Development of a standardized, citywide process for managing smart-pump drug libraries

Autor:	Betsy Vance, Jennifer G. Reddan, Shannon Smallwood, Karen J. Arthur, James Fuller, Therese Staublin, Alana Washington, Todd A Walroth, Tammy Haslar
Rok vydání:	2018
Předmět:	Standardization Computer science Process (engineering) Best practice Pharmacists 030226 pharmacology & pharmacy Nurse's Role Medical Order Entry Systems 03 medical and health sciences Patient safety 0302 clinical medicine Humans Medication Errors Operations management 030212 general & internal medicine Program Development Lean Six Sigma Infusion Pumps Pharmacology End user Health Policy Work in process Reference Standards humanities Work (electrical) Patient Safety Pharmacy Service Hospital
Zdroj:	American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 75(12)
ISSN:	1535-2900
Popis:	Purpose Development and implementation of an interprofessional consensus–driven process for review and optimization of smart-pump drug libraries and dosing limits are described. Summary The Indianapolis Coalition for Patient Safety (ICPS), which represents 6 Indianapolis-area health systems, identified an opportunity to reduce clinically insignificant alerts that smart infusion pumps present to end users. Through a consensus-driven process, ICPS aimed to identify best practices to implement at individual hospitals in order to establish specific action items for smart-pump drug library optimization. A work group of pharmacists, nurses, and industrial engineers met to evaluate variability within and lack of scrutiny of smart-pump drug libraries. The work group used Lean Six Sigma methodologies to generate a list of key needs and barriers to be addressed in process standardization. The group reviewed targets for smart-pump drug library optimization, including dosing limits, types of alerts reviewed, policies, and safety best practices. The work group also analyzed existing processes at each site to develop a final consensus statement outlining a model process for reviewing alerts and managing smart-pump data. Analysis of the total number of alerts per device across ICPS-affiliated health systems over a 4-year period indicated a 50% decrease (from 7.2 to 3.6 alerts per device per month) after implementation of the model by ICPS member organizations. Conclusion Through implementation of a standardized, consensus-driven process for smart-pump drug library optimization, ICPS member health systems reduced clinically insignificant smart-pump alerts.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b8bc2e8b69584462699b27d304fb5ca4 https://pubmed.ncbi.nlm.nih.gov/29880525 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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