Category: Professional Posters
Purpose: Smart pump technology provides safe intravenous medication delivery by utilizing a dose error reduction system, and robust drug libraries. Such drug libraries offer evidence based clinician limitations to ensure safe medication delivery is maintained. On occasion, protocols and dose changes are required within the drug library to comply with regulatory mandates, or align with best practices. The timeliness of updating the infusion device drug library across an organization’s pumps is essential to ensure a seamless transition, and reduce the risk of negative patient outcomes which can occur when multiple drug library versions are available.
Methods: The pharmacy department at one hospital organization develops and updates the infusion device library as required. Once approved, the new drug library is pushed wirelessly to 1625 Spectrum large volume infusion devices across 3 different hospital sites. During a recent drug library deployment, the progress of uploading to the pumps was monitored to ensure pump connectivity, and successful download of the new library. A continuous quality improvement report was generated specifying the date and time the new drug library was uploaded to each pump. Data analysis examined the length of time required to update the pump fleet and quantified the percentage of pumps remaining with an outdated drug library version.
Results: A total of 1467 pumps (90.3 percent of all pumps) received the drug library update within 24 hours of deployment. An additional 66 pumps received the drug library update in the following 5 days, for a total of 1533 pumps (94.3 percent of all pumps). The remaining 92 pumps were reported as “not connected” to the wireless network at the time of analysis. Pumps not connecting to the wireless network were either offsite for repair or were easily located using GPS technology, and returned to the biomedical engineering team for review. Additionally, pumps unable to connect could be observed using pump serial numbers and DERS software to monitor for clinician attempts to access the old drug library.
Conclusion: Delayed deployment of drug library updates has been shown to increase frequency of false alerts during intravenous infusions, as well as missed alerts for high alert infusions. Capability to deliver timely drug library updates to infusion devices is mandatory to maintain patient safety. Using an infusion device with proven ability to deliver timely updates allows for multidisciplinary confidence. Additionally, preceding any drug library push with appropriate and time sensitive education is key to maintain DERS compliance, and confirm appropriate background knowledge of any protocol changes.