Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital
Introduction Smart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders. Objectives The main objective of this study was to evaluate the impact of new s...
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| Veröffentlicht in: | Drug safety 2015-08, Vol.38 (8), p.729-736 |
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| creator | Guérin, Aurélie Tourel, Julien Delage, Emmanuelle Duval, Stéphanie David, Marie-Johanne Lebel, Denis Bussières, Jean-François |
| description | Introduction
Smart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders.
Objectives
The main objective of this study was to evaluate the impact of new smart pumps on reported drug-related accidents and incidents (AIs).
Method
This is a descriptive retrospective pre–post study conducted at a women’s and pediatric hospital with 500 beds. A strong multidisciplinary team (nurse, pharmacist, pharmacy resident, physician, biomedical technician, information technology technician, patient safety officer, manager) was involved in the planning, implementation, and monitoring technology implementation. A total of 1045 smart pumps were implemented in 2011 in our hospital. The reported number of AIs related to intravenous drug administration (AIIV) before and after the implementation of 1045 smart pumps were collected.
Results
A total of 2911 AI events related to medications, devices, and equipment were self-reported by clinical staff in the pre-phase (Y0), 3523 in the post-phase (Y1), and 2788 in the post-phase (Y2). The total AIIV increased from 1432 in Y0 to 1834 in Y1 and decreased to 1389 in Y2.
Conclusions
We observed no risk reduction associated with the implementation of smart pumps in a 500 bed mother–child hospital. Further studies are required to explore the details of the potential risk reduction associated with the use of smart pumps. |
| doi_str_mv | 10.1007/s40264-015-0308-6 |
| format | Article |
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Smart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders.
Objectives
The main objective of this study was to evaluate the impact of new smart pumps on reported drug-related accidents and incidents (AIs).
Method
This is a descriptive retrospective pre–post study conducted at a women’s and pediatric hospital with 500 beds. A strong multidisciplinary team (nurse, pharmacist, pharmacy resident, physician, biomedical technician, information technology technician, patient safety officer, manager) was involved in the planning, implementation, and monitoring technology implementation. A total of 1045 smart pumps were implemented in 2011 in our hospital. The reported number of AIs related to intravenous drug administration (AIIV) before and after the implementation of 1045 smart pumps were collected.
Results
A total of 2911 AI events related to medications, devices, and equipment were self-reported by clinical staff in the pre-phase (Y0), 3523 in the post-phase (Y1), and 2788 in the post-phase (Y2). The total AIIV increased from 1432 in Y0 to 1834 in Y1 and decreased to 1389 in Y2.
Conclusions
We observed no risk reduction associated with the implementation of smart pumps in a 500 bed mother–child hospital. Further studies are required to explore the details of the potential risk reduction associated with the use of smart pumps.</description><identifier>ISSN: 0114-5916</identifier><identifier>EISSN: 1179-1942</identifier><identifier>DOI: 10.1007/s40264-015-0308-6</identifier><identifier>PMID: 26108297</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Classification ; Drug dosages ; Drug Safety and Pharmacovigilance ; Drug-Related Side Effects and Adverse Reactions - diagnosis ; Drug-Related Side Effects and Adverse Reactions - epidemiology ; Funding ; Hospitals, Teaching - standards ; Humans ; Incidence ; Infusion Pumps - adverse effects ; Infusion Pumps - standards ; Infusions, Intravenous ; Libraries ; Medical errors ; Medication Errors ; Medicine ; Medicine & Public Health ; Patient safety ; Pediatrics ; Pharmacists ; Pharmacology/Toxicology ; Retrospective Studies ; Short Communication ; Software ; Studies</subject><ispartof>Drug safety, 2015-08, Vol.38 (8), p.729-736</ispartof><rights>Springer International Publishing Switzerland 2015</rights><rights>Copyright Springer Science & Business Media Aug 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-29916a7d1cc2d190a84f040cd6e6e9021f0289d9edb4658abae6072ff980a7643</citedby><cites>FETCH-LOGICAL-c405t-29916a7d1cc2d190a84f040cd6e6e9021f0289d9edb4658abae6072ff980a7643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40264-015-0308-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40264-015-0308-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26108297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guérin, Aurélie</creatorcontrib><creatorcontrib>Tourel, Julien</creatorcontrib><creatorcontrib>Delage, Emmanuelle</creatorcontrib><creatorcontrib>Duval, Stéphanie</creatorcontrib><creatorcontrib>David, Marie-Johanne</creatorcontrib><creatorcontrib>Lebel, Denis</creatorcontrib><creatorcontrib>Bussières, Jean-François</creatorcontrib><title>Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital</title><title>Drug safety</title><addtitle>Drug Saf</addtitle><addtitle>Drug Saf</addtitle><description>Introduction
Smart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders.
