Collaboration to Remove Barriers to Pump Integration With the Electronic Health Record

被引:0
作者
Romp, Celeste R. [1 ]
Ross, Lori [2 ,3 ]
Baucom, Sabrina [4 ]
Dalmolin, Breanna K. [5 ]
Chang, Catherine [1 ,6 ,7 ]
机构
[1] Prisma Hlth Upstate, Greenville, SC 29605 USA
[2] Prisma Hlth, Qual Safety & Reliabil, Greenville, SC USA
[3] Community Hlth Serv, Qual & Patient Safety, Moorhead, MN USA
[4] Prisma Hlth, Business Transformat Dept, Greenville, SC USA
[5] Prisma Hlth Greenville Mem Hosp, Med Surg Intens Care Unit, Greenville, SC USA
[6] Prisma Hlth, Greenville, SC USA
[7] Prisma Hlth, Ambulatory & Clin Councils, Greenville, SC USA
关键词
interoperability; medication safety; pump integration; electronic health record; INTEROPERABILITY;
D O I
10.1097/JHQ.0000000000000454
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The Institute for Safe Medication Practices and The Joint Commission recommend the implementation of bidirectional smart infusion pump interoperability with the electronic health record (EHR) to improve medication safety. However, there are barriers associated with implementation of this process. Purpose: The purpose of this process improvement project was to identify, evaluate, and implement improvements in pump integration with the EHR to decrease manual programming and increase the use of the smart pump functions (the dose error reduction system or infusion guardrails). Methods: A medication safety task force was formed, and end users were surveyed for barriers. The task force found and implemented solutions to improve the process. Results: Infusion pump integration rates for seven hospitals improved from 79.4% to 91.8% (p < .001), and the use of smart pump programming increased from 84.7% to 93.6%. Conclusions: Including all stakeholders in the project allowed barriers to be identified and solutions to be implemented. As more healthcare systems implement technology-related processes to improve patient safety, this work can guide medication safety teams on how to optimize technology use by removing barriers to the use of pump integration with the EHR.
引用
收藏
页码:359 / 364
页数:6
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