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Optimizing the Use of Dose Error Reduction Software on Intravenous Infusion Pumps
Kristen Hughes1, Madison Cole1, Deann Tims2
1Departments of Pharmacy and Pharmaceutical Sciences and.
Hospital Pediatrics
|May 8, 2024
Summary
Implementing dose error reduction software (DERS) on infusion pumps significantly improved medication safety. Compliance increased from 46% to 78%, reducing critical infusion errors.
Area of Science:
- Healthcare quality improvement
- Patient safety technology
- Medication error reduction
Background:
- Intravenous infusions pose risks for adverse drug events and medication errors.
- Dose error reduction software (DERS) in infusion pumps establishes safe parameters to mitigate these risks.
- A quality improvement initiative aimed to boost DERS compliance at a specialty institution.
Purpose of the Study:
- To enhance compliance with dose error reduction software (DERS) for infusion pumps.
- To identify key drivers for improving DERS adoption and effectiveness.
- To optimize the use of infusion pump safety features.
Main Methods:
- Utilized the Model for Improvement framework and Plan-Do-Study-Act (PDSA) cycles for intervention planning.
- Implemented interventions including drug library updates, staff education, and unit-level compliance reporting.
- Monitored DERS compliance and pump alerts using statistical process control charts from 2018 to 2022.
Main Results:
- Achieved a 5 centerline improvement over 25 months, increasing DERS compliance from a baseline of 46% to a final mean of 78%.
- Observed a significant reduction in pump alerts per 100 infusions, decreasing from 15.9 to 3.9.
- Demonstrated the effectiveness of iterative PDSA cycles in driving substantial improvements in medication safety.
Conclusions:
- Dose error reduction software (DERS) is a valuable tool for enhancing safe medication administration.
- Continuous quality improvement efforts are essential to maximize the benefits of DERS technology.
- Future initiatives should focus on increasing DERS compliance while managing alert fatigue.
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