Elaine Marieb Center for Nursing and Engineering Innovation, University of Massachusetts Amherst, Amherst, MA, USA.
Parkview Health, Coldwater, MI, USA.
Am J Health Syst Pharm. 2024 Jan 1;81(1):e30-e36. doi: 10.1093/ajhp/zxad245.
Smart pump bidirectional interoperability offers automated infusion programming and documentation that can improve patient safety and workflow efficiency. This technology has been poorly implemented across US hospitals, and there is little guidance on the tracking or monitoring of interoperability systems. The purpose of this report is to describe the successful implementation of intravenous (IV) smart pump interoperability in a large health system.
Bidirectional IV smart pump interoperability and compliance monitoring were implemented across a large Midwestern health system using ICU Medical's Plum 360 and LifeCare PCA devices and Smith Medical's MedFusion 4000 Syringe Pump devices. The hospital system's experience in implementing and monitoring IV smart pump compliance using automated reports and a dedicated medication safety integration nurse is described. Compliance trends suggest that the implementation of IV smart pump interoperability has achieved a reduction in programming outside of the dose error reduction system, manual overrides, and IV medication administration error rates.
The monitoring of smart pump compliance has had demonstrated benefits in investigating usability concerns, recognizing system errors, and identifying increased needs for nurse training. This program can serve as an example for other healthcare systems adopting IV smart pump interoperability.
智能输液泵的双向互操作性提供了自动化的输液编程和文档记录，可提高患者安全性和工作流程效率。这项技术在美国的医院中实施得很差，几乎没有关于互操作性系统的跟踪或监测的指导。本报告的目的是描述在一个大型卫生系统中成功实施静脉（IV）智能输液泵互操作性。
在使用 ICU Medical 的 Plum 360 和 LifeCare PCA 设备和 Smith Medical 的 MedFusion 4000 注射器泵设备的情况下，在一个中西部的大型医疗系统中实现了双向 IV 智能输液泵互操作性和合规性监测。描述了医院系统使用自动化报告和专门的药物安全整合护士来实施和监测 IV 智能输液泵合规性的经验。合规趋势表明，实施 IV 智能输液泵互操作性已经实现了减少剂量误差减少系统之外的编程、手动覆盖和 IV 药物给药错误率。
对智能输液泵合规性的监测已经证明了在调查可用性问题、识别系统错误和确定增加护士培训需求方面的好处。该计划可以作为其他采用 IV 智能输液泵互操作性的医疗系统的范例。
