Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN.
Eskenazi Health, Indianapolis, IN.
Am J Health Syst Pharm. 2019 Sep 1;76(17):1281-1287. doi: 10.1093/ajhp/zxz135.
Results of a questionnaire-based study to evaluate smart infusion pump end users' perceptions and understanding of the drug library update process are reported.
The Indianapolis Coalition for Patient Safety, Inc., in partnership with the Regenstrief Center for Healthcare Engineering, conducted a 33-item electronic, cross-sectional survey across 5 Indiana health systems from May through November 2017. Interdisciplinary participants identified for survey distribution included nurses, pharmacists, biomedical engineers, administrators, and medication safety officers. The survey assessed the following domains: patient safety, the drug library update process, knowledge of drug libraries and the update process, and end-user perceptions.
A total of 778 submitted surveys were included in the data analysis, with a large majority of responses (90.2%) provided by nurses. The use of drug libraries for ensuring patient safety was deemed extremely important or important by 88% of respondents, but 36% indicated that they were unsure of whether drug libraries are updated on a routine basis in their health system. Approximately two-thirds agreed that the current update process improves quality of care (65.0%) and patient safety (68.1%). Moreover, 53.3% agreed that the current drug library update process was effective. However, less than 10% responded correctly when asked about the steps required to update the drug library. Furthermore, only 18% correctly indicated that when a pump is on it may not necessarily contain the most up-to-date version of the drug library.
A survey of 5 health systems in Indianapolis identified several end-user knowledge gaps related to smart pump drug library updates. The results suggest that these gaps were most likely due to a combination of the 2-step update process and the fact that the current drug library version is not easy to find and/or user-friendly and it is unclear when an update is pending.
报告一项基于问卷的研究结果，该研究旨在评估智能输液泵终端用户对药物库更新过程的看法和理解。
印第安纳波利斯患者安全联盟与Regenstrief 医疗工程中心合作，于 2017 年 5 月至 11 月在印第安纳州的 5 个卫生系统中进行了一项 33 项的电子横断面调查。确定参与调查的跨学科参与者包括护士、药剂师、生物医学工程师、管理人员和用药安全官员。该调查评估了以下领域：患者安全、药物库更新过程、药物库和更新过程的知识以及终端用户的看法。
共有 778 份提交的调查被纳入数据分析，其中绝大多数（90.2%）的回复来自护士。88%的受访者认为药物库对于确保患者安全非常重要或重要，但 36%的受访者表示不确定其所在的卫生系统是否定期更新药物库。约三分之二的人同意当前的更新流程可以提高医疗质量（65.0%）和患者安全（68.1%）。此外，53.3%的人认为当前的药物库更新流程是有效的。然而，当被问及更新药物库所需的步骤时，不到 10%的人回答正确。此外，只有 18%的人正确指出，当泵处于开启状态时，它不一定包含药物库的最新版本。
对印第安纳波利斯的 5 个卫生系统进行的一项调查发现，智能输液泵药物库更新方面存在一些终端用户知识差距。结果表明，这些差距很可能是由于两步更新过程以及当前药物库版本不易找到和/或用户友好，以及不清楚何时有更新待处理这两个因素共同导致的。
