Evidence map›Paper›PMID 26654316›Full record

Observational studyBMC pediatrics2015

Smart pumps and random safety audits in a Neonatal Intensive Care Unit: a new challenge for patient safety.

Elena Bergon-Sendin, Carmen Perez-Grande, David Lora-Pablos, María Teresa Moral-Pumarega, Ana Melgar-Bonis, Carmen Peña-Peloche, Mercedes Diezma-Rodino, Lidia García-San Jose, Esther Cabañes-Alonso, Carmen Rosa Pallas-Alonso

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
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

5 citing papers in PubMed, 23 citations in OpenAlex.

  1. Observational
  2. Article
  3. Incidence and Causes of Infusion Alarms in a Neonatal and Pediatric Intensive Care Unit: A Prospective Pilot Study.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2020
    Article
  4. Article
  5. Article
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

10 authors at 1 institution in 1 country.

Elena Bergon-SendinDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. ebergon@hotmail.com.
Carmen Perez-GrandeDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. menchuperezgrande@gmail.com.
David Lora-PablosDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. david@h12o.es.
María Teresa Moral-PumaregaDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. maitemoral@hotmail.com.
Ana Melgar-BonisDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. anitamelb77@yahoo.es.
Carmen Peña-PelocheDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. cppeloche@hotmail.com.
Mercedes Diezma-RodinoDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. mediezma@hotmail.com.
Lidia García-San JoseDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. sanjoselidia@hotmail.com.
Esther Cabañes-AlonsoDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. esther.cabanes@salud.madrid.org.
Carmen Rosa Pallas-AlonsoDepartment of Neonatology, Biomedical Research Institute i + 12, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain. kpallas.hdoc@gmail.com.
Research Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRandom safety audits (RSA) are a safety tool enabling prevention of adverse events, but they have not been widely used in hospitals. The aim of this study was to use RSAs to assess and compare the frequency of appropriate use of infusion pump safety systems in a Neonatal Intensive Care Unit (NICU) before and after quality improvement interventions and to analyse the intravenous medication programming data.

methodsProspective, observational study comparing the frequency of appropriate use of Alaris® CC smart pumps through RSAs over two periods, from 1 January to 31 December 2012 and from 1 November 2014 to 31 January 2015. Appropriate use was defined as all evaluated variables being correctly programmed into the same device. Between the two periods they were established interventions to improve the use of pumps. The information recorded at the pumps with the new security system, also extracted for one year.

resultsFifty-two measurements were collected during the first period and 160 measurements during the second period. The frequency of appropriate use was 73.13 % (117/160) in the second period versus 0 % (0/52) in the first period (p < 0.0001). Information was recorded on 44,924 infusions; in 46.03 % (20,680/44,924) of cases the drug name was recorded. In 2.5 % (532/20,680) of cases there was an attempt to exceed the absolute limit.

conclusionsRandom Safety Audits were a very useful tool for detecting inappropriate use of pumps in the NICU. The improvement strategies were effective for improving appropriate use and programming of the intravenous medication infusion pumps in our NICU.

Indexed as

Infusion PumpsMedical AuditHumansInfant, NewbornIntensive Care Units, NeonatalMedication Systems, HospitalPatient SafetyProspective StudiesQuality ImprovementSafety Management

Identifiers

PMID26654316
PMCPMC4676130
OpenAlexW2194856218

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.