Good Samaritan Medical Center in Brockton, MA, USA.
Am J Nurs. 2012 Jan;112(1):26-35; quiz 36-7. doi: 10.1097/01.NAJ.0000410360.20567.55.
The use of infusion pumps that incorporate "smart" technology (smart pumps) can reduce the risks associated with receiving IV therapies. Smart pump technology incorporates safeguards such as a list of high-alert medications, soft and hard dosage limits, and a drug library that can be tailored to specific patient care areas. Its use can help to improve patient safety and to avoid potentially catastrophic harm associated with medication errors. But when one independent community hospital in Massachusetts switched from older mechanical pumps to smart pumps, it neglected to assign an "owner" to oversee the implementation process. One result was that nurses were using the smart pump library for only 37% of all infusions.To increase pump library usage percentage-thereby reducing the risks associated with infusion and improving patient safety-the hospital undertook a continuous quality improvement project over a four-month period in 2009. With the involvement of direct care nurses, and using quantitative data available from the smart pump software, the nursing quality and pharmacy quality teams identified ways to improve pump and pump library use. A secondary goal was to calculate the hospital's return on investment for the purchase of the smart pumps. Several interventions were developed and, on the first of each month, implemented. By the end of the project, pump library usage had nearly doubled; and the hospital had completely recouped its initial investment.
输注泵采用“智能”技术（智能泵）可以降低与接受静脉治疗相关的风险。智能泵技术包含了多种安全保障措施，如高危药物清单、软硬度剂量限制以及可根据特定患者护理区域定制的药物库。其使用有助于提高患者安全性并避免因用药错误而造成潜在的灾难性伤害。但是，当马萨诸塞州的一家独立社区医院从旧的机械泵切换到智能泵时，它忽略了为实施过程指派一个“负责人”。结果之一是，护士仅将智能泵库用于所有输液的 37%。为了提高泵库的使用率——从而降低与输液相关的风险并提高患者安全性——该医院在 2009 年进行了为期四个月的持续质量改进项目。在直接护理护士的参与下，护理质量和药房质量团队利用智能泵软件提供的定量数据，确定了提高泵和泵库使用的方法。次要目标是计算购买智能泵的投资回报。开发了几种干预措施，并在每月的第一天实施。到项目结束时，泵库的使用率几乎翻了一番；医院已经完全收回了最初的投资。
