@article{171, author = {Sonia J. Pinkney and Mark Fan and Christine Koczmara and Patricia L. Trbovich}, title = {Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting.}, abstract = {

OBJECTIVES: Assess interventions' impact on preventing IV infusion identification and disconnection mix-ups.

DESIGN: Experimental study with repeated measures design.

SETTING: High fidelity simulated adult ICU.

SUBJECTS: Forty critical care nurses.

INTERVENTIONS: Participants had to correctly identify infusions and disconnect an infusion in four different conditions: baseline (current practice); line labels/organizers; smart pump; and light-linking system.

MEASUREMENTS AND MAIN RESULTS: Participants identified infusions with significantly fewer errors when using line labels/organizers (0; 0%) than in the baseline (12; 7.7%) and smart pump conditions (10; 6.4%) (p < 0.01). The light-linking system did not significantly affect identification errors (5; 3.2%) compared with the other conditions. Participants were significantly faster identifying infusions when using line labels/organizers (0:31) than in the baseline (1:20), smart pump (1:29), and light-linking (1:22) conditions (p < 0.001). When disconnecting an infusion, there was no significant difference in errors between conditions, but participants were significantly slower when using the smart pump than all other conditions (p < 0.001).

CONCLUSIONS: The results suggest that line labels/organizers may increase infusion identification accuracy and efficiency.

}, year = {2019}, journal = {Crit Care Med}, volume = {47}, pages = {e597-e601}, month = {07/2019}, issn = {1530-0293}, doi = {10.1097/CCM.0000000000003790}, language = {eng}, }