Impact of Computerized Orders for Pediatric Continuous Drug Infusions on Detecting Infusion Pump Programming Errors: A Simulated Study

Azizeh K. Sowan, Mohamed I. Gaffoor, Karen Soeken, Meg E. Johantgen, Vinay U. Vaidya

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Continuous infusion medications are associated with fatal adverse events in pediatric intensive care units. The effect of computerized orders on detecting infusion pumps programming errors has never been studied. Using a crossover design, we examined the effect of using computerized orders for continuous infusions as compared with that of using handwritten orders on nurse ability to detect infusion pump programming errors, time required to verify pump settings, and user satisfaction. The computerized orders saved nurses time but did not improve their ability to detect infusion pumps programming errors. Nurses preferred computerized orders. High error rate was related to manual calculations and inconsistent use of computerized orders.

Original languageEnglish (US)
Pages (from-to)108-118
Number of pages11
JournalJournal of pediatric nursing
Volume25
Issue number2
DOIs
StatePublished - Apr 1 2010
Externally publishedYes

Keywords

  • CPOE
  • Continuous infusions
  • Medication errors
  • PICU
  • Standardized concentrations

ASJC Scopus subject areas

  • Pediatrics

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