Ad hoc versus standardized admixtures for continuous infusion drugs in neonatal intensive care: cognitive task analysis of safety at the bedside.
Continuous infusion intravenous (IV) drugs in neonatal intensive care are usually prepared based on patient weight so that the dose is readable as a simple multiple of the infusion pump rate. New safety guidelines propose that hospitals switch to using standardized admixtures of these drugs to prevent calculation errors during ad hoc preparation. Extended hierarchical task analysis suggests that switching to standardized admixtures may lead to more errors in programming the pump at the bedside.
Brannon
Timothy S
TS
School of Health Information Sciences, University of Texas Health Science Center, Houston, TX, USA.
D004360:Drug Therapy, Computer-Assisted; D006801:Humans; D007231:Infant, Newborn; D007260:Infusion Pumps / Q000592:standards*; D007262:Infusions, Intravenous / Q000295:instrumentation / Q000592:standards; D015931:Intensive Care, Neonatal; D008508:Medication Errors; D008606:Mental Processes; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*
D004364:Pharmaceutical Preparations