AHRQ Patient Safety Network

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Infusion Pumps

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (1)

Resource Types

•Journal Article (38)

•Newspaper/Magazine Article (10)

•Press Release/Announcement (1)

Error Types

•Epidemiology of Errors and Adverse Events (13)

•Active Errors (13)

•Latent Errors (4)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (12)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (17)

•Communication Improvement (5)

•Human Factors Engineering (38)

•Teamwork (1)

•Specialization of Care (3)

•Logistical Approaches (1)

•Culture of Safety (2)

•Technologic Approaches (19)

•Education and Training (9)

Clinical Areas

•Medicine (28)

•Nursing (8)

•Pharmacy (10)

Target Audience

•Health Care Providers (31)

•Health Care Executives and Administrators (44)

•Non-Health Care Professionals (25)

•Patients (1)

Setting of Care

•Hospitals (37)

•Ambulatory Care (2)

1 - 20 of 51

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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.

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.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

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

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.

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.

STUDY

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

Williams CK, Maddox RR, Heape E, et al. J Patient Saf. 2006;2:132-139.

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

STUDY

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.

STUDY

Color coded medication safety system reduces community pediatric emergency nursing medication errors.

Feleke R, Kalynych CJ, Lundblom B, Wears R, Luten R, Kling D. J Patient Saf. 2009;5:79-85.

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.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

IV potassium given epidurally: getting to the "route" of the problem.

ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.

PRESS RELEASE/ANNOUNCEMENT

United States marshals seize defective infusion pumps made by Alaris Products.

Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; August 29, 2006.

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

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.

COMMENTARY

IV medication safety software implementation in a multihospital health system.

Cassano AT. Hosp Pharm. 2006;41:151-156.

STUDY

Use of failure mode and effects analysis in improving the safety of i.v. drug administration.

Adachi W, Lodolce AE. Am J Health Syst Pharm. 2005;62:917-920.

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