Smart pumps and random safety audits in a Neonatal Intensive Care Unit: a new challenge for patient safety

Autor: Ana Melgar-Bonis, David Lora-Pablos, Elena Bergon-Sendin, Carmen Rosa Pallás-Alonso, María Teresa Moral-Pumarega, Mercedes Diezma-Rodino, Carmen Pena-Peloche, Lidia García-San Jose, Esther Cabañes-Alonso, Carmen Perez-Grande
Rok vydání: 2015
Předmět:
Zdroj: Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid
Consejería de Sanidad de la Comunidad de Madrid
BMC Pediatrics
Popis: Background Random safety audits (RSA) are a safety tool enabling prevention of adverse events, but they have not been widely used in hospitals. The aim of this study was to use RSAs to assess and compare the frequency of appropriate use of infusion pump safety systems in a Neonatal Intensive Care Unit (NICU) before and after quality improvement interventions and to analyse the intravenous medication programming data. Methods Prospective, observational study comparing the frequency of appropriate use of Alaris® CC smart pumps through RSAs over two periods, from 1 January to 31 December 2012 and from 1 November 2014 to 31 January 2015. Appropriate use was defined as all evaluated variables being correctly programmed into the same device. Between the two periods they were established interventions to improve the use of pumps. The information recorded at the pumps with the new security system, also extracted for one year. Results Fifty-two measurements were collected during the first period and 160 measurements during the second period. The frequency of appropriate use was 73.13 % (117/160) in the second period versus 0 % (0/52) in the first period (p
Databáze: OpenAIRE