Using a Patient Safety Analysis to Guide Infusion Therapy for Patients With COVID-19

被引:4
作者
Hagle, Mary [1 ]
Snyder, Kate [2 ]
Janicek, Karen [3 ]
Bell, Kimberly [4 ,5 ]
Dietz, Beth [6 ]
Gundacker, Nathan [7 ,8 ]
Kinter, Angelina [9 ]
Severson, Annette [10 ,11 ,12 ]
机构
[1] Zablocki Vet Affairs VA Med Ctr, Program Patient Safety, Milwaukee, WI USA
[2] Zablocki VA Med Ctr, Patient Safety, Milwaukee, WI 53295 USA
[3] Zablocki VA Med Ctr, Home Telehlth Program, Milwaukee, WI USA
[4] Zablocki VA Med Ctr, Pharm, Milwaukee, WI USA
[5] Univ Wisconsin, Sch Pharm, 425 N Charter St, Madison, WI 53706 USA
[6] Zablocki VA Med Ctr, Community Med Ctr, Milwaukee, WI USA
[7] Zablocki VA Med Ctr, Milwaukee, WI USA
[8] Med Coll Wisconsin, Div Infect Dis, Milwaukee, WI USA
[9] Zablocki VA Med Ctr, COVID 19 Unit, Milwaukee, WI USA
[10] Zablocki VA Med Ctr, Patient Care Serv Acad Med Ctr, Milwaukee, WI USA
[11] Zablocki VA Med Ctr, Community Based Outpatient Clin, Milwaukee, WI USA
[12] Wisconsin Tech Coll Syst, Madison, WI USA
关键词
COVID-19; HFMEA; ICU; infusion; patient safety; personal protective equipment; PPE; pump;
D O I
10.1097/NAN.0000000000000438
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
In the United States, during the Coronavirus Disease 2019 (COVID-19) pandemic, patients with COVID-19 overwhelmed available intensive care beds, staffing levels were unpredictable, and personal protective equipment was limited. The safety of situating electronic infusion pumps outside patient rooms was evaluated using an internal risk assessment. Based on a low level of risk, a procedure was developed to direct clinicians as to when this process is appropriate during a national crisis. A standardized analysis, Healthcare Failure Mode and Effects Analysis, was conducted to identify all potential risks and implement actions that would eliminate or control the risk. No adverse events were reported. Safe systems and preparation can protect patients.
引用
收藏
页码:259 / 267
页数:9
相关论文
共 20 条
  • [1] Application of Failure Mode and Effect Analysis (FMEA) to improve medication safety: a systematic review
    Anjalee, Jayaweera A. Lakshika
    Rutter, Victoria
    Samaranayake, Nithushi R.
    [J]. POSTGRADUATE MEDICAL JOURNAL, 2021, 97 (1145) : 168 - 174
  • [2] [Anonymous], 2020, CLIN EXP KEEP INF PU
  • [3] Conserving Supply of Personal Protective Equipment-A Call for Ideas
    Bauchner, Howard
    Fontanarosa, Phil B.
    Livingston, Edward H.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (19): : 1911 - 1911
  • [4] Berndt D., 2019, AM NURS TODAY, V14, P6
  • [5] Extending tubing to place intravenous smart pumps outside of patient rooms during COVID-19: an innovation that increases medication dead volume and risk to patients
    Blake, Jeannine W. C.
    Giuliano, Karen K.
    Butterfield, Robert D.
    Vanderveen, Tim
    Sims, Nathaniel M.
    [J]. BMJ INNOVATIONS, 2021, 7 (02) : 379 - 386
  • [6] Department of Veterans Affairs Veterans Health Administration National Center for Patient Safety, 2021, HEALTHC FAIL MOD AFF
  • [7] Department of Veterans Affairs Veterans Health Administration National Center for Patient Safety, 2021, HEALTHC FAIL MOD AFF
  • [8] DeRosier Joseph, 2002, Jt Comm J Qual Improv, V28, P248
  • [9] ECRI Report, 2020, LARGE VOLUME INFUSIO
  • [10] Preventing infectious diseases in Intensive Care Unit by medical devices remote control: Lessons from COVID-19
    Garzotto, Francesco
    Comoretto, Rosanna Irene
    Ostermann, Marlies
    Nalesso, Federico
    Gregori, Dario
    Bonavina, Maria Giuseppina
    Zanardo, Giorgio
    Meneghesso, Gaudenzio
    [J]. JOURNAL OF CRITICAL CARE, 2021, 61 : 119 - 124