Objectives
The main objective of this study was to evaluate the impact of new smart pumps on reported drug-related accidents and incidents (AIs).
Method
This is a descriptive retrospective pre–post study conducted at a women’s and pediatric hospital with 500 beds. A strong multidisciplinary team (nurse, pharmacist, pharmacy resident, physician, biomedical technician, information technology technician, patient safety officer, manager) was involved in the planning, implementation, and monitoring technology implementation. A total of 1045 smart pumps were implemented in 2011 in our hospital. The reported number of AIs related to intravenous drug administration (AIIV) before and after the implementation of 1045 smart pumps were collected.
Results
A total of 2911 AI events related to medications, devices, and equipment were self-reported by clinical staff in the pre-phase (Y0), 3523 in the post-phase (Y1), and 2788 in the post-phase (Y2). The total AIIV increased from 1432 in Y0 to 1834 in Y1 and decreased to 1389 in Y2.
Conclusions
We observed no risk reduction associated with the implementation of smart pumps in a 500 bed mother–child hospital. Further studies are required to explore the details of the potential risk reduction associated with the use of smart pumps.</description><subject>Classification</subject><subject>Drug dosages</subject><subject>Drug Safety and Pharmacovigilance</subject><subject>Drug-Related Side Effects and Adverse Reactions - diagnosis</subject><subject>Drug-Related Side Effects and Adverse Reactions - epidemiology</subject><subject>Funding</subject><subject>Hospitals, Teaching - standards</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infusion Pumps - adverse effects</subject><subject>Infusion Pumps - standards</subject><subject>Infusions, Intravenous</subject><subject>Libraries</subject><subject>Medical errors</subject><subject>Medication Errors</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Patient safety</subject><subject>Pediatrics</subject><subject>Pharmacists</subject><subject>Pharmacology/Toxicology</subject><subject>Retrospective Studies</subject><subject>Short Communication</subject><subject>Software</subject><subject>Studies</subject><issn>0114-5916</issn><issn>1179-1942</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFuEzEQhi0EoqHwAFyQJS5cFmZcx2tziwqlkSoR0XK2nLU3uNq1F9sL6o13QLwgT4JDWoSQOHk8881v__oJeYrwEgHaV5kDE7wBXDZwArIR98gCsVUNKs7ukwUg8mapUByRRzlfA4BkQj4kR0xgLVW7ID9WXeetCyVTEyxdh7vbBzeY4iwtsTZLMl9ciHOmb9K8oys7-uBz7RYfw2u6opvkfn77vom50Msy2xt6FochfvVhR9fjNLixav6Gaezp5WhSoZt5nDL1gRp65Uz3ac-exzz5YobH5EFvhuye3J7H5OPZ26vT8-bi_bv16eqi6TgsS8NU9WZai13HLCowkvfAobPCCaeAYQ9MKquc3XKxlGZrnICW9b2SYFrBT47Ji4PulOLn2eWiR587NwwmuOpWY8sYSpQtVPT5P-h1nFOov6sUCkDGBasUHqguxZyT6_WUfLV7oxH0PjN9yEzXzPQ-My3qzrNb5Xk7Ovtn4y6kCrADkOso7Fz66-n_qv4Coc2jUQ</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Guérin, Aurélie</creator><creator>Tourel, Julien</creator><creator>Delage, Emmanuelle</creator><creator>Duval, Stéphanie</creator><creator>David, Marie-Johanne</creator><creator>Lebel, Denis</creator><creator>Bussières, Jean-François</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7U2</scope></search><sort><creationdate>20150801</creationdate><title>Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital</title><author>Guérin, Aurélie ; Tourel, Julien ; Delage, Emmanuelle ; Duval, Stéphanie ; David, Marie-Johanne ; Lebel, Denis ; Bussières, Jean-François</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-29916a7d1cc2d190a84f040cd6e6e9021f0289d9edb4658abae6072ff980a7643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Classification</topic><topic>Drug dosages</topic><topic>Drug Safety and Pharmacovigilance</topic><topic>Drug-Related Side Effects and Adverse Reactions - diagnosis</topic><topic>Drug-Related Side Effects and Adverse Reactions - epidemiology</topic><topic>Funding</topic><topic>Hospitals, Teaching - standards</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infusion Pumps - adverse effects</topic><topic>Infusion Pumps - standards</topic><topic>Infusions, Intravenous</topic><topic>Libraries</topic><topic>Medical errors</topic><topic>Medication Errors</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Patient safety</topic><topic>Pediatrics</topic><topic>Pharmacists</topic><topic>Pharmacology/Toxicology</topic><topic>Retrospective Studies</topic><topic>Short Communication</topic><topic>Software</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guérin, Aurélie</creatorcontrib><creatorcontrib>Tourel, Julien</creatorcontrib><creatorcontrib>Delage, Emmanuelle</creatorcontrib><creatorcontrib>Duval, Stéphanie</creatorcontrib><creatorcontrib>David, Marie-Johanne</creatorcontrib><creatorcontrib>Lebel, Denis</creatorcontrib><creatorcontrib>Bussières, Jean-François</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Safety Science and Risk</collection><jtitle>Drug safety</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guérin, Aurélie</au><au>Tourel, Julien</au><au>Delage, Emmanuelle</au><au>Duval, Stéphanie</au><au>David, Marie-Johanne</au><au>Lebel, Denis</au><au>Bussières, Jean-François</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital</atitle><jtitle>Drug safety</jtitle><stitle>Drug Saf</stitle><addtitle>Drug Saf</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>38</volume><issue>8</issue><spage>729</spage><epage>736</epage><pages>729-736</pages><issn>0114-5916</issn><eissn>1179-1942</eissn><abstract>Introduction
Smart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders.
Objectives
The main objective of this study was to evaluate the impact of new smart pumps on reported drug-related accidents and incidents (AIs).
Method
This is a descriptive retrospective pre–post study conducted at a women’s and pediatric hospital with 500 beds. A strong multidisciplinary team (nurse, pharmacist, pharmacy resident, physician, biomedical technician, information technology technician, patient safety officer, manager) was involved in the planning, implementation, and monitoring technology implementation. A total of 1045 smart pumps were implemented in 2011 in our hospital. The reported number of AIs related to intravenous drug administration (AIIV) before and after the implementation of 1045 smart pumps were collected.
Results
A total of 2911 AI events related to medications, devices, and equipment were self-reported by clinical staff in the pre-phase (Y0), 3523 in the post-phase (Y1), and 2788 in the post-phase (Y2). The total AIIV increased from 1432 in Y0 to 1834 in Y1 and decreased to 1389 in Y2.
Conclusions
We observed no risk reduction associated with the implementation of smart pumps in a 500 bed mother–child hospital. Further studies are required to explore the details of the potential risk reduction associated with the use of smart pumps.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26108297</pmid><doi>10.1007/s40264-015-0308-6</doi><tpages>8</tpages></addata></record> |
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| subjects | Classification Drug dosages Drug Safety and Pharmacovigilance Drug-Related Side Effects and Adverse Reactions - diagnosis Drug-Related Side Effects and Adverse Reactions - epidemiology Funding Hospitals, Teaching - standards Humans Incidence Infusion Pumps - adverse effects Infusion Pumps - standards Infusions, Intravenous Libraries Medical errors Medication Errors Medicine Medicine & Public Health Patient safety Pediatrics Pharmacists Pharmacology/Toxicology Retrospective Studies Short Communication Software Studies |
| title | Accidents and Incidents Related to Intravenous Drug Administration: A Pre–Post Study Following Implementation of Smart Pumps in a Teaching Hospital |
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