Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.

Newspaper/Magazine Article

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.

May 20, 2020

ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9).

Lack of familiarity with smart pumps can lead to user error and patient harm. The article describes conditions that lead to a programing mistake. It suggests enhanced “hands on” education, improved medication labeling, required engagement with drug libraries when programing pumps and assessed equipment competency as actions to mitigate similar incident occurrence.

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See More About The Topic

Operating Room

Facility and Group Administrators

Quality and Safety Professionals

Anesthesiology

Surgery

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.

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