Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

Carolyn K Williams; Ray R. Maddox; Elizabeth Heape; Hal E Richards; Diane L Griffiths; Richard E Crass

Study

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

November 8, 2006

Williams CK, Maddox RR, Heape E, et al. J Patient Saf. 2008;2(3).

View more articles from the same authors.

The research team studied the impact of a smart infusion system on patient harm. The results suggest that the systems were effective in averting harm and can help identify areas for improvement in IV medication delivery.

Available at

Related Resources From the Same Author(s)

Intravenous infusion safety technology: return on investment.

August 26, 2009

The consequences of the hindsight bias in medical decision making.

October 16, 2013

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.

June 27, 2018

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

January 9, 2008

Making infection prevention and control everyone's business? Hospital staff views on patient involvement.

June 5, 2019

Medication tracers: a systems approach to medication safety.

October 24, 2007

Use of simulation-based education to reduce catheter-related bloodstream infections.

August 19, 2009

'Care left undone' during nursing shifts: associations with workload and perceived quality of care.

August 14, 2013

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.

August 15, 2007

Breaking the rules: understanding non-compliance with policies and guidelines.

September 28, 2011

Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare.

August 2, 2006

Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution?

February 4, 2009

Patient safety informatics: meeting the challenges of emerging digital health.

July 20, 2022

What happens when healthcare innovations collide?

January 6, 2016

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.

July 8, 2015

Do split-side rails present an increased risk to patient safety?

April 21, 2005

ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health.

September 5, 2012

From HRO to HERO: making health equity a core system capability.

November 24, 2021

Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults.

May 10, 2023

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care.

April 13, 2016

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

January 13, 2010

Medical malpractice lawsuits involving surgical residents.

September 20, 2017

Interventions to reduce medication errors in adult intensive care: a systematic review.

September 26, 2012

Interventions against bullying of prelicensure students and nursing professionals: an integrative review.

November 21, 2018

Patient safety and interprofessional education: a report of key issues from two interprofessional workshops.

May 3, 2017

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

February 21, 2007

Building a safety net.

August 30, 2006

The enterprise take on patient safety.

August 17, 2005

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Impact of a computerized physician order-entry system.

June 3, 2009

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study.

August 15, 2012

A comparison of hospital adverse events identified by three widely used detection methods.

August 5, 2009

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Missed it.

March 27, 2013

Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.

June 12, 2019

The association between night or weekend admission and hospitalization-relevant patient outcomes.

January 26, 2011

Root causes of errors in a simulated prehospital pediatric emergency.

February 29, 2012

Interventions to improve safe sleep among hospitalized infants at eight children's hospitals.

May 4, 2016

Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.

May 3, 2017

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

February 29, 2012

Exploration of an automated approach for receiving patient feedback after outpatient acute care visits.

July 30, 2014

The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety.

March 26, 2008

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.

January 31, 2007

Medication errors in hospitalised children.

March 12, 2014

Scaling safety: the South Carolina Surgical Safety Checklist experience.

January 9, 2019

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses.

March 31, 2010

Wound-care teams for preventing and treating pressure ulcers.

October 21, 2015

Preventing overdiagnosis: how to stop harming the healthy.

June 27, 2012

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.

November 3, 2010

Reducing warfarin medication interactions: an interrupted time series evaluation.

June 14, 2006

Evaluation of safety in a radiation oncology setting using failure mode and effects analysis.

July 1, 2009

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.

March 27, 2019

Increasing demands for quality measurement.

November 27, 2013

Outpatient opioid prescriptions for children and opioid-related adverse events.

August 8, 2018

Transformational leadership in nursing and medication safety education: a discussion paper.

June 1, 2016

Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls.

February 17, 2016

Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.

November 11, 2020

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.

June 11, 2014

Another medical malpractice crisis?: Try something different.

October 14, 2020

Implementation of diagnostic pauses in the ambulatory setting.

February 14, 2018

Effectiveness of double checking to reduce medication administration errors: a systematic review.

September 18, 2019

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

April 26, 2006

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

June 8, 2005

The simulated ward: ideal for training clinical clerks in an era of patient safety.

May 9, 2012

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

April 28, 2010

Major congenital malformations after first-trimester exposure to ACE inhibitors.

June 21, 2006

Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.

January 13, 2010

New research highlights the role of patient safety culture and safer care.

August 24, 2011

Alleviating "second victim" syndrome: how we should handle patient harm.

December 14, 2011

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

July 1, 2009

CMS's hospital-acquired condition lists link hospital payment, patient safety.

March 25, 2009

Patient safety organizations ready for action.

February 18, 2009

The importance of simulation: preventing hand-off mistakes.

October 29, 2008

New patient safety organizations lower roadblocks to medical error reporting.

August 13, 2008

Care transitions: a threat and an opportunity for patient safety.

November 15, 2006

The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.

October 4, 2006

AHRQ quality and safety initiatives.

June 1, 2005

Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings.

October 22, 2014

Interventions to reduce medication errors in pediatric intensive care.

August 20, 2014

The effect of collaboration on obstetric patient safety in three academic facilities.

December 4, 2013

Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.

June 26, 2019

Influencing leadership perceptions of patient safety through just culture training.

May 5, 2010

The impact of patient and public involvement on UK NHS health care: a systematic review.

January 30, 2005

Effect of a hospital-wide measure on the readmissions reduction program.

October 25, 2017

Teaching nurses to make clinical judgments that ensure patient safety.

August 14, 2019

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes.

June 1, 2022

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.

January 21, 2015

A narrative review of the well-being and burnout of U.S. community pharmacists.

April 3, 2024

The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America.

April 20, 2011

Improving patient safety in radiation oncology.

March 16, 2011

When doing wrong feels so right: normalization of deviance.

March 25, 2015

A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative.

October 17, 2012

Adoption factors associated with electronic health record among long-term care facilities: a systematic review.

February 18, 2015

Hospital complications: linking payment reduction to preventability.

May 6, 2009

Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS.

April 17, 2024

Evaluation of medication-related clinical decision support alert overrides in the intensive care unit.

May 10, 2017

Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies.

November 18, 2020

Relationship between psychological safety and reporting nonadherence to a safety checklist.

April 18, 2018

Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK.

May 5, 2010

Related Resources

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.

January 25, 2023

Intravenous smart pumps at the point of care: a descriptive, observational study.

October 12, 2022

FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.

February 3, 2021

Health information technology-related wrong-patient errors: context is critical.

January 27, 2021

Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study.

September 25, 2019

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

Unintended patient safety risks due to wireless smart infusion pump library update delays.

March 13, 2019

Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals.

December 12, 2018

Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety.

July 11, 2018

Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.

June 20, 2018

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.

June 6, 2018

Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices.

April 18, 2018

Improving infusion pump safety through usability testing.

May 31, 2017

Determining current insulin pen use practices and errors in the inpatient setting.

November 30, 2016

Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.

August 10, 2016

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

The mixed blessings of smart infusion devices and health care IT.

October 8, 2014

Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety.

February 12, 2014

PCA safety data review after clinical decision support and smart pump technology implementation.

June 12, 2013

What is preventable harm in healthcare? A systematic review of definitions.

August 8, 2012

A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.

March 14, 2012

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

November 9, 2011

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

February 16, 2011

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

January 12, 2011

Preventing catheter/tubing misconnections: much needed help is on the way.

August 4, 2010

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

May 26, 2010

ISMP medication error report analysis.

April 21, 2010

ISMP medication error report analysis.

March 10, 2010

ISMP medication error report analysis.

January 20, 2010

See More About The Topic

Administration Errors

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site