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Related Experiment Video

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Improving IV Insulin Administration in a Community Hospital
12:08

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Published on: June 11, 2012

Graphical user interface simplifies infusion pump programming and enhances the ability to detect pump-related faults.

Noah Syroid1, David Liu, Robert Albert

  • 1Department of Anesthesiology, University of Utah, Salt Lake City, UT 84132, USA. Noah.Syroid@hsc.utah.edu

Anesthesia and Analgesia
|September 27, 2012
PubMed
Summary

A redesigned infusion pump user interface significantly reduced programming errors by 81% and decreased task time and keystrokes. This intuitive design may help prevent drug administration errors and adverse events.

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Area of Science:

  • Biomedical Engineering
  • Human-Computer Interaction
  • Patient Safety

Background:

  • Drug administration errors are common, with intravenous (IV) infusion pumps frequently implicated.
  • User interface design is a potential contributing factor to these errors.

Purpose of the Study:

  • To identify programming errors in IV infusion pumps using failure modes-and-effects analyses.
  • To design and evaluate a new syringe pump user interface aimed at reducing errors and improving usability.

Main Methods:

  • Failure modes-and-effects analyses were used to guide the design of a new user interface.
  • The new interface was designed to display the pump's operating state in multiple locations.
  • Anesthesia residents were evaluated on programming accuracy and error detection using both the new and existing interfaces in simulated and laboratory settings.

Main Results:

  • The new user interface led to an 81% reduction in programming errors.
  • Task completion time decreased from 18.1 to 10.9 seconds, and keystrokes reduced from 9.2 to 7.5.
  • Perceived workload was significantly lower with the new interface, and error detection rates were similar despite lack of training.

Conclusions:

  • The redesigned interface reduced programming errors, keystrokes, and task time, contributing to lower workload.
  • Even with minimal training, users identified existing infusion pump issues with the new interface.
  • Intuitive infusion pump interfaces have the potential to decrease drug administration errors and adverse events.