In the 2016 Infusion Nurses Society (INS) Infusion Therapy Standards of Practice, a smart pump is defined as an electronic infusion device with imbedded computer software aimed at reducing drug dosing errors through the presence and use of a drug library.3 The built-in drug library and DERS are intended to ensure
How does a smart pump work?
About Smart Pumps
Smart pumps with dose-error reduction software (DERS) allow organizations to create a tailored library of medications with dosing guidelines by establishing standard concentrations, dosing limits, and alerts (e.g., clinical advisories, soft stops, hard stops).
What do smart infusion pumps do?
Some newer infusion pumps, often called smart pumps, are designed to alert the user when there is a risk of an adverse drug interaction, or when the user sets the pump’s parameters outside of specified safety limits.
How is a smart pump used to help prevent medication errors?
Smart pumps are a promising technology to prevent medication administration errors. Smart pumps are infusion pumps manufactured with software that checks the nurse-programmed medication administration against pre-established institutional limits in customized medication libraries before beginning infusion.
What is a smart pump pharmacy?
Smart infusion pumps include built in drug error reduction software which uses a drug library. Studies have reported the drug library build should be undertaken by a multidisciplinary team, including a pharmacist; however, the extent or nature of the input required by the pharmacist for greatest benefit is unknown.
Are smart pumps smart enough?
Although the use of smart pumps can reduce the incidence of medication errors, research has shown that errors still occur in 60% or more of I.V. medication administrations. Potential sources of error include overriding dose error alerts and manually bypassing drug libraries or the DERS completely.
What data is gathered using smart pumps?
Analysis of Smart Pump Data Reports
- Compliance rate of utilizing the intelligent infusion software.
- Identification of medication doses frequently overridden.
- Practice trends.
- Prevalence of errors sorted by units and medications.
- Medications associated with the critical catches.
What is the difference between infusion pump and syringe pump?
An infusion pump draws fluid from a standard bag of intravenous fluid and controls the rate of flow.A syringe pump is a different type of infusion delivery device. Instead of drawing fluid from an infusion bag, intravenous medications are drawn into a syringe and installed into the device.
When would you use an infusion pump?
Infusion pumps may be capable of delivering fluids in large or small amounts, and may be used to deliver nutrients or medications such as insulin or other hormones, antibiotics, chemotherapy drugs, and pain relievers. Some infusion pumps are designed mainly for stationary use at a patient’s bedside.
What are some advantages of the smart pump features?
One of the benefits of using smart pumps was intercepting errors such as the wrong rate, wrong dose, and pump setting errors. Other benefits include reduction of adverse drug event rates, practice improvements, and cost effectiveness.
What are the disadvantages of intravenous infusion pumps?
Disadvantages:
- The pressure produced can cause extravasation/infiltration of intravenous fluids.
- The alarm will sound when the pressure reaches high levels eg 2000mm/Hg.
- The occlusion alarm is proportional to flow rate, ie if a low flow rate is set, the alarm may take up to an hour to sound.
When did smart pumps come out?
The introduction of “smart” (computerized) intravenous (IV) infusion pumps in 2001 signaled a major advance in medication safety. For the first time, pumps with safety software could automatically alert clinicians to avoid IV infusion programming errors that otherwise could have tragic results.
When did hospitals start using IV pumps?
1960s
In the 1960s, IV infusion pumps became a ubiquitous sight in hospitals all across the country. This was also during the time when Dr. John Myers started injecting patients with what he called a cocktail of vitamins and minerals.
Why were smart infusion pumps created?
It is generally accepted that ADEs associated with IV infusion devices are usually a result of incorrect programming. Now, a new generation of infusion devicesso-called smart pumpscan reduce medication errors, improve workflow, and provide a new source of data for continuous quality improvement (CQI).
What are automated IV pumps?
Automated IV Pumps are designed to help nurses ensure the right amount of IV fluids are administered through the patient’s vein with higher accuracy and without the need for continuous monitoring.They have to attend to a large number of patients each with a different disorder and requiring a different treatment.
How do automated dispensing cabinets work?
Automated dispensing cabinets allow the pharmacy department to profile physician orders before they are dispensed. ADCs can also enable providers to record medication charges upon dispensing, reducing the billing paperwork pharmacy is responsible for.
How much does a smart pump cost?
Large volume pumps can administer fluids such as glucose and deliver drug therapies. The cost of these devices ranges from $2,184 to $6,865. The cost will more than double, however, when these devices are networked into the hospital, pharmacy, or electronic medical records, the cost will more than double.
Which of the following helps prevent errors when programming a smart IV pump to administer a medication infusion?
Soft stops could potentially reduce errors by alerting the nurse, thus double-checking the administration rate. Hard stops will notify the nurse if a dose is outside the hospital’s predetermined range for safety and not allow the medication to be infused.
What are the 3 types of syringes?
What are the types of Syringes?
- Insulin Syringe. One of the more common types of syringes, these are for single-use and are inexpensive.
- Tuberculin Syringe. Tuberculin syringes are small in size and hold up to 1ml of fluid.
- Multi-Shot Needle Syringe.
- Venom Extraction Syringe.
- Oral Syringe.
- Dental Syringe.
Is a syringe driver an infusion pump?
The syringe driver in palliative care is a small, portable, battery powered infusion device that is suitable for patient use in the hospital and at home. The syringe driver is used to administer a continuous subcutaneous (sc) infusion of drugs from a syringe e.g. analgesics, antiemetics, sedatives or anticholinergics.
What is the risk of infusion pumps?
The most commonly reported problems associated with the pumps, according to the FDA. have been related to: Software defects, including failures of built in safety alarms; User interface issues, such as ambiguous on screen instructions that lead to dosing errors; and.
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