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https://www.readbyqxmd.com/read/29775384/iv-smart-pumps-and-error-prone-programming-tasks-comparison-of-four-devices
#1
Karen K Giuliano
No abstract text is available yet for this article.
January 2018: Biomedical Instrumentation & Technology
https://www.readbyqxmd.com/read/29724440/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and-patient-safety
#2
REVIEW
Karen K Giuliano
With an estimated 90% of all hospitalized patients receiving intravenous medications via infusion pumps, intravenous infusion pump systems are among the most frequently used technologies in health care. This article reviews important issues regarding clinical usability, intravenous medication administration error, and patient safety related to the use of intravenous smart pumps. Although it is possible to address some of the issues with changes in clinical processes, the most fundamental challenges need to be addressed through innovation and the development of new technologies using a human factors approach...
June 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29692924/influence-of-technique-used-to-attach-the-infusion-set-to-peristaltic-finger-smart-pumps-on-dispensing-time-an-experimental-study
#3
Masayuki Umemura, Kanae Maegawa, Daichi Arai, Katsuro Shigeno, Yoshifumi Wakiya
Background: Infusion sets designed for peristaltic finger smart pumps (PFSPs) are necessary for the pumps' accurate handling. We previously found that medication dispensing is occasionally incomplete following the calculated infusion time when using certain combinations of PFSPs and infusion sets at a Japanese hospital. Thus, in this study, we investigated the cause of this observed delay by determining the effect of infusion set attachment technique on dispensing time using a combination of three kinds of PFSPs and five kinds of polyvinyl chloride (PVC) and polybutadiene (PB) infusion sets...
2018: Journal of Pharmaceutical Health Care and Sciences
https://www.readbyqxmd.com/read/29678481/clinical-decision-support-tools-improving-cancer-care
#4
REVIEW
Robert C Stillman
OBJECTIVES: To describe the clinical decision support tools and advancements in health information technology currently utilized at a National Cancer Institute designated cancer center to aid in achieving the Institute for Healthcare Improvement Triple Aim project. DATA SOURCES: Published literature, Web sites. CONCLUSION: Advances in health information technology facilitate increasing quality and satisfaction with care, improving the health of populations, and reducing the cost of care...
April 17, 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29652752/practice-change-from-intermittent-medication-boluses-to-bolusing-from-a-continuous-infusion-in-pediatric-critical-care-a-quality-improvement-project
#5
Jessica L Hochstetler, A Jill Thompson, Natalie M Ball, Melissa C Evans, Shaun C Frame, A Lauren Haney, Amelia K Little, Jaime L O'Donnell, Bryna M Rickett, Elizabeth H Mack
OBJECTIVES: To determine whether implementing a guideline to bolus medications from continuous infusions in PICUs affects nursing satisfaction, patient safety, central line entries, medication utilization, or cost. DESIGN: This is a pre- and postimplementation quality improvement study. SETTING: An 11-bed ICU and 14-bed cardiac ICU in a university-affiliated children's hospital. PATIENTS: Patients less than 18 years old admitted to the PICU or pediatric cardiac ICU receiving a continuous infusion of dexmedetomidine, midazolam, fentanyl, morphine, vecuronium, or cisatracurium from May 2015 to May 2016, excluding November 2015 (washout period), were eligible for inclusion...
April 12, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29627799/errors-and-discrepancies-in-the-administration-of-intravenous-infusions-a-mixed-methods-multihospital-observational-study
#6
Imogen Lyons, Dominic Furniss, Ann Blandford, Gillian Chumbley, Ioanna Iacovides, Li Wei, Anna Cox, Astrid Mayer, Jolien Vos, Galal H Galal-Edeen, Kumiko O Schnock, Patricia C Dykes, David W Bates, Bryony Dean Franklin
INTRODUCTION: Intravenous medication administration has traditionally been regarded as error prone, with high potential for harm. A recent US multisite study revealed few potentially harmful errors despite a high overall error rate. However, there is limited evidence about infusion practices in England and how they relate to prevalence and types of error. OBJECTIVES: To determine the prevalence, types and severity of errors and discrepancies in infusion administration in English hospitals, and to explore sources of variation, including the contribution of smart pumps...
April 7, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29542348/the-promise-and-perils-of-wearable-physiological-sensors-for-diabetes-management
#7
Frank L Schwartz, Cynthia R Marling, Razvan C Bunescu
Development of truly useful wearable physiologic monitoring devices for use in diabetes management is still in its infancy. From wearable activity monitors such as fitness trackers and smart watches to contact lenses measuring glucose levels in tears, we are just at the threshold of their coming use in medicine. Ultimately, such devices could help to improve the performance of sense-and-respond insulin pumps, illuminate the impact of physical activity on blood glucose levels, and improve patient safety. This is a summary of our experience attempting to use such devices to enhance continuous glucose monitoring-augmented insulin pump therapy...
