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Collaboration to Remove Barriers to Pump Integration With the Electronic Health Record.

Celeste R Romp, Lori Ross, Sabrina Baucom

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
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    Summary

    Improving smart infusion pump integration with electronic health records (EHR) significantly enhanced medication safety. This process reduced manual programming and increased the use of smart pump features, benefiting patient care.

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    Area of Science:

    • Health Informatics
    • Patient Safety
    • Medical Technology

    Background:

    • Recommendations exist for bidirectional smart infusion pump interoperability with electronic health records (EHR) to enhance medication safety.
    • Implementation of these systems faces significant barriers.

    Purpose of the Study:

    • To identify, evaluate, and implement improvements for smart infusion pump integration with EHR.
    • To decrease manual programming and increase the utilization of smart pump functions, such as dose error reduction systems and infusion guardrails.

    Main Methods:

    • Formation of a medication safety task force.
    • Surveying end-users to identify implementation barriers.
    • Implementing identified solutions to improve the integration process.

    Main Results:

    • Smart infusion pump integration rates across seven hospitals increased from 79.4% to 91.8% (p < .001).
    • The utilization of smart pump programming rose from 84.7% to 93.6%.

    Conclusions:

    • Involving all stakeholders was crucial for identifying barriers and implementing effective solutions.
    • This work provides guidance for optimizing technology use in healthcare by addressing barriers to EHR-integrated infusion pump systems.