Rothschild Jeffrey M, Keohane Carol A, Thompson Sarah, Bates David W
Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
AMIA Annu Symp Proc. 2003;2003:992.
Intravenous (IV) medications are vital in the management of hospitalized patients. Inpatients frequently receive several IV medications concurrently, and these are commonly delivered with infusion pump systems. In particular, critically ill patients receive potent "high-alert" IV drugs, many with narrow safety margins requiring careful nursing titration. However, while intravenous medications have important benefits, errors associated with IV medication administration can result in severe or life-threatening adverse drug events (ADEs). Although errors in prescribing are often intercepted, administration errors do not get caught with most current systems While several safety improvements in IV infusion pump design have reduced mechanical complications, errors with IV drug administration such as incorrect programming persist. Intelligent IV infusion pumps have integrated software to provide point of care decision support (DS). This software includes drug library profiles configured for specific patient care units and includes programming of safety limits for drug/dose calculations.
静脉注射药物在住院患者的治疗中至关重要。住院患者经常同时接受多种静脉注射药物，这些药物通常通过输液泵系统给药。特别是，重症患者会接受强效的“高警示”静脉药物，其中许多药物的安全范围较窄，需要护士仔细滴定。然而，虽然静脉注射药物有重要益处，但与静脉给药相关的错误可能导致严重或危及生命的药物不良事件（ADEs）。尽管处方错误常常能被拦截，但目前大多数系统都无法发现给药错误。虽然静脉输液泵设计方面的多项安全改进减少了机械并发症，但静脉给药错误，如编程错误，仍然存在。智能静脉输液泵集成了软件，以提供床边决策支持（DS）。该软件包括为特定患者护理单元配置的药物库档案，并包括药物/剂量计算安全限值的编程。
