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 |
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| Rok vydání: | 2015 |
| Předmět: |
Random safety audits
Technology Medication Systems Hospital Safety Management Quality management Neonatal intensive care unit Psychological intervention System safety Audit Smart pumps Patient safety Intensive Care Units Neonatal medicine Infusion pump Humans Neonatal Intensive Care Unit Pediatrics Perinatology and Child Health Prospective Studies Infusion Pumps Medical Audit business.industry Infant Newborn Newborn medicine.disease Quality Improvement Adverse events Pediatrics Perinatology and Child Health Observational study Medical emergency Patient Safety business Research Article |
| 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 |
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