Smart pumps and random safety audits in a Neonatal Intensive Care Unit: a new challenge for patient safety

Random safety audits (RSA) are a safety tool enabling prevention of adverse events, but they have not been widely used in hospitals. The aim of this study was to use RSAs to assess and compare the frequency of appropriate use of infusion pump safety systems in a Neonatal Intensive Care Unit (NICU) b...

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Bibliographic Details
Published in:BMC pediatrics 2015-12, Vol.15 (1), p.206-206, Article 206
Main Authors: Bergon-Sendin, Elena, Perez-Grande, Carmen, Lora-Pablos, David, Moral-Pumarega, María Teresa, Melgar-Bonis, Ana, Peña-Peloche, Carmen, Diezma-Rodino, Mercedes, García-San Jose, Lidia, Cabañes-Alonso, Esther, Pallas-Alonso, Carmen Rosa
Format: Article
Language:English
Subjects:
Care and treatment
Hospitals
Humans
Infant, Newborn
Infants (Newborn)
Infusion Pumps
Intensive care
Intensive Care Units, Neonatal - standards
Medical Audit
Medical errors
Medication Systems, Hospital - standards
Nurses
Patient safety
Patient Safety - standards
Patients
Prospective Studies
Quality control
Quality Improvement
Safety Management
Security systems
Software
Variables
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Summary:Random safety audits (RSA) are a safety tool enabling prevention of adverse events, but they have not been widely used in hospitals. The aim of this study was to use RSAs to assess and compare the frequency of appropriate use of infusion pump safety systems in a Neonatal Intensive Care Unit (NICU) before and after quality improvement interventions and to analyse the intravenous medication programming data. Prospective, observational study comparing the frequency of appropriate use of Alaris® CC smart pumps through RSAs over two periods, from 1 January to 31 December 2012 and from 1 November 2014 to 31 January 2015. Appropriate use was defined as all evaluated variables being correctly programmed into the same device. Between the two periods they were established interventions to improve the use of pumps. The information recorded at the pumps with the new security system, also extracted for one year. Fifty-two measurements were collected during the first period and 160 measurements during the second period. The frequency of appropriate use was 73.13 % (117/160) in the second period versus 0 % (0/52) in the first period (p 
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-015-0521-6