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PSNet: Patient Safety Network
Journal Article
Study

Twelve-month review of infusion pump near-miss medication and dose selection errors and user-Initiated "good save" corrections: retrospective study.

Waterson J, Al-Jaber R, Kassab T, et al. JMIR Hum Factors. 2020;7(3):e20364.

Smart pumps are considered a valuable method to improve medication safety. This study used smart pump medication logs and reporting software to identify cancelled infusions and resolutions of infusions alerts to characterize near-miss infusion pump errors. The study identified a high number of lookalike-soundalike near-miss errors. Analyses indicate that incorrect medication and wrong dose selections account for approximately 22% of all cancelled infusions.