Kondak, Jackson

Vrsan, Alice, RN-BC, MSN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Research Scholars Evaluating the Decrease in Medication Errors Using IV Pump Electronic Health Record (EHR) Integration Jackson Kondak Alice Vrsan RN-BC, MSN Follow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars  Part of the Medicine and Health Sciences Commons This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. Lehigh Valley Health Network, Allentown, Pennsylvania• Manual programming of ICU Medical PLUM 360 Pumps leads to high error opportunity • Patients receive wrong dose, rate, medication• In 2020, ISMP Board (Institute of Safe Medical Practices) recommended health networks switch to interoperability within 5-7 years• Interoperability reduces error risk– Auto-programming with computer and pump communication– Decreases 17 steps to 7 steps– Utilizes a drug library that stays current with pharmaceutical technology– Bi-directional pathway allows for prescription sent to pump and documentation back to EHR verifying infusion– Enhances efficiency and reduces stress for nurses• Does interoperability reduce medication errors?• Content analysis of FMEA and MedNet• FMEA (Failure Mode and Effects Analysis)– Used to identify and mitigate potential risks/errors– Utilizes “Risk Priority Number” as standardized value for comparison• Severity*Occurrence*Detection=RPN– Solution gets new rating• MedNet– Database of large volume infusions throughout network– “Medications Infused by Medication”• Identifies alerts and frequency of specific drug• Filter applied to generate figures 1 and 2– “Infusion Summary”• Categorizes infusions and alerts• Drug library compliance rates• Filter applied to generate figures 3 and 4• Evaluate the function of integration using ICU Medical IV pumps• List error prone medications• Determine mitigation processes to decrease these errors• Safety improved medications– Integration decreases error in certain medications, typically continuous drugs– Chemotherapy drugs remain high in alert• Integrated vs Non-integrated– Integration resolves many causes for error due to less alerts• Transition to integration – New process and adjustment period; greater compliance rates with more training and monitoring outcomes• Integration → More efficient work environment IntroductionObjectivesResults MethodsConclusionEvaluating the Decrease in Medication Errors Using IV Pump Electronic Health Record (EHR) IntegrationBy Jackson Kondak           Mentor: Alice Vrsan MSN, RN-BCFigure 1 and 2: MedNet alerts per use of error prone medications between integrated site (Pocono) and non-integrated site (Muhlenberg) from 6/07/23 – 6/28/23. Figure 3 and 4: MedNet infusion summary of alerts per program between integrated site (Pocono) and non-integrated site (Muhlenberg) from 6/05/23 – 7/05/23. MuhlenbergPocono00.20.40.60.811.2Frequency of Alert per UseDrugPocono00.20.40.60.811.2Frequency of Alert per UseDrugMuhlenbergFor Access to References Use this QR CodeStep 1: Identify the errors and solutionsStep 2:Seek quantitative data as evidence

Evaluating the Decrease in Medication Errors Using IV Pump Electronic Health Record (EHR) Integration

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1069&context=research-scholars

Evaluating the Decrease in Medication Errors Using IV Pump Electronic Health Record (EHR) Integration

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Lehigh Valley Health Network: LVHN Scholarly Works