Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.

This study applied failure mode and effect analysis (FMEA) to identify possible risks associated with smart infusion pumps. The investigators used the results to develop training, enhance medication information, and reduce alert fatigue by distinguishing dose programming errors from pump misuse alarms. These findings demonstrate the effectiveness of utilizing a systems approach to address safety issues.