Intravenous Smart Pumps at the Point of Care: A Descriptive, Observational Study

Giuliano, Karen K.; Blake, Jeannine W.C.; Bittner, Nancy Phoenix; Gamez, Vicki; Butterfield, Robert

doi:10.1097/pts.0000000000001057

Cited by 4 publications

(6 citation statements)

References 20 publications

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“…Finally, innovation in IV smart pumps to develop technical solutions for as many usability issues as possible is needed, including the development of additional choices that do not require a head-height differential for secondary medication infusion. 3,32 With the high level of demand for clinicians at the point of care, manufacturers have the responsibility to improve both clinical workflow and patient safety by creating innovative technology solutions to improve IV smart pump usability in this very important area of patient safety.…”

Section: Conclusion and Implications For Future Researchmentioning

confidence: 99%

“…1 Although there are different types of infusion pumps, large-volume IV smart pumps are the most widely used in US acute care hospitals because they can administer large amounts of both fluids and medications. [2][3][4] Through our experiences as practicing nurses, we know the difficulty first hand in trying to juggle multiple patient care tasks while simultaneously having to safely administer potent IV medications with significant potential side effects. The reality of programming an IV smart pump is that the delivery of even a single dose of medication involves multiple steps and keystrokes, each of which introduces a potential opportunity for error.…”

mentioning

confidence: 99%

“…16 Unfortunately, available data comparing the workflow and usability for the user interfaces of different IV smart pump types are scarce. 3,16,17 As a result, limited empiric data exist about what can and should be required by manufacturers to help make their products safer and easier to use.…”

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confidence: 99%

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Intravenous Smart Pumps During Actual Clinical Use

Giuliano

Penoyer

Mahuren

et al. 2021

Journal of Infusion Nursing

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This descriptive observational study was conducted to increase understanding of medication administration practices during actual clinical use between 2 commonly used, different types of intravenous (IV) smart pumps. Compliance with manufacturer-recommended setup requirements for both primary and secondary infusions and secondary medication administration delay was compared between a head-height differential system and a cassette system. A total of 301 medication administration observations were included in this study: 102 (34%) for the linear peristaltic IV smart pump (medical–surgical: N = 51; critical care: N = 51) and 199 (66%) for the cassette pump (medical–surgical: N = 88; critical care: N = 111). Results found a 0% compliance for primary line setup and 84% compliance for secondary line setup and 1 omitted medication due to a closed clamp with the linear peristaltic system. For the cassette system, there are no head-height requirements. Two roller clamps were found to be in the closed position on initiation of the secondary infusion, but the clinician was alerted by an alarm, so no medication delays occurred. These findings support that the current system requirements for flow rate accuracy using head-height differential systems are difficult to achieve consistently at the point of care. There is a need for additional human factor designed technology to replace manual actions to improve the process of care for nurses and the safety of care for patients.

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Section: Conclusion and Implications For Future Researchmentioning

confidence: 99%

mentioning

confidence: 99%

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Intravenous Smart Pumps During Actual Clinical Use

Giuliano

Penoyer

Mahuren

et al. 2021

Journal of Infusion Nursing

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“… 15 Typical examples of defence systems include smart pumps, which have been shown to be effective in preventing errors. However, they can also introduce error-inducing factors, such as procedure deviations 16 17 and alert fatigue. 18 Furthermore, previously reported risk countermeasures have used root cause analysis (RCA) tools to identify why accidents occur and how to prevent their recurrence (US Department of Veterans Affairs and Veterans Health Administration National Center for Patient Safety) by incorporating resilience engineering techniques.…”

Section: Introductionmentioning

confidence: 99%

Frontline nursing staff’s perceptions of intravenous medication administration: the first step toward safer infusion processes—a qualitative study

Uramatsu,

Kimura,

Kojima

et al. 2024

BMJ Open Qual

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ObjectivesIntravenous medication errors continue to significantly impact patient safety and outcomes. This study sought to clarify the complexity and risks of the intravenous administration process.DesignA qualitative focus group interview study.SettingFocused interviews were conducted using process mapping with frontline nurses responsible for medication administration in September 2020.ParticipantsFront line experiened nurses from a Japanese tertiary teaching hospital.Primary and secondary outcome measuresThe primary outcome measure was to identify the mental models frontline nurses used during intravenous medication administration, which influence their interactions with patients, and secondarily, to examine the medication process gaps between the mental models nurses perceive and the actual defined medication administration process.ResultsWe found gaps between the perceived clinical administration process and the real process challenges with an emphasis on the importance of verifying to see if the drug was ordered for the patient immediately before its administration.ConclusionsThis novel and applied improvement approach can help nurses and managers better understand the process vulnerability of the infusion process and develop a deeper understanding of the administration steps useful for reliably improving the safety of intravenous medications.

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“…Medication errors are the most probable cause of medical injuries. It is a broad term that refers to the numerous and different ways in which IV infusions can go incorrectly at nearly every stage of the medication delivery process [1]. Medication errors 4 2 T can endanger patients and place a financial burden on hospitals and health care providers.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Using Smart Infusion Pumps among Nursing Practice

Algushairy,

Bayahya,

Khayyat

2023

SAR Journal

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The most prevalent cause of medical injuries is medication errors especially when patients take multiple medications at the same period of time with different doses. One of the technologies that have been developed to improve patient outcomes is the smart infusion pump, which has the ability to identify several programming problems when applied correctly. However, based on existing use, there are contradictory reports on smart pumps' potential to avoid patients' harm in the absence of other features, as well as deliver professional care to patients. This study aimed to understand the experience of nurses when performing smart infusion pumps in their practice, the influence of this technology on their confidence, and how much this technology is trusted to rely on to prevent medical errors. Previous studies focused entirely on longitudinal and quantitative studies, which take a long time and cost a lot. A qualitative study collected from an online survey that contained three types of questions: open-ended questions, closed-ended questions, and rating questions to evaluate participants' answers about smart infusion pumps among their practices in Saudi Arabia hospitals, a survey targeting nursing staff and we got 30 replies. The outcomes have revealed a significant impact of smart infusion pumps on nursing practice.

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Intravenous Smart Pumps at the Point of Care: A Descriptive, Observational Study

Cited by 4 publications

References 20 publications

Intravenous Smart Pumps During Actual Clinical Use

Intravenous Smart Pumps During Actual Clinical Use

Frontline nursing staff’s perceptions of intravenous medication administration: the first step toward safer infusion processes—a qualitative study

The Impact of Using Smart Infusion Pumps among Nursing Practice

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