Smart infusion pump investigations after an unexplained over-infusion.

Newspaper/Magazine Article

Smart infusion pump investigations after an unexplained over-infusion.

May 31, 2023

ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3.

Dose error-reduction systems (DERS) and drug libraries are tools for use with smart infusion pumps to ensure safe intravenous medication administration. This article discusses infusion problems unrelated to user error that went undetected by the technology and reached patients. Recommendations to minimize similar occurrences include removing the involved device from service and investigating the incident.

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