March 1, 2018: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/29530081/evaluating-optimal-utilisation-of-technology-in-type-1-diabetes-mellitus-from-a-clinical-and-health-economic-perspective-protocol-for-a-systematic-review
#8
Anthony Pease, Clement Lo, Arul Earnest, Danny Liew, Sophia Zoungas
BACKGROUND: Technology has been implemented since the 1970s with the hope of improving glycaemic control and reducing the burden of complications for those living with type 1 diabetes. A clinical and cost-effectiveness comparison of all available technologies including continuous subcutaneous insulin infusion (CSII), continuous glucose monitors (CGMs), sensor-augmented pump therapy (including either low-glucose suspend or predictive low-glucose suspend), hybrid closed-loop systems, closed-loop (single-hormone or dual-hormone) systems, flash glucose monitoring (FGM), insulin bolus calculators, and 'smart-device' applications is currently lacking...
March 12, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29502531/assistive-technologies-for-pain-management-in-people-with-amputation-a-literature-review
#9
REVIEW
Kamiar Ghoseiri, Mostafa Allami, Mohammad Reza Soroush, Mohammad Yusuf Rastkhadiv
The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. The existing assistive devices/technologies for pain management in people with amputation include electrical nerve block devices/technologies, TENS units, elastomeric pumps and catheters, residual limb covers, laser systems, myoelectric prostheses and virtual reality systems, etc...
January 23, 2018: Military Medical Research
https://www.readbyqxmd.com/read/29495998/long-term-outcomes-of-on-versus-off-pump-coronary-artery-bypass-grafting
#10
Neil A Smart, Gudrun Dieberg, Nicola King
BACKGROUND: When comparing effects of on- versus off-pump coronary artery bypass grafting (CABG), it is important to assess the long-term clinical outcomes. However, most research conducted thus far has concentrated on short-term outcomes and ignored the long-term clinical outcomes, especially the 5-year outcomes of the largest randomized controlled trials. OBJECTIVES: The aim of this systematic review and meta-analysis was to investigate the long-term clinical outcomes of on- versus off-pump CABG...
March 6, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29412837/glucose-lowering-therapies-in-type-2-diabetes-opportunities-and-challenges-for-peptides
#11
REVIEW
Clifford J Bailey
This overview considers the opportunities and challenges that face the use of gluco-regulatory peptides to treat type 2 diabetes. New insulin analogues and formulations are being developed with pharmacokinetic properties to speed-up or prolong transfer from a subcutaneous injection site to the target tissues, or to selectively favour effects on the liver. Alternative routes of insulin administration continue to attract attention, and advances in the integration of glucose monitoring with insulin pump devices are improving miniaturised 'closed loop' artificial pancreas systems...
February 2018: Peptides
https://www.readbyqxmd.com/read/29411338/a-multi-hospital-before-after-observational-study-using-a-point-prevalence-approach-with-an-infusion-safety-intervention-bundle-to-reduce-intravenous-medication-administration-errors
#12
Kumiko O Schnock, Patricia C Dykes, Jennifer Albert, Deborah Ariosto, Caitlin Cameron, Diane L Carroll, Moreen Donahue, Adrienne G Drucker, Rosemary Duncan, Linda Fang, Marla Husch, Nicole McDonald, Ray R Maddox, Julie McGuire, Sally Rafie, Emilee Robertson, Melinda Sawyer, Elizabeth Wade, Catherine S Yoon, Stuart Lipsitz, David W Bates
INTRODUCTION: We previously found a high rate of errors in the administration of intravenous medications using smart infusion pumps. OBJECTIVES/DESIGN: An infusion safety intervention bundle was developed in response to the high rate of identified errors. A before-after observational study with a prospective point-prevalence approach was conducted in nine hospitals to measure the preliminary effects of the intervention. MAIN OUTCOME MEASURES: Primary outcome measures were overall errors and medication errors, with the secondary outcome defined as potentially harmful error rates...
February 6, 2018: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/29261309/bioinspired-heterogeneous-ion-pump-membranes-unidirectional-selective-pumping-and-controllable-gating-properties-stemming-from-asymmetric-ionic-group-distribution
#13
Zhen Zhang, Pei Li, Xiang-Yu Kong, Ganhua Xie, Yongchao Qian, Ziqi Wang, Ye Tian, Liping Wen, Lei Jiang
The creation of an artificial solid-state ion pump that mimics the delicate ion transport behaviors of a biological protein-based ion pump is drawing more and more research attention due to its potential applications in energy conversion, biosensor, and desalination. However, the reported bioinspired double-gated ion pump systems are generally very primary and can only realize nonselective ion pumping functions with no directionality and uncontrollable ion gating functions, which are far from their biological counterparts...
