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Usability of Light-Linking Technology for Infusion Line Identification: A Simulation Study With ICU Nurses
Carolyn Huffman1,2, Wendy Butcher1,2, Cliff Gonzales1,2
1Author Affiliations : Department of Implementation Science (Huffman and Munn), Center for Experiential and Applied Learning (Saunders), and Department of Biostatistics and Data Science (Russell), Wake Forest University School of Medicine (Gonzales), Winston-Salem, North Carolina; Center for Nursing Research (Huffman) and Comprehensive Cancer Center (Butcher), Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina; Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina (Hampton).
A new light-linking device for infusion lines significantly reduced medication administration time for critical care nurses, especially in low-light conditions. This technology also improved usability and decreased perceived task load.
Area of Science:
- Nursing
- Medical Devices
- Patient Safety
Background:
- Critical care nurses face high task loads due to complex patients and numerous lines.
- Administering medications requires rapid identification of injection ports, increasing task load.
- Standard labeling practices may be insufficient for efficient and safe medication delivery.
Purpose of the Study:
- To evaluate a light-linking infusion line identification device.
- To compare this technology against standard labeling for time to injection, error rate, usability, and task load.
- To assess performance in both daylight and low-light conditions.
Main Methods:
- A randomized cross-over design was used with 47 intensive care nurses.
- 188 critical care simulations were conducted, comparing light-linking technology to standard labeling.
- Data collected on time to injection, error rates, usability, and perceived task load.
Main Results:
- Light-linking technology reduced overall time to injection compared to standard labeling.
- A significant decrease in time to injection was observed in low-light settings.
- The technology demonstrated greater perceived usability and lower perceived task load.
- Injection error rates were not fully assessed, but most errors occurred in low-light.
Conclusions:
- Light-linking infusion line identification technology offers benefits for critical care nurses.
- The device improves efficiency and reduces cognitive burden, particularly in challenging lighting.
- Further research is needed to fully assess the impact on injection error rates.
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