Evidence map›Paper›PMID 26108297›Full record

ArticleDrug safety2015

Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post Study Following Implementation of Smart Pumps in a Teaching Hospital.

Aurélie Guérin, Julien Tourel, Emmanuelle Delage, Stéphanie Duval, Marie-Johanne David, Denis Lebel, Jean-François Bussières

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Drug safety, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Aurélie GuérinPharmacy Department and Pharmacy Practice Research Unit, Centre Hospitalier Universitaire Sainte-Justine, 3175, chemin de la Côte Sainte-Catherine, Montréal, QC, H3T 1C5, Canada, aurelieguerin01@gmail.com.
Julien Tourel
Emmanuelle Delage
Stéphanie Duval
Marie-Johanne David
Denis Lebel
Jean-François Bussières

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSmart pumps are expected to prevent and reduce medication errors. The implementation of smart pumps requires a significant effort and collaboration of physicians, nurses, pharmacists, and other stakeholders.

objectivesThe main objective of this study was to evaluate the impact of new smart pumps on reported drug-related accidents and incidents (AIs).

methodThis is a descriptive retrospective pre-post study conducted at a women's and pediatric hospital with 500 beds. A strong multidisciplinary team (nurse, pharmacist, pharmacy resident, physician, biomedical technician, information technology technician, patient safety officer, manager) was involved in the planning, implementation, and monitoring technology implementation. A total of 1045 smart pumps were implemented in 2011 in our hospital. The reported number of AIs related to intravenous drug administration (AIIV) before and after the implementation of 1045 smart pumps were collected.

resultsA total of 2911 AI events related to medications, devices, and equipment were self-reported by clinical staff in the pre-phase (Y0), 3523 in the post-phase (Y1), and 2788 in the post-phase (Y2). The total AIIV increased from 1432 in Y0 to 1834 in Y1 and decreased to 1389 in Y2.

conclusionsWe observed no risk reduction associated with the implementation of smart pumps in a 500 bed mother-child hospital. Further studies are required to explore the details of the potential risk reduction associated with the use of smart pumps.

Indexed as

Medication ErrorsDrug-Related Side Effects and Adverse ReactionsHospitals, TeachingHumansIncidenceInfusion PumpsInfusions, IntravenousRetrospective Studies

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.