January 24, 2018: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/29258525/advancing-perinatal-patient-safety-through-application-of-safety-science-principles-using-health-it
#14
Jennifer Webb, Asta Sorensen, Samantha Sommerness, Beth Lasater, Kamila Mistry, Leila Kahwati
BACKGROUND: The use of health information technology (IT) has been shown to promote patient safety in Labor and Delivery (L&D) units. The use of health IT to apply safety science principles (e.g., standardization) to L&D unit processes may further advance perinatal safety. METHODS: Semi-structured interviews were conducted with L&D units participating in the Agency for Healthcare Research and Quality's (AHRQ's) Safety Program for Perinatal Care (SPPC) to assess units' experience with program implementation...
December 19, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29216107/fabrication-of-ultra-high-numerical-aperture-geo-2-doped-fiber-and-its-use-for-broadband-supercontinuum-generation
#15
P Harshavardhan Reddy, A V Kir'yanov, Anirban Dhar, Shyamal Das, Debjit Dutta, Mrinmay Pal, Y O Barmenkov, J A Minguella-Gallardo, Shyamal Kumar Bhadra, Mukul Chandra Paul
We report the fabrication, characterization, and application (broadband supercontinuum [SC] generation) of ultra-high numerical-aperture heavily (50 mol. %) GeO2 -doped optical fiber, obtained through a modified chemical vapor deposition process and rod-in-tube method. The formation of Ge-related diamagnetic defect centers, such as germanium oxygen defect centers (GeODC) with nonbridging lone electron pairs, confirmed by x-ray photoelectron spectroscopy and optical absorption studies, inducing hypolarizable local dipoles, may be responsible in boosting the nonlinear effects and enhancing stimulated Raman scattering at pumping with high-power pulses, culminating in generation of broadband SC generation...
November 20, 2017: Applied Optics
https://www.readbyqxmd.com/read/29212333/-quo-vadis-diabetes-technology
#16
George Grunberger
Management of patients with diabetes mellitus who require intensive insulin therapy has changed dramatically. From urine and then whole blood glucose monitoring patients can now wear personal continuous glucose monitors; from using multiple insulin injections they can now deliver subcutaneous insulin continuously using ever-more sophisticated insulin pumps. With the current integration of continuous glucose monitoring and insulin pumps a new era is arriving when "smart" insulin pumps can automate insulin delivery to assure more stable glycemic control while minimizing episodes of hypoglycemia...
2017: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/29212332/quo-vadis-diabetes-technology
#17
George Grunberger
Management of patients with diabetes mellitus who require intensive insulin therapy has changed dramatically. From urine and then whole blood glucose monitoring patients can now wear personal continuous glucose monitors; from using multiple insulin injections they can now deliver subcutaneous insulin continuously using ever-more sophisticated insulin pumps. With the current integration of continuous glucose monitoring and insulin pumps a new era is arriving when "smart" insulin pumps can automate insulin delivery to assure more stable glycemic control while minimizing episodes of hypoglycemia...
2017: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/29171371/-safe-medication-administration-in-hospitals
#18
W van der Veen, K Taxis, P M L A van den Bemt
- Every day medication is administered to thousands of hospital inpatients, and medication administration errors can occur.- Interventions to reduce medication administration errors have been developed and tested; these include training, double-checking procedures, and technological solutions (such as smart infusion pumps and barcode-controlled drug administration).- Most of the studies that investigated these interventions were small, meaning it is unclear which intervention is the most effective. More research is needed to identify the best solutions...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29152973/epidermal-microfluidic-electrochemical-detection-system-enhanced-sweat-sampling-and-metabolite-detection
#19
Aida Martín, Jayoung Kim, Jonas F Kurniawan, Juliane R Sempionatto, Jose R Moreto, Guangda Tang, Alan S Campbell, Andrew Shin, Min Yul Lee, Xiaofeng Liu, Joseph Wang
Despite tremendous recent efforts, noninvasive sweat monitoring is still far from delivering its early analytical promise. Here, we describe a flexible epidermal microfluidic detection platform fabricated through hybridization of lithographic and screen-printed technologies, for efficient and fast sweat sampling and continuous, real-time electrochemical monitoring of glucose and lactate levels. This soft, skin-mounted device judiciously merges lab-on-a-chip and electrochemical detection technologies, integrated with a miniaturized flexible electronic board for real-time wireless data transmission to a mobile device...
December 22, 2017: ACS Sensors
https://www.readbyqxmd.com/read/28879317/the-evaluation-of-implementing-smart-patient-controlled-analgesic-pump-with-a-different-infusion-rate-for-different-time-duration-on-postoperative-pain-management
#20
Saeyoung Kim, Younghoon Jeon, Hyeonjun Lee, Jung A Lim, Sungsik Park, Si Oh Kim
BACKGROUND: Control of postoperative pain is an important aspect of postoperative patient management. Among the methods of postoperative pain control, patient-controlled analgesia (PCA) has been the most commonly used. This study tested the convenience and safety of a PCA method in which the dose adjusted according to time. METHODS: This study included 100 patients who had previously undergone orthognathic surgery, discectomy, or total hip arthroplasty, and wished to control their postoperative pain through PCA...
December 2016: Journal of Dental Anesthesia and Pain Medicine
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