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One-Compartment Model: IV Infusion

One-Compartment Model: IV Infusion

Intravenous (IV) infusion is often utilized when continuous and controlled drug delivery is necessary, such as during surgery or in the treatment of chronic diseases. This method offers numerous advantages, including immediate drug action, precise control over dosage, and bypassing the first-pass metabolism.
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Updated: Jun 15, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors:

Azizeh K Sowan¹, Mohamed I Gaffoor, Karen Soeken

¹School of Nursing, Hashemite University, Zarqa, Jordan.

Journal of Pediatric Nursing

|February 27, 2010

Summary

Computerized orders for continuous infusions in pediatric ICUs saved nurses time but did not improve detection of infusion pump programming errors. Nurses preferred computerized orders, though errors persisted due to manual calculations.

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Area of Science:

Pediatric Intensive Care
Medication Safety
Health Informatics

Background:

Continuous infusion medications are critical in pediatric intensive care units (PICUs).
These infusions are associated with potentially fatal adverse events.
Infusion pump programming errors represent a significant safety concern.

Purpose of the Study:

To evaluate the impact of computerized orders versus handwritten orders on detecting infusion pump programming errors.
To assess the effect on the time nurses spent verifying pump settings.
To determine user satisfaction with computerized order entry for continuous infusions.

Main Methods:

A crossover design was employed to compare computerized and handwritten orders.
The study focused on nurses' ability to detect infusion pump programming errors.
Time to verify pump settings and user satisfaction were also measured.

Main Results:

Computerized orders significantly reduced the time required for nurses to verify pump settings.
However, computerized orders did not improve nurses' ability to detect infusion pump programming errors.
Nurses expressed a preference for using computerized orders over handwritten ones.

Conclusions:

While computerized orders enhance efficiency and user preference in PICUs, they do not inherently reduce infusion pump programming errors.
High error rates were linked to manual calculations and inconsistent implementation of computerized systems.
Further system improvements are needed to address persistent safety risks associated with continuous infusions.