurentis

Walroth

Fritschle

et al. 2019

American Journal of Health-System Pharmacy

View full text Add to dashboard Cite

show abstract

“…Updating the drug library has been identified as an area of improvement with regard to determining when the update will occur and increasing communication. 9 Where an organization is with implementation may affect how often you update your drug library. See Table 1 for Smart Pump Implementation Checklist.…”

Section: Drug Librarymentioning

confidence: 99%