Impact of Implementing Smart Infusion Pumps in an Intensive Care Unit in Mexico: A Pre-Post Cost Analysis Based on Intravenous Solutions Consumption

Abstract

Background: The use of smart pump technology has shown to be profitable in the intensive care unit (ICU) because it avoids costs from prevented medication errors and allows for savings on disposables and medications by establishing standardized concentrations and dosing units. Objective: The objective of the study is to evaluate the economic impact of the implementation of smart infusion pumps in the consumption of intravenous (IV) solutions in an ICU. Methods: A retrospective observational study was conducted with a pre-post design. The study occurred in the adult ICU of the Hospital Juárez de México. The pattern of consumption of IV solutions (sodium chloride 9%, Hartmann's solution, dextrose 5% and 10%, sodium chloride 0.9% with dextrose 5%) was analyzed preimplementation and postimplementation of 50 Plum A+™ pumps with Hospira MedNet™ security software. Using the TreeAge Pro 2016 software, deterministic and probabilistic analyses were carried out (10 000 Monte Carlo simulations) to confirm the robustness of the annual consumption comparison and the associated expenses before and after implementing smart technology. Results: The implementation of the smart pumps reduced the annual consumption of IV solutions to 8994 units (18%) and 3649 liters (22.3%). In the first year, MXN$55 850.97 were saved. From an institutional perspective and with a probability of 0.63, the use of MedNet™ technology proved to be a lower cost alternative (17.1% saved) with respect to the conventional infusion systems. Conclusion: The implementation of smart infusion pumps allows savings, specifically for the IV solutions used in ICU.

Exploring of Nurses’ Needs of New Design Intravenous System Device to Support Nursing Care Effectively

“…A study stated that hospital financial resources are limited, it causing hospitals cannot be able to provide infusion pumps that have an automatic ability to calculate drugs and infusion rates, so as an alternative solution a simple formula is needed to calculate infusion droplets to prevent error rates (Wright, 2007). The use of smart pumps can reduce annual expenditure and it proved to be an alternative with lower costs compared to conventional infusion systems, this allows for savings, especially in services in the ICU (Palacios Rosas et al, 2019).…”

Adherencia y potenciales eventos adversos prevenidos durante la administración de medicamentos endovenosos empleando bombas de infusión inteligentes en cuatro unidades de cuidados intensivos en Colombia

“…En este sentido en un estudio realizado en México con el objetivo de evaluar el impacto económico de la implementación de bombas de infusión inteligentes en el consumo de soluciones endovenosas (cloruro de sodio al 9%, solución de Hartmann, dextrosa al 5% y 10%, cloruro de sodio al 0.9% con dextrosa al 5%) en una UCI antes de la implementación y posimplementación de software de seguridad Hospira MedNet ™; se encontró que la implementación de las bombas inteligentes redujo el consumo anual de soluciones a 8.994 unidades (18%) y 3.649 litros (22.3%). En el primer año, se ahorraron 55.850,97 pesos mexicanos; el uso de la tecnología MedNet ™ demostró ser una alternativa de menor costo (17,1% ahorrado) con respecto a los sistemas de infusión convencionales, lo cual llevó a los autores a concluir que la implementación de bombas de infusión inteligente permite ahorros, específicamente para las soluciones endovenosas utilizadas en la UCI 32 .…”

Evolution of Intravenous Medication Errors and Preventive Systemic Defenses in Hospital Settings—A Narrative Review of Recent Evidence

“…lww.com/JPS/A612). The studies were conducted in the United States (n = 16), [47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] the United Kingdom (n = 7), [63][64][65][66][67][68][69] Australia (n = 3), [70][71][72] Brazil (n = 3), [73][74][75] Spain (n = 3), [76][77][78] Mexico (n = 2), 79,80 Saudi Arabia (n = 2), 81,82 Singapore (n = 2), 83,84 Canada (n = 1), 85 China (n = 1), 86 France (n = 1), 87 Germany (n = 1), 88 Italy (n = 1), 89 Netherlands (n = 1), 90 and Switzerland FIGURE 2. Outline of the narrative review process, analysis of the included articles (n = 63), and comparison to our previous systematic reviews.…”

“…91 Some studies (n = 2) were carried out in multiple countries. 92,93 The studies were conducted in hospital settings without a specification of a specialty area (n = 10), 55,56,[61][62][63]66,73,76,82,90 adult ICU (n = 9), 49,50,52,69,75,[78][79][80]92 hospital pharmacy (n = 7), 47,51,[57][58][59][60]93 pediatric intensive care unit (n = 5), 65,68,72,74,77 pediatric hospital (n = 3), 54,64,71 emergency department (n = 2), 70,84 anesthesia department (n = 1), 87 cancer hospital (n = 1), 86 and pediatric emergency department (n = 1). 81 Some studies (n = 8) were carried out in simulated environments comprising an anesthesia setting (n = 2), 83,88 hospital setting (n = 2), 48,67 ICU (n = 1), 85 NICU (n = 1), ...…”

“…Meta-analysis of 2 studies favored smart pumps to reduce the relative risk of programming errors by 51%. Palacios Rosas et al, 2019 79 A retrospective observational study with a pre-post design.…”