Eliminating Clinical Workarounds through Improved Smart Pump Drug Library Use
| Autor: | Rachel R. Vitoux, Helen Chang, Jennifer Lehr |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Drug
medicine.medical_specialty Quality management Computer Networks and Communications media_common.quotation_subject Biomedical Engineering ALARM Retrospective analysis Humans Medication Errors Medicine Infusion pump Drug Dosage Calculations Infusion Pumps Retrospective Studies media_common Equipment Safety business.industry Workaround Equipment Design medicine.disease Quality Improvement Drug Therapy Computer-Assisted Surgery Drug Dosage Calculation Safety Equipment Medical emergency business |
| Zdroj: | Biomedical Instrumentation & Technology. 49:23-28 |
| ISSN: | 1943-5967 0899-8205 |
| DOI: | 10.2345/0899-8205-49.s4.23 |
| Popis: | Compliance with the use of smart pump libraries continues to be a challenge for hospitals, with reported compliance rates as low as 16% and few hospitals achieving 100%.1,2 To help drive safe practice, smart pump libraries are equipped with softand hard-dosing limits, bolus features, clinical advisories, and alerts. However, clinicians frequently bypass, opt out, override, and/or work around these drug library parameters.1,3,4 Although the reasons for these workarounds have not been elucidated completely, infusion pump alerts may play a key role. Pump alerts contribute to noise and alarm fatigue, and when alerts are perceived as noncredible, they are ignored or overridden. The first step to improving drug library compliance is understanding when and why alerts occur. We conducted a retrospective analysis of drug library alert data to identify which infusions were causing the highest incidence of alerts that defined common themes of clinical workarounds. The current work describes key areas of focus to reduce noncredible alerts, avoid clinical workarounds, and optimize use of drug libraries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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