Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study
- Submitting institution
-
University College London
- Unit of assessment
- 11 - Computer Science and Informatics
- Output identifier
- 14421
- Type
- D - Journal article
- DOI
-
10.1136/bmjqs-2017-007476
- Title of journal
- BMJ Quality and Safety
- Article number
- -
- First page
- 892
- Volume
- 27
- Issue
- 11
- ISSN
- 2044-5415
- Open access status
- Compliant
- Month of publication
- April
- Year of publication
- 2018
- URL
-
-
- Supplementary information
-
https://qualitysafety.bmj.com/content/qhc/27/11/892/DC1/embed/inline-supplementary-material-1.pdf?download=true
- Request cross-referral to
- -
- Output has been delayed by COVID-19
- No
- COVID-19 affected output statement
- -
- Forensic science
- No
- Criminology
- No
- Interdisciplinary
- Yes
- Number of additional authors
-
14
- Research group(s)
-
-
- Citation count
- 26
- Proposed double-weighted
- No
- Reserve for an output with double weighting
- No
- Additional information
- This paper reports the largest study worldwide systematically investigating errors involving programmable infusion devices (16 hospitals, 2008 observations; next largest is 10 hospitals, 1164 observations). Our evidence challenges the orthodoxy that “smart” pumps significantly reduce errors. It highlights the complexity of practice and the need for systems thinking (beyond design into deployment and use). The study adapted methods from a US study to enable international comparison. It led to invitations to present at multiple policy events including workshops organised by https://namdet.org/ and a parliamentary roundtable on infusion device design (contact: Tina Worth). Those discussions are ongoing.
- Author contribution statement
- -
- Non-English
- No
- English abstract
- -