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首页> 外文期刊>Journal of patient safety >Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals
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Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals

机译：静脉内智能泵药物图书馆合规性：对44家医院的描述性研究

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Background Although intravenous (IV) smart pumps with built-in dose-error reduction systems (DERS) can reduce IV medication administration error, most serious adverse events still occur during IV medication administration. Sources of error include overriding DERS and manually bypassing drug libraries and the DERS. Methods Our purpose was to use the Regenstrief National Center for Medical Device Informatics data set to better understand IV smart pump drug library and DERS compliance. Our sample consisted of 12 months of data from 7 hospital systems, 44 individual hospitals, and descriptive data from the American Hospital Directory (AHD) for 2015. The aims of the study were (1) to determine whether there are differences in IV smart pump drug library compliance between hospital systems and (2) to provide a broad descriptive overview of relevant trends related to IV smart pump compliance. Results For aim 1, we found 3 significant relationships among the 7 hospital systems: systems 3 (P 0.001), 6 (P = 0.003), and 7 (P = 0.002) had significantly higher IV smart compliance as compared with system 4. For aim 2, the number of drug library profiles was positively correlated (P = 0.029) with IV smart pump compliance and the IV smart pump type used was significantly correlated (P = 0.013) with IV smart pump compliance. Conclusions Our findings support that there are differences in IV smart pump compliance both within and between hospital systems and that IV smart pump type and the number of drug library profiles may be influencing factors. Further research is required to more accurately identify the impact of these factors in this very important area of patient safety.
机译：背景技术虽然静脉注射（IV）智能泵具有内置剂量差错系统（DERs）可以减少IV药物管理误差，但在IV药物管理期间仍发生严重的不良事件。误差源包括覆盖液位并手动绕过药品文库和小管。方法我们的目的是使用Regenstrif国家中心的医疗设备信息学数据设置，以更好地了解IV智能泵药库和DERS遵从性。我们的样本由来自7个医院系统，44个个人医院的12个月，来自美国医院目录（AHD）的描述性数据组成。该研究的目的是（1）确定IV智能泵是否存在差异医院系统和（2）之间的药物图书馆符合性，提供了与IV智能泵合规相关的相关趋势的广泛描述概述。目标1的结果，我们发现了7个医院系统中的3个显着的关系：系统3（P <0.001），6（P = 0.003），7（P = 0.002）与系统4相比，IV智能顺应性显着更高。对于AIM 2，使用IV智能泵的符合性和IV智能泵型具有肯定相关（P = 0.029），并且使用IV智能泵的符合性显着相关（P = 0.013）。结论我们的调查结果支持，医院系统内部和医院系统之间和之间存在差异，并且IV智能泵类型和药物图书馆轮廓的数量可能是影响因素。需要进一步的研究，以便更准确地确定这些因素在这种非常重要的患者安全领域的影响。

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