TITLE

Implementation and evaluation of a comprehensive system to deliver pediatric continuous infusion medications with standardized concentrations

AUTHOR(S)
Hilmas, Elora; Sowan, Azizeh; Gaffoor, Mohamed; Vaidya, Vinay
PUB. DATE
January 2010
SOURCE
American Journal of Health-System Pharmacy;1/1/2010, Vol. 67 Issue 1, p58
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose. The development, implementation, and evaluation of a comprehensive pediatric medication management system based on computerized orders with standardized concentrations for pediatric continuous infusions are described. Summary. To attain the Joint Commission mandate of using a few standardized concentrations for pediatric continuous infusion medications, a multidisciplinary team at the University of Maryland Medical Center pediatric intensive care unit restructured the medication management of continuous infusions from the handwritten rule-of-6 method to computerized orders with standardized concentrations. Development of the new system required creating a mathematical algorithm to automatically produce two to four standardized concentrations for 39 continuous infusion medications used in pediatrics, incorporating mnemonics that represent standard drug concentrations into the pharmacy medication-processing system, designing a computerized provider-order-entry program, and introducting smart infusion pumps that were programmed with standardized concentrations. System creation and implementation were completed hospitalwide over 16 months. The system successfully determined two to four standardized concentrations for each continuous infusion medication and allowed application of consistent dose, weight, and fluid restrictions when determining standardized concentrations. Preimplementation and postimplementation evaluation revealed that the new system eliminated several types of medication errors and was well received by all health care team members in pediatrics units. Conclusion. A technology-based, scientific, comprehensive yet simplified solution to attain the Joint Commission mandate concerning standardized concentrations was developed, implemented, and evaluated. The system successfully determined a limited number of concentrations for each continuous infusion medication for pediatrics and improved safety by eliminating medication errors when delivering these medications.
ACCESSION #
47426816

 

Related Articles

  • After-hours admissions are not associated with increased risk-adjusted mortality in pediatric intensive care. Numa, Andrew; Williams, Gary; Awad, John; Duffy, Barry // Intensive Care Medicine;Jan2008, Vol. 34 Issue 1, p148 

    To examine the influence of time of admission on risk-adjusted mortality and length of stay for nonelective patients admitted to a pediatric intensive care unit (ICU) without 24-h per day in-house intensivist coverage. Data analyzed came from a comprehensive, prospectively collected ICU...

  • A comparison of two methods to perform a breathing trial before extubation in pediatric intensive care patients. Farias, J.; Retta, A.; Alía, I.; Olazarri, F.; Esteban, A.; Golubicki, A.; Allende, D.; Maliarchuk, O.; Peltzer, C.; Ratto, M.; Zalazar, R.; Garea, M.; Moreno, E. // Intensive Care Medicine;Oct2001, Vol. 27 Issue 10, p1649 

    Objective: To compare the percentage of infants and children successfully extubated after a trial of breathing performed with either pressure support or T-piece. Design: Prospective and randomized study. Setting: Three medical-surgical pediatric intensive care units (PICUs). Patients: Two...

  • Which inotrope and when in neonatal and paediatric intensive care? Turner, Mark A.; Baines, Paul // Archives of Disease in Childhood -- Education & Practice Edition;Dec2011, Vol. 96 Issue 9, p216 

    The article discusses inotrope therapeutic strategies before or during their first attachment to paediatric/neonatal intensive care. It states that if inotropes are considered in paediatric initial sepsis management, it is vital that the heart is correctly filled with blood and that peripheral...

  • Applicability of the Australian and New Zealand Paediatric Intensive Care Registry diagnostic codes and Paediatric Index of Mortality 2 scoring system in a Croatian paediatric intensive care unit. Mestrovic, Julije; Kardum, Goran; Polic, Branka; Omazic, Ante; Stricevic, Luka; Sustic, Alan // European Journal of Pediatrics;Dec2005, Vol. 164 Issue 12, p783 

    Evaluates the applicability of the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry diagnostic codes and Paediatric Index of Mortality (PIM) 2 scoring system in a Croatian paediatric intensive care unit. Use of ANZPIC Registry diagnostic codes in conjunction with PIM2;...

  • Pediatric intensive care: result of a European survey. Nipshagen, Martine D.; Polderman, Kees H.; DeVictor, Dennis; Gemke, Reinoud J. B. J. // Intensive Care Medicine;Dec2002, Vol. 28 Issue 12, p1797 

    Objective. To assess and compare the structure, organisation, management, and staffing in different paediatric intensive care units (PICUs) in Europe. Design. Descriptive study. Setting. A questionnaire was sent to physicians in PICUs. Physician's names were obtained from the membership list of...

  • Prevalence of questioning regarding life-sustaining treatment and time utilisation by forgoing treatment in francophone PICUs. Cremer, Robin; Hubert, Philippe; Grandbastien, Bruno; Moutel, Grégoire; Leclerc, Francis // Intensive Care Medicine;Oct2011, Vol. 37 Issue 10, p1648 

    Purpose: Our goal is to assess the prevalence of questioning about the appropriateness of initiating or maintaining life-sustaining treatments (LST) in French-speaking paediatric intensive care units (PICUs) and to evaluate time utilisation related to decision-making processes (DMP). Methods:...

  • Noise levels in PICU: an evaluative study. Bailey, Elizabeth; Timmons, Stephen // Paediatric Nursing;Dec2005, Vol. 17 Issue 10, p22 

    High levels of noise in the hospital environment can have an impact on patients and staff increasing both recovery time and stress respectively. When our seven-bedded paediatric intensive care unit (PICU) is full, noise levels seem to increase significantly. This study measured noise levels at...

  • Relationship Between Severity of Illness and Length of Stay on Costs Incurred During a Pediatric Critical Care Hospitalization. Hsu, Benson S.; Lakhani, Saquib; Brazelton, Thomas B. // South Dakota Medicine;Aug2015, Vol. 68 Issue 8, p339 

    Objective: To estimate the impact of severity of illness and length of stay on costs incurred during a pediatric intensive care unit (PICU) hospitalization. Study Design: This is a retrospective cohort study at an academic PICU located in the U.S. that examined 850 patients admitted to the PICU...

  • Is family integrated care in neonatal intensive care units feasible and good for preterm infants in China: study protocol for a cluster randomized controlled trial. Mingyan Hei; Xiangyu Gao; Xirong Gao; Shaohan Nong; Aimin Zhang; Qianshen Zhang; Shoo K. Lee; Hei, Mingyan; Gao, Xiangyu; Gao, Xirong; Nong, Shaohan; Zhang, Aimin; Zhang, Qianshen; Lee, Shoo K // Trials;1/13/2016, Vol. 17, p1 

    Background: By changing the paradigm of neonatal intensive care and integrating parents into the care team, the 'family integrated care' (FICare) model developed in Canada ensures that infants receive more consistent care and parents are better able to care for their infants within...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics