Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings.

Book/Report

Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings.

February 14, 2024

Dorset, UK: Health Services Safety Investigations Body; November 2023.

Portable infusion pumps deliver palliative medication support in a variety of care environments. This investigation report discusses a case where issues associated with alert receipt, pump maintenance, and medication administration resulted in patient harm when medication delivery problems went unrecognized. Recommendations drawn from the case review are directed toward device manufacturers to improve alerting and care providers on better use and response to alerts.

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