Manrique-Rodríguez S, Sánchez-Galindo A C, Fernández-Llamazares C M, Calvo-Calvo M M, Carrillo-Álvarez Á, Sanjurjo-Sáez M
Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Madrid, España.
Unidad de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.
Med Intensiva. 2016 Oct;40(7):411-21. doi: 10.1016/j.medin.2016.01.011. Epub 2016 Mar 26.
To estimate the impact of smart pump implementation in a pediatric intensive care unit in terms of number and type of administration errors intercepted.
Observational, prospective study carried out from January 2010 to March 2015 with syringe and great volumen infusion pumps available in the hospital.
A tertiary level hospital pediatric intensive care unit.
Infusions delivered with infusion pumps in all pediatric intensive care unit patients.
Design of a drug library with safety limits for all intravenous drugs prescribed.
Users' compliance with drug library as well as number and type of errors prevented were analyzed.
Two hundred and eighty-three errors were intercepted during 62 months of study. A high risk drug was involved in 58% of prevented errors, such as adrenergic agonists and antagonists, sedatives, analgesics, neuromuscular blockers, opioids, potassium and insulin. Users' average compliance with the safety software was 84%.
Smart pumps implementation has proven effective in intercepting high risk drugs programming errors. These results might be exportable to other critical care units, involving pediatric or adult patients. Interdisciplinary colaboration is key to succeed in this process.
根据拦截的给药错误数量和类型，评估智能输液泵在儿科重症监护病房的应用效果。
2010年1月至2015年3月进行的观察性前瞻性研究，使用医院现有的注射器和大容量输液泵。
一家三级医院的儿科重症监护病房。
儿科重症监护病房所有使用输液泵进行输液的患者。
为所有处方静脉药物设计一个具有安全限制的药物库。
分析用户对药物库的依从性以及预防的错误数量和类型。
在62个月的研究期间共拦截了283起错误。58%的预防错误涉及高风险药物，如肾上腺素能激动剂和拮抗剂、镇静剂、镇痛药、神经肌肉阻滞剂、阿片类药物、钾和胰岛素。用户对安全软件的平均依从率为84%。
事实证明，智能输液泵在拦截高风险药物编程错误方面是有效的。这些结果可能适用于其他重症监护病房，包括儿科或成人患者。跨学科合作是这一过程成功的关键。
