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Published on: July 13, 2019
Implementation of smart pump technology in a paediatric intensive care unit
Silvia Manrique-Rodríguez1, Amelia C Sánchez-Galindo2, Ana de Lorenzo-Pinto2
1Gregorio Marañón General and Teaching Hospital, Spain silvia.manrique@salud.madrid.org.
Smart pumps significantly reduce medication errors in pediatric intensive care units (PICUs) by intercepting programming mistakes. High user compliance and awareness are crucial for successful implementation and enhanced patient safety.
Area of Science:
- Medical Technology
- Patient Safety
- Clinical Pharmacy
Background:
- Medication errors pose a significant risk in healthcare settings.
- Smart pump technology offers a solution to standardize clinical practice and improve patient outcomes.
- Implementing new technologies requires careful evaluation of system performance and user acceptance.
Purpose of the Study:
- To describe the implementation of smart pumps in a pediatric intensive care unit (PICU).
- To identify and analyze infusion-related programming errors prevented by smart pumps.
- To compare the effectiveness and user acceptance of two smart pump systems.
Main Methods:
- A comparative and prospective intervention study was conducted in a PICU.
- Two smart pump systems (CareFusion Alaris Guardrails® and Hospira MedNet®) were evaluated.
- A drug library was developed and implemented; pump data were analyzed for error interception and user compliance.
Main Results:
- The CareFusion system was selected for implementation, achieving 92% compliance and high user acceptance.
- Specific periods like vacation substitution and drug administration were associated with more programming errors.
- High-risk drugs were implicated in 48% of intercepted errors.
Conclusions:
- Smart pump implementation is effective in preventing infusion programming errors from reaching patients.
- User awareness and adherence to drug library programming are critical for successful smart pump adoption.
- Smart pumps enhance patient safety in critical care settings.
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