SmartPump Audit: Difference between revisions

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==Purpose==
==Purpose==
OBJECTIVE: The '''Smart Pump Audit''' is a quality improvement initiative that records how the Colleague smart infusion pumps are being used. The objective is to assess compliance and identify barriers to the use of the Guardian Software for the Baxter Colleague Pump within the Critical Care and Medicine Programs in the Regions (WRHA).
'''OBJECTIVE''': The '''Smart Pump Audit''' is a quality improvement initiative that records how the Colleague smart infusion pumps are being used. The objective is to assess compliance and identify barriers to the use of the Guardian Software for the Baxter Colleague Pump within the Critical Care and Medicine Programs in the Regions (WRHA).


BACKGROUD: The Guardian Software provides the capability to detect
'''BACKGROUND:''' The Guardian Software provides the capability to detect when pre-defined dosage limits are exceeded.  If the dosage limit is exceeded, an alert is provided to the individual who programming the pump.  One of the limitations of the pump is that the Guardian Software must be chosen by the pump operator.  It is well documented (local use and in literature) that the Guardian Software is at times not utilized.  The WRHA regional policy for the Parenteral Drug Therapy Manual (which provides recommendations for IV administration of medications) has incorporated the mandate that the Guardain Software be used when the infused medication is contained within the software library.
 
'''METHOD:'''  The data collector at each will '''RANDOMLY''' select '''TWO NON CONSECUTIVE''' days during each week of the three weeks audit period and will audit every Colleague Pump that is in use on their unit for the following:
*drug type
*Guardian Software used: YES or NO
*provide a reason why Guardian Software is not being used for a selected drug. This information is to be obtained by asking the bedside nurse. Collectors will select a reason from a COMMENT KEY list which is provided.
*The PDA will automatically stamp the date and time of the the audit when you select the drug item.  No need to manually enter the date and time when you audited the items.


Specifically, the pumps have a '''"guardian"''' function that limits dosage and speed for many common drugs. Policy states that this feature is to be used. The guardian needs to be enabled and set every time an infusion is set up. The Smart Pump Audit checks how consistently this is done, and what are the reasons why it isn't done.
Specifically, the pumps have a '''"guardian"''' function that limits dosage and speed for many common drugs. Policy states that this feature is to be used. The guardian needs to be enabled and set every time an infusion is set up. The Smart Pump Audit checks how consistently this is done, and what are the reasons why it isn't done.

Revision as of 16:20, 5 August 2008

Purpose

OBJECTIVE: The Smart Pump Audit is a quality improvement initiative that records how the Colleague smart infusion pumps are being used. The objective is to assess compliance and identify barriers to the use of the Guardian Software for the Baxter Colleague Pump within the Critical Care and Medicine Programs in the Regions (WRHA).

BACKGROUND: The Guardian Software provides the capability to detect when pre-defined dosage limits are exceeded. If the dosage limit is exceeded, an alert is provided to the individual who programming the pump. One of the limitations of the pump is that the Guardian Software must be chosen by the pump operator. It is well documented (local use and in literature) that the Guardian Software is at times not utilized. The WRHA regional policy for the Parenteral Drug Therapy Manual (which provides recommendations for IV administration of medications) has incorporated the mandate that the Guardain Software be used when the infused medication is contained within the software library.

METHOD: The data collector at each will RANDOMLY select TWO NON CONSECUTIVE days during each week of the three weeks audit period and will audit every Colleague Pump that is in use on their unit for the following:

  • drug type
  • Guardian Software used: YES or NO
  • provide a reason why Guardian Software is not being used for a selected drug. This information is to be obtained by asking the bedside nurse. Collectors will select a reason from a COMMENT KEY list which is provided.
  • The PDA will automatically stamp the date and time of the the audit when you select the drug item. No need to manually enter the date and time when you audited the items.


Specifically, the pumps have a "guardian" function that limits dosage and speed for many common drugs. Policy states that this feature is to be used. The guardian needs to be enabled and set every time an infusion is set up. The Smart Pump Audit checks how consistently this is done, and what are the reasons why it isn't done.

Audit Dates

  • Once per year
  • started 2006

Comment Key

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