ArticleApplied clinical informatics2021
Quantifying the Impact of Infusion Alerts and Alarms on Nursing Workflows: A Retrospective Analysis.
Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- Theoretical applications of artificial intelligence in smart infusion pump technology: Expert panel insights.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026Article
- Mapping Injection Order Messages to Health Level 7 Fast Healthcare Interoperability Resources to Collate Infusion Pump Data.Applied clinical informatics · 2024Article
- Attributes of errors, facilitators, and barriers related to rate control of IV medications: a scoping review.Systematic reviews · 2023Article
- Review
- Article
- Uncovering Discrepancies in IV Vancomycin Infusion Records between Pump Logs and EHR Documentation.Applied clinical informatics · 2022Article
- Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts.Applied clinical informatics · 2022Review
- Detecting Unusual Intravenous Infusion Alerting Patterns with Machine Learning Algorithms.Biomedical instrumentation & technology · 2022Article
- Principles for Designing and Developing a Workflow Monitoring Tool to Enable and Enhance Clinical Workflow Automation.Applied clinical informatics · 2022Article
- Infusion Pump Interoperability and Resulting Alert Reduction: Multisystem Findings.Journal of nursing care qualityArticle
- Intravenous Smart Pump Alarms in Everyday Hospital Use: A Real-world Descriptive Analysis.Dimensions of critical care nursing : DCCNArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSmart infusion pumps affect workflows as they add alerts and alarms in an information-rich clinical environment where alarm fatigue is already a major concern. An analytic approach is needed to quantify the impact of these alerts and alarms on nursing workflows and patient safety.
objectivesTo analyze a detailed infusion dataset from a smart infusion pump system and identify contributing factors for infusion programming alerts, operational alarms, and alarm resolution times.
methodsWe analyzed detailed infusion pump data across four hospitals in a health system for up to 1 year. The prevalence of alerts and alarms was grouped by infusion type and a selected list of 32 high-alert medications (HAMs). Logistic regression was used to explore the relationship between a set of risk factors and the occurrence of alerts and alarms. We used nonparametric tests to explore the relationship between alarm resolution times and a subset of predictor variables.
resultsThe study dataset included 745,641 unique infusions with a total of 3,231,300 infusion events. Overall, 28.7% of all unique infusions had at least one operational alarm, and 2.1% of all unique infusions had at least one programming alert. Alarms averaged two per infusion, whereas at least one alert happened in every 48 unique infusions. Eight percent of alarms took over 4 minutes to resolve. Intravenous fluid infusions had the highest rate of error-state occurrence. HAMs had 1.64 more odds for alerts than the rest of the infusions. On average, HAMs had a higher alert rate than maintenance fluids.
conclusionInfusion pump alerts and alarms impact clinical care, as alerts and alarms by design interrupt clinical workflow. Our study showcases how hospital system leadership teams can leverage infusion pump informatics to prioritize quality improvement and patient safety initiatives pertaining to infusion practices.
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