ArticleJournal of nursing care quality
Infusion Pump Interoperability and Resulting Alert Reduction: Multisystem Findings.
Article in Journal of nursing care quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIntravenous (IV) medication errors pose significant patient safety risks. While most hospitals use IV smart pumps, adoption of interoperability with electronic health records remains limited. Interoperability can reduce nursing workload and programming errors, a common source of IV medication errors.
objectiveThis study aimed to explore the impact of interoperability on programming alerts across diverse health systems that used a similar process and IV smart pump vendor for implementation.
methodsThis pre-post retrospective study analyzed data from 22 clinical sites across 5 health systems and 1 control system using Epic and Cerner electronic health records. Outcomes included programming alert rates, edits, overrides, and potentially averted underdose and overdose events.
resultsIntegration significantly reduced programming alerts, edits, overrides, and potentially averted overdose events. Intermittently dosed medications saw the greatest alert reduction; titrated medications remained unchanged.
conclusionInteroperability can improve the safety of IV medication administration while reducing alert burden for nurses.
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