HTSI

Use Errors, Incidents and Alarms

Use Errors
	A Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients. Rothschild, J.M., et al. Adverse Events Involving Intravenous Patient-Controlled Analgesia. Hankin, C.S., et al. Analgesia-Related Medication Errors in the Postoperative Period: Causes and Preventions. Schein, J., et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety Systems. Williams, Carolyn K. RPh, et al. Continuous Quality Improvement Using Intelligent Infusion Pump Data Analysis. Breland, B.D. Continuous Respiratory Monitoring and a "Smart" Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period. Maddox, R. R., et al. Current Status of Administration of Medicine. Shane, R. Discrepancies Between Medication Orders and Infusion Pump Programming in a Pediatric Intensive Care Unit. Russell, R.A., et al. Effect of Bar-Code Technology on the Safety of Medication Administration. Poon, E. G., et al. Enhanced Notification of Infusion Pump Programming Errors. Evans, R.S., et al. Impact of Computerized Orders for Pediatric Continuous Drug Infusions on Detecting Infusion Pump Programming Errors: A Simulated Study. Sowan, A.K., et al. Impact of Smart Infusion Technology on Administration of Anticoagulants (Unfractionated Heparin, Argatroban, Lepirudin, and Bivalirudin). Fanikos, J., et al. Infusing Patients Safely: Priority Issues from the AAMI/FDA Infusion Device Summit. Vockley, M. Insights From the Sharp End of Intravenous Medication Errors: Implications for Infusion Pump Technology. Husch, M., et al. Interventions to Reduce Dosing Errors in Children: A Systematic Review of the Literature. Conroy, Sharon, et al. "Mission Zero" With Smart Pumps. Cowan Nurses' Risk Without Using Smart Pumps. Harding, A.D., et al. Patient-Controlled Drug Delivery for Acute Postoperative Pain Management: A Review of Current and Emerging Technologies. Viscusi, Eugene R., MD. Preventing Medication Errors: A Summary. Bates, D. W. Preventing Medication Errors with Smart Infusion Technology. Wilson, K., and Sullivan, M. Programmable Infusion Pumps in ICUs: An Analysis of Corresponding Adverse Drug Events. Nuckols, T.K., et al. Reducing Errors During Patient-Controlled Analgesia Therapy Through Failure Mode and Effects Analysis. Moss, Janet, RN-C, CPAN, MS Safe Administration of High-Risk IV Medications Intra- and Inter-Hospital Standardization: Drug Concentrations and Dosage Units. San Diego Patient Safety Council Smart Infusion Technology: A Minimum Safety Standard in Intensive Care? Murdoch, Linda J., and Cameron, Victoria L. Smart IV Pumps. Dulak, S.B. Smart Pumps Help Limit Infusion Errors. Eisenberg, S. Smart Pump Technology: What We Have Learned. Elias, B.L., et al. Standard concentrations of high-alert drug infusions across paediatric acute care. Irwin, D., et al. Standard Drug Concentrations and Smart-Pump Technology Reduce Continuous-Medication-Infusion Errors in Pediatric Patients. Larson, et al. Technology Utilization to Prevent Medication Errors. Forni, A, et al. The Impact of Traditional and Smart Pump Infusion Technology on Nurse Medication Administration Performance in a Simulated Inpatient Unit. Trbovich, P.L., et al. The Use of Smart Pumps for Preventing Medication Errors. Hertzel, C., & Sousa, V.D. Towards IV Drug Standardization in Critical Care. Keeling, P., et al. Tubing Misload Allows Free Flow Event with Smart Intravenous Infusion Pump. Schroeder, Mark E., MD, et al. Using Data to Improve Smart Intravenous Infusion Pumps. Vanderveen, Timothy W. What Does Your IV Smart Pump Infusion Data Tell You About IV Clinical Practice and Patient Safety? Starenkyj, Elizabeth.
Incidents and Incident Reporting
	A Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients. Rothschild, J.M., et al. Adverse Events Involving Intravenous Patient-Controlled Analgesia. Hankin, C.S., et al. Analgesia-Related Medication Errors in the Postoperative Period: Causes and Preventions. Schein, J., et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety Systems. Williams, Carolyn K. RPh, et al. Continuous and Noninvasive Respiration Rate with Rainbow Acoustic Monitoring. Masimo Corporation Effect of Bar-Code Technology on the Safety of Medication Administration. Poon, E. G., et al. Getting Results in Patient Safety. A New Era of Event Reporting. Terry, J., et al. Impact of Smart Infusion Technology on Administration of Anticoagulants (Unfractionated Heparin, Argatroban, Lepirudin, and Bivalirudin). Fanikos, J., et al. Improved Outcomes and Reduced Costs With Continuous Monitoring of Post-Surgical Patients on the General Care Floor. Masimo Infusing Patients Safely: Priority Issues from the AAMI/FDA Infusion Device Summit. Vockley, M. Insights From the Sharp End of Intravenous Medication Errors: Implications for Infusion Pump Technology. Husch, M., et al. Nurses' Risk Without Using Smart Pumps. Harding, A.D., et al. Preventing Medication Errors: A Summary. Bates, D. W. Programmable Infusion Pumps in ICUs: An Analysis of Corresponding Adverse Drug Events. Nuckols, T.K., et al. Reducing Errors During Patient-Controlled Analgesia Therapy Through Failure Mode and Effects Analysis. Moss, Janet, RN-C, CPAN, MS Safety and Risk Management Interventions in Hospitals: A Systematic Review of the Literature. Dückers, Michel, et al. Smart IV Pumps. Dulak, S.B. Smart pumps and synergy. Hahn, Ted, RPh, MS, et al. Standard concentrations of high-alert drug infusions across paediatric acute care. Irwin, D., et al. Standard Drug Concentrations and Smart-Pump Technology Reduce Continuous-Medication-Infusion Errors in Pediatric Patients. Larson, et al. Tubing Misload Allows Free Flow Event with Smart Intravenous Infusion Pump. Schroeder, Mark E., MD, et al. Using Failure Mode and Effects Analysis to Plan Implementation of Smart IV Pump Technology. Wetterneck, T.B., et al. What Does Your IV Smart Pump Infusion Data Tell You About IV Clinical Practice and Patient Safety? Starenkyj, Elizabeth.
Alarm Management/Fatigue
	Infusing Patients Safely: Priority Issues from the AAMI/FDA Infusion Device Summit. Vockley, M. Masimo Advanced Alarm Performance: An Evidence-Based Approach to Reduce False Alarms and Nuisance Alarms. Masimo Corporation "Smart" Infusion Pumps and the Clinical Nurse Specialist. McDaniel, Ana M. DNS, RN, et al. Smart pumps and synergy. Hahn, Ted, RPh, MS, et al. Tubing Misload Allows Free Flow Event with Smart Intravenous Infusion Pump. Schroeder, Mark E., MD, et al. Using Data to Improve Smart Intravenous Infusion Pumps. Vanderveen, Timothy W.

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