AHRQ Patient Safety Network

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Infusion Pumps

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (1)

Resource Types

•Journal Article (36)

•Newspaper/Magazine Article (7)

•Press Release/Announcement (2)

Error Types

•Epidemiology of Errors and Adverse Events (13)

•Active Errors (12)

•Latent Errors (4)

Approach to Improving Safety

•Quality Improvement Strategies (11)

•Legal and Policy Approaches (1)

•Error Reporting and Analysis (14)

•Communication Improvement (3)

•Human Factors Engineering (35)

•Teamwork (1)

•Specialization of Care (2)

•Logistical Approaches (1)

•Culture of Safety (2)

•Technologic Approaches (18)

•Education and Training (8)

Clinical Areas

•Medicine (31)

•Nursing (8)

•Pharmacy (10)

Target Audience

•Health Care Providers (28)

•Health Care Executives and Administrators (41)

•Non-Health Care Professionals (21)

Setting of Care

•Hospitals (35)

1 - 20 of 47

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COMMENTARY

The Role of Bar Coding and Smart Pumps in Safety

Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:960-964.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

STUDY

Attitudes toward medical device use errors and the prevention of adverse events.

Johnson TR, Tang X, Graham MJ, et al. Jt Comm J Qual Patient Saf. 2007;33:689-694.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.

STUDY

Errors during the preparation of drug infusions: a randomized controlled trial.

Adapa RM, Mani V, Murray LJ, et al. Br J Anaesth. 2012;109:729-734.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

REVIEW

The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference.

Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164.

STUDY

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.

Ginsburg G. J Biomed Inform. 2005;38:213-219.

STUDY

Insights from the sharp end of intravenous medication errors: implications for infusion pump technology.

Husch M, Sullivan C, Rooney D, et al. Qual Saf Health Care. 2005;14:80-86.

STUDY

Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.

McAlearney AS, Vrontos J Jr, Schneider PJ, Curran CR, Czerwinski BS, Pedersen CA. J Patient Saf. 2007;3:75-81.

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

COMMENTARY

Using patient safety science to explore strategies for improving safety in intravenous medication administration.

Franklin M. J Assoc Vascular Access. 2006;11:157-160.

NEWSPAPER/MAGAZINE ARTICLE

Smart pump custom concentrations without hard "low concentration" alerts.

ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.

COMMENTARY

Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.

Ravitz AD, Sapirstein A, Pham JC, Doyle PA. Johns Hopkins APL Tech Dig. 2013;31:354-365.

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