Optimizing smart infusion pump safety with DERS
Many medication errors can be prevented through safe medication practices; however, sometimes these errors — including those involving “smart” infusion pumps — are caused by a combination of human and technical risk factors, including fatigue, distraction, and drug library overrides, deficiencies or misuse.
Medication Administration Errors
Medication errors have been a key target for improving safety since Bates and colleagues’ reports in the 1990s characterized the frequency of adverse drug events (ADEs) and the relationship between medication errors and ADEs in hospitalized patients. As described in related primers on medication errors and adverse drug events and on the pharmacist’s role in medication safety, the medication-use process is highly complex with many steps and risk points for error. This primer will focus on nurse-related medication administration errors.
Germany passes law to fund hospitals by 3 billion euros
The Federal Social Security Office of the German government has recently passed a law setting out a hospital future fund totalling 3 billion euros from the liquidity reserve of the health fund. The funds will be made available to the liquidity reserve by the federal government by the first bank working day in 2021.
Of particular relevance to the ECAMET project is the Section 19 – Eligible projects point 5, where it states “the establishment of end-to-end digital medication management to increase drug therapy safety, which provides information on all drug-related treatments across the entire treatment process in the hospital. These facilities also include robot-based actuation systems for dispensing medication”
The EAASM is very pleased with this government initiative, as the introduction of medication traceability systems greatly enhances patient safety, increases hospital efficiency whilst reducing the burden on hospital staff from manual systems which in themselves can introduce increased likelihood of errors. With 40% of nursing time spent on administrative and non health care activities1 automation can dramatically reduce manual documentation as well as the number of steps required.
Ref 1 Alianza multidisciplinar frente a los errores en la medicación del paciente hospitalizado en España como buena practica científica [Multidisciplinary alliance against errors in hospitalised patients in Spain as good scientific practice] Herranz, A, and others. Madrid: Carlos III Health Institute, 2019. V Congress on Bioethics.