Visual Cues for Smart Pump Drug Limit Library Update to Improve Patient Safety April 2017

Introduction Jim Fuller Todd Walroth Andrew Fritschle- Hilliard Indiana Coalition for Patient Safety Todd Walroth Eskenazi Health Andrew Fritschle- Hilliard Eskenazi Health Yuehwern Yih Regenstrief Center for Healthcare Engr. Purdue University Add pictures Denny Yu Purdue University Poching DeLaurentis Regenstrief Center for Healthcare Engr. Jane Hong Purdue University

Drug Limit Library (DLL) – Wireless Update Downloading new drug limit library (DLL) wirelessly Manual process to complete the update Power cycling

Data Study: How Fast Do Pumps Update