title: Safe intravenous administration in pediatrics: A 5-year Pediatric Intensive Care Unit experience with smart pumps.
abstract: OBJECTIVE
  To estimate the impact of smart pump implementation in a pediatric intensive care unit in terms of number and type of administration errors intercepted.
  
  
  METHODS
  Observational, prospective study carried out from January 2010 to March 2015 with syringe and great volumen infusion pumps available in the hospital.
  
  
  METHODS
  A tertiary level hospital pediatric intensive care unit.
  
  
  METHODS
  Infusions delivered with infusion pumps in all pediatric intensive care unit patients.
  
  
  METHODS
  Design of a drug library with safety limits for all intravenous drugs prescribed.
  
  
  METHODS
  Users' compliance with drug library as well as number and type of errors prevented were analyzed.
  
  
  RESULTS
  Two hundred and eighty-three errors were intercepted during 62 months of study. A high risk drug was involved in 58% of prevented errors, such as adrenergic agonists and antagonists, sedatives, analgesics, neuromuscular blockers, opioids, potassium and insulin. Users' average compliance with the safety software was 84%.
  
  
  CONCLUSIONS
  Smart pumps implementation has proven effective in intercepting high risk drugs programming errors. These results might be exportable to other critical care units, involving pediatric or adult patients. Interdisciplinary colaboration is key to succeed in this process.
authors.affiliation: Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: silvia.manrique@salud.madrid.org.
authors.forename: S
authors.initials: S
authors.lastname: Manrique-Rodríguez
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: A C
authors.initials: AC
authors.lastname: Sánchez-Galindo
authors.affiliation: Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: C M
authors.initials: CM
authors.lastname: Fernández-Llamazares
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: M M
authors.initials: MM
authors.lastname: Calvo-Calvo
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: Á
authors.initials: Á
authors.lastname: Carrillo-Álvarez
authors.affiliation: Servicio de Farmacia, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Sanjurjo-Sáez
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D007262:Infusions, Intravenous; D015278:Intensive Care Units, Pediatric; D008297:Male; D008508:Medication Errors; D011446:Prospective Studies
keywords: Administración intravenosa; Bombas inteligentes; Intravenous administration; Safety; Seguridad; Smart pumps