Smart infusion pumps have dose error-reduction systems (DERS) designed to enhance safe I.V.Bi-directional communication technology allows the pump to receive the medication order directly from the EHR and for the pump to send infusion data (medication, rate, dose, volume) to the patient’s EHR infusion record.
How does the infusion pump work?
Infusion pumps may be powered electrically or mechanically.In an elastomeric pump, fluid is held in a stretchable balloon reservoir, and pressure from the elastic walls of the balloon drives fluid delivery. In a peristaltic pump, a set of rollers pinches down on a length of flexible tubing, pushing fluid forward.
How do smart pumps reduce medication errors?
These smart pumps reduce the risk of errors through programming and alerts, which will let medical personnel know if there is a risk of an adverse reaction between medications or if the programmed parameters are programmed outside of hospital protocols.
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 do IV smart pumps accomplish?
Although the use of IV smart pumps can reduce the incidence of IV adverse drug events and medication administration errors,2 IV infusion continues to be associated with 54% of all adverse drug events,3 56% of medication errors, and 61% of serious and life-threatening errors.
How do elastomeric pumps work?
Elastomeric pumps use pressure to infuse medication. This pressure is created by an elastomeric layer which is molded into the inside of the pump. When the elastomeric pump gets filled, the elastomeric layer becomes stretched. The elastic constriction then drives the liquid that is present through the tubing.
What is Bolus in infusion pump?
In medicine, a bolus (from Latin bolus, ball) is the administration of a discrete amount of medication, drug, or other compound within a specific time, generally 130 minutes, in order to raise its concentration in blood to an effective level.
Where are smart pumps used?
At least 97% of respondents reported consistently using smart pumps in medical-surgical units, pediatric units, adult and pediatric critical care units, neonatal intensive care units (NICUs), inpatient oncology units, post-anesthesia care units (PACUs), labor and delivery units, ambulatory infusion units, and EDs.
Why are smart pumps important?
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.Compliance in using smart pumps is key towards effectively preventing errors.
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.
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.
When were smart infusion pumps invented?
2001
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 were infusion pumps invented?
1658
The First Infusion Pumps
The first IV infusion device was invented by Christopher Wren (who was a renowned English architect) in 1658.
What are the three major problems of infusion pumps?
The FDA has summarized the three major reasons for infusion pump malfunctions as the following:
- Software Defects. Some pumps fail to activate pre-programmed alarms when problems occur, while others activate an alarm in the absence of a problem.
- User Interface Issues.
- Mechanical or Electrical Failures.
What is a risk of infusion pumps?
Software defects, including failures of built in safety alarms; User interface issues, such as ambiguous on screen instructions that lead to dosing errors; and. Mechanical or electrical failures, including components that break under routine use, premature battery failures, and sparks or pump fires.
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.
Where are infusion pumps used?
An infusion pump is a medical device that delivers fluids, such as nutrients and medications, into a patient’s body in controlled amounts. Infusion pumps are in widespread use in clinical settings such as hospitals, nursing homes, and in the home.
What is a dial a flow?
A dial-a-flow extension set, or dial-a-flow tubing, is a medical device that is used when regulating the flow of a liquid or fluid through an IV. Sometimes this device can also be referred to as a manual flow regulator or just an IV flow regulator.Unlike infusion pumps, flow regulators are regulated manually.
What is difference between infusion and bolus?
The bolus achieves a very high peak which only lasts 56 hours. The infusion achieves steady levels after an initial delay. An infusion produces a steady level which can be varied and is exactly what is needed, for example during and after surgery.
What is the difference between IV push and bolus?
IV push is typically only used for emergency situations. An IV bolus is still fast-acting but will take minutes rather than the seconds of an IV push. A standard IV drip dose is the slowest of all three versions and can take hours.
What is a continuous infusion?
Listen to pronunciation. (kon-TIN-yoo-us in-FYOO-zhun) The administration of a fluid into a blood vessel, usually over a prolonged period of time.
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