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

IF 0.9 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES Journal for Healthcare Quality Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI:10.1097/JHQ.0000000000000454

Celeste R Romp, Lori Ross, Sabrina Baucom, Breanna K Dalmolin, Catherine Chang

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Abstract

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.

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合作消除泵与电子健康记录整合的障碍。

背景：安全用药实践研究所（Institute for Safe Medication Practices）和联合委员会（The Joint Commission）建议实施双向智能输液泵与电子病历（EHR）的互操作性，以提高用药安全。目的：本流程改进项目旨在确定、评估和实施输液泵与电子病历集成的改进措施，以减少手动编程，增加智能输液泵功能（减少剂量错误系统或输液护栏）的使用：方法：成立了一个用药安全特别工作组，并对最终用户进行了障碍调查。方法：成立用药安全工作组，对最终用户进行障碍调查，工作组找到并实施了改进流程的解决方案：结果：七家医院的输液泵整合率从 79.4% 提高到 91.8%（p < .001），智能泵编程的使用率从 84.7% 提高到 93.6%：结论：将所有利益相关者纳入该项目有助于发现障碍并实施解决方案。随着越来越多的医疗系统采用与技术相关的流程来改善患者安全，这项工作可以指导用药安全团队如何通过消除泵与电子病历集成的使用障碍来优化技术的使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform