Intravenous Infusion

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by jsolojbroo
Last updated 3 years ago

Discipline:
Science
Subject:
Health & Medicine

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Intravenous Infusion

➢ The infusion pump will prepopulate the current medication order (Sims & Schenider, 2012).➢ When an infusion medication order changes, an automatic page will be sent to the nurse and an alert will be sent to pharmacist through the electronic medical record (Gerhart, O’Shea, & Muller, 2013).➢ The electronic medical record will display the intravenous pumps and associated real-time infusions (Pettus & Vanderveen, 2013).

➢ Several technologies were implemented to address the frequent sources of medication error, including the electronic medical record, computer physician order entry, smart infusion pumps, and barcode medication administration systems. ➢ Consequently, an intravenous clinical integration system does not exist at the not-for-profit health care organization located in South, Florida.➢ The technological solution will be piloted in the medical intensive care unit, which is a 16-bed unit with a total of 46 registered nurses.

Intravenous Infusion Interoperability: Smart Pump Integration into a Unified System

Created by:Julie Brooks and Jessica Soloway

CareFusion SmartWorks Platform• Alaris Pumps• Wireless Connectivity • Alaris Infusion Systems Software• Integrates with Epic and CernerHospira's Clinical Integration Solution• Hospira’s Plum A+ Smart Pumps• Wireless Connectivity • Barcode labels on device• Hospira's MedNet Safety Software• Integrates with McKesson, Epic, and Cerner

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Functional Requirements

Stakeholders

Planning➢ Develop Committee➢ MeetingsCostInstallation➢ Designated area for downloading➢ Nurses exchanging IV pumpsStaff Training➢ Super users ➢ Lecture ➢ Video➢ Demonstration

Organizational Readiness

Planning Implementation

Solution

Introduction

Functional Requirements

Organizational Readiness

Introduction and Organizational Description

Current Workflow

Testing

A graph can be accessed which will show trends of vital signs, hemodynamics, titrations, and infusions (Gerhart et al., 2013).

The status of the infusion will be color coded with green, yellow, and red to indicate the volume remaining (Gerhart et al., 2013).

➢Sims and Schneider (2012) explained that a hazard analysis is mandatory when implementing software for intravenous clinical integration to avoid new unintended negative consequences.➢Testing a product that will be used during the intravenous medication administration process is vital due to the detrimental effects of an error.

A small-scale pilot study on one medical intensive care unit over 4 to 5 weeks is needed.

➢ Cyber Security Breaches➢ Workarounds➢ Long latency time for transferring of information between systems➢ Other sources of medication errors from lack of end user knowledgeWays to Mitigate Risks

Introduction and Organizational Description

Planning Implementation

Risks

Expected Sysytem-Wide Implementation in 3 to 4 months

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