How Can We Determine Whether or Not Our Infusion Pumps Are "Smart" from Ansel Rockefeller's blog

Constructing and maintaining specialized drug libraries—It is frequently necessary to start from scratch when developing the drug library that serves as the basis for DERS limits. The medications that are included in this library, as well as the safety alert thresholds for dose, concentration, and duration/rate alerting, are all listed in this library. Time and resources are consumed during the construction of these libraries. Unfortunately, this time-consuming and resource-intensive process of creating a drug library is only the beginning. Maintaining and updating this content is critical to getting the most out of this technology, and if it is not done properly, it can become an impediment to widespread adoption of smart pumps in the future.

In terms of alarm/alert fatigue, smart infusion pumps are no different than any other health-care technology in that an excessive number of alerts/alarms can result in alarm or alert fatigue among health-care providers. When it comes to infusion devices, what information is captured?

Data Evaluation and Compliance with DERS Using Conventional Methods
When clinicians program Injection Pump, they are given the option of using the DERS or programming the pump in a "no drug selected" or "basic infusion" mode, among other options. When clinicians do not use DERS, they are removing all clinical decision support and safety limits from the process altogether. The majority of infusion pump devices provide information on the percentage of infusions performed with the DERS. Clinicians may be unaware of how frequently programming errors occur, or how frequently DERS is bypassed, until it happens to them.  It is critical to share this information with frontline clinicians in order to create a sufficient feedback loop to support continuous quality improvement and continuous quality improvement.

The use of smart Injection Pump has been linked to alert fatigue as well as severe adverse events in the following days.6–8 p. m. Clinical alert fatigue is characterized by a clinician's deafening to alerts or alarms, which can result in missed clinical alerts, delayed assessments of patients, and the possibility of serious patient harm. 11,12,13,14,15,16,17,18This desensitization occurs as a result of the presence of clinically insignificant or obnoxious alerts.

There is a shortage of drugs.
Drug shortages have unpredictable onsets and have risen to the level of a national crisis affecting patient safety. From 2010 to 2018, there were nearly 1500 new shortages reported each year. Up to 63% of these shortages are due to a lack of injectable medications on the market. a total of 20In the event of a drug shortage, clinicians may be forced to use less familiar alternatives, which may have an adverse effect on patient safety. Infusion pump data analysis may be able to provide a more precise measurement of what drugs patients are receiving and how much is being wasted, which may be useful in preserving the drug supply during a nationwide drug shortage.


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By Ansel Rockefeller
Added Jan 14

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