Related Experiment Video

Updated: Mar 23, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

31.5K

Safe intravenous administration in pediatrics: A 5-year Pediatric Intensive Care Unit experience with smart pumps

S Manrique-Rodríguez1, A C Sánchez-Galindo2, C M Fernández-Llamazares1

  • 1Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Madrid, España.

Medicina Intensiva
|March 31, 2016
PubMed

Insights

Smart pumps effectively intercepted medication errors in a pediatric intensive care unit, particularly with high-risk drugs. This technology enhances patient safety and is adaptable to other critical care settings.

Area of Science:

  • Medical technology
  • Patient safety
  • Pediatric critical care

Background:

  • Medication administration errors pose significant risks in pediatric intensive care units (PICUs).
  • Infusion pumps are critical for delivering medications, but manual programming can lead to errors.
  • Smart pump technology offers a potential solution to mitigate these risks.

Purpose of the Study:

  • To evaluate the effectiveness of smart pump implementation in reducing medication administration errors within a PICU.
  • To quantify the number and types of errors intercepted by smart pump safety features.

Main Methods:

  • An observational, prospective study was conducted in a tertiary hospital's PICU from January 2010 to March 2015.
  • Smart pumps with a drug library featuring safety limits were implemented for all intravenous infusions.
  • User compliance and intercepted errors were analyzed.

Main Results:

  • A total of 283 medication errors were intercepted over 62 months.
  • High-risk medications, including adrenergic agents, sedatives, opioids, and insulin, were involved in 58% of prevented errors.
  • Average user compliance with the smart pump safety software was 84%.

Conclusions:

  • Smart pump implementation is effective in preventing programming errors with high-risk medications in PICUs.
  • The findings suggest that smart pump technology can be successfully applied to other critical care settings for both pediatric and adult patients.
  • Successful implementation relies on interdisciplinary collaboration.
Abstract

Keywords:
Administración intravenosaBombas inteligentesIntravenous administrationSafetySeguridadSmart pumps

More Related Videos

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

14.0K
Direct Intraventricular Delivery of Drugs to the Rodent Central Nervous System14:55

Direct Intraventricular Delivery of Drugs to the Rodent Central Nervous System

Published on: May 12, 2013

62.2K

Related Concept Videos

Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
720
Parenteral Drug Delivery Systems: Injectables, Implants, and Infusion Devices01:28

Parenteral Drug Delivery Systems: Injectables, Implants, and Infusion Devices

Parenteral drug delivery systems play a crucial role in modern therapeutics by enabling the direct administration of drugs into the systemic circulation, bypassing the gastrointestinal tract. These systems are particularly valuable for poorly absorbed oral medications that are unstable in the digestive environment or require rapid onset or sustained therapeutic levels. Delivery is achieved through intravenous, intramuscular, or subcutaneous routes, each selected based on the drug's properties...
108
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
369
One-Compartment Model: IV Infusion01:09

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.
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
665
Routes of Drug Administration: Parenteral01:25

Routes of Drug Administration: Parenteral

The administration of drugs via parenteral routes allows for direct drug introduction into the systemic circulation, resulting in high bioavailability because the medication bypasses the harsh conditions of the gastrointestinal tract and hepatic metabolism.
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
3.6K
Drug Accumulation During Multiple Dosing: Intermittent IV Infusions01:24

Drug Accumulation During Multiple Dosing: Intermittent IV Infusions

Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
334