title: Intelligent intravenous infusion pumps to improve medication administration safety.
abstract: Intravenous (IV) medications are vital in the management of hospitalized patients. Inpatients frequently receive several IV medications concurrently, and these are commonly delivered with infusion pump systems. In particular, critically ill patients receive potent "high-alert" IV drugs, many with narrow safety margins requiring careful nursing titration. However, while intravenous medications have important benefits, errors associated with IV medication administration can result in severe or life-threatening adverse drug events (ADEs). Although errors in prescribing are often intercepted, administration errors do not get caught with most current systems While several safety improvements in IV infusion pump design have reduced mechanical complications, errors with IV drug administration such as incorrect programming persist. Intelligent IV infusion pumps have integrated software to provide point of care decision support (DS). This software includes drug library profiles configured for specific patient care units and includes programming of safety limits for drug/dose calculations.
authors.affiliation: Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Rothschild
authors.forename: Carol A
authors.initials: CA
authors.lastname: Keohane
authors.forename: Sarah
authors.initials: S
authors.lastname: Thompson
authors.forename: David W
authors.initials: DW
authors.lastname: Bates
mesh_terms: D003658:Decision Making, Computer-Assisted; D004867:Equipment Design; D006801:Humans; D007260:Infusion Pumps; D007262:Infusions, Intravenous; D008508:Medication Errors / Q000517:prevention & control*; D011446:Prospective Studies; D012984:Software