ElastoMeric Infusion Pumps for Hospital AntibioTICs (EMPHATIC): A Feasibility Study

Area of Science:

• Pharmacology
• Healthcare Implementation Science
• Medical Devices

Background:

• Elastomeric infusion pumps (EMPs) are established for outpatient intravenous (IV) antibiotic delivery.
• This study explored the potential benefits of EMPs within the inpatient setting.

Purpose of the Study:

• To assess the feasibility of administering IV antibiotics to adult inpatients using EMPs.
• To identify barriers and facilitators for implementing EMPs in hospitals.

Main Methods:

• A feasibility study involving adult inpatients requiring at least seven days of specific IV antibiotics.
• Quantitative data collection on feasibility, clinical outcomes, and acceptability.
• Application of an implementation research framework for data triangulation.

Main Results:

• 94 EMPs administered IV antibiotics to nine patients; five completed treatment.
• Patients reported willingness to use EMPs again; nurses perceived them as safer and less time-consuming.
• Daily costs were higher (GBP 32.50 more), and residual volume led to underdosing.
• Facilitators included adaptability and staff needs; barriers were cost and critical incidents.

Conclusions:

• EMPs show feasibility for inpatient IV antibiotic administration.
• Potential exists to enhance patient and staff experience.
• Cost and residual volume are key barriers requiring further research.