Risk of Medication Errors with IV Pumps
Medication administration errors are among the most vexing and costly events in health care. A therapeutic infusion is intended to help the patient, but sadly patient harm through error can swiftly displace the intended therapeutic effect, which may result in disruption of therapeutic regimen, over- or underdosing leading to loss of intended therapeutic effect, debilitating injury, or even death. In 2020, the Institute for Safe Medication Practices (ISMP) published ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Compiled and reviewed by many clinical experts, this resource outlines the components necessary for developing an organizational infrastructure that promotes safe patient care through the application of smart infusion pump technology. In this session, we will explore the interface between the infusion pump and the nurse (the interface between device and human) as well as the realm in which critical decisions are made and presumptive actions performed; and how successful or deleterious outcomes are initiated.
At the conclusion of this session, participants will be able to:
• Describe the role of smart infusion pumps in optimizing medication safety during medication infusions
• Discuss the risks and benefits of using smart infusion pumps for medication administration
• Explain how to improve the utilization of smart infusion pump technology in the healthcare setting
Evan Frasure, PharmD, BCPS
Evan S. Frasure III, PharmD, BCPS, is currently the director for controlled substance diversion prevention for Duke University Health System. He graduated from pharmacy school at Idaho State University in 2007 and completed a PGY1 residency at Carolinas Medical Center-NorthEast in Concord, North Carolina, where he stayed until he started his career at Duke in 2011. Dr. Frasure has held various roles during his time at Duke, including positions involving continuity of care, administration, and business services. He started in his current role in March 2017. In this role, in addition to overseeing the diversion prevention efforts across the Duke University Health System, Dr. Frasure chairs the Duke University Hospital Smart Pump Quality Oversight Committee and the Department of Pharmacy Core Safety Committee, overseeing quality assurance initiatives and regulatory compliance. He is passionate about patient and medication safety.