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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Safety Implications of the Dose Change Alert in Smart Pumps on the Administration of High-Alert Medications
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Safety Implications of the Dose Change Alert in Smart Pumps on the Administration of High-Alert Medications

机译:智能泵对智能泵对高警报药物的安全影响

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Background: Most intravenous medication errors occur during administration. Smart pumps can reduce the incidence of dose or rate errors using soft and hard limits. But industry standard dose error reduction software misses errors that occur during titration. The dose change alert was developed to detect errors during titration. Objective: To evaluate the safety implications of the dose change alert in the SIGMA Spectrum Infusion System on the administration of high alert medications. Methods: Observational analysis of continuous quality improvement data from all titratable high-alert drug infusions across 1600 large volume pumps between May 1st and October 31st 2014 (inclusive). Outcomes included dose change alert confirmation and cancellations and drug library compliance. Results: Compliance with using the drug library was 96.8%. The percentage of dose change confirmations and cancellations, within the soft limits were 48.1% and 1.9%, respectively. The titration of vasopressors resulted in the highest percentage (75%) of dose change confirmations. The titration of anticoagulants resulted in the highest percentage (12%) of dose change cancellations. Conclusions: This study provided insight into the safety implications of the dose change alert on the titration of high alert drugs. The dose change alert allows the hospital to define the percentage dose change limit for individual drugs and plays a large role in potentially preventing medication errors.
机译:背景:在管理期间发生大多数静脉内的药物误差。智能泵可以减少使用柔软和硬限制的剂量或速率误差的发生率。但行业标准剂量错误减少软件错过滴定期间发生的错误。开发了剂量变化警报以在滴定期间检测误差。目的:评价剂量变化警报在ΣIGMA频谱输液系统对高医药物施用的安全影响。方法:2014年5月1日和10月31日至10月31日(包括)之间的1600个大量泵中的所有可滴定的高警报药物输液的持续质量改善数据的观察分析。结果包括剂量改变警报确认和取消和药物图书馆遵守。结果:使用药物图书馆的依从性为96.8%。软限度内剂量改变确认和取消的百分比分别为48.1%和1.9%。血管加压器的滴定导致百分比(75%)剂量更换确认。抗凝血剂的滴定导致剂量变化的百分比(12%)。结论:本研究提供了对剂量变化警报对高警报药物的安全影响的洞察。剂量变化警报允许医院定义个别药物的剂量变化百分比,并在可能预防药物错误中发挥着大作用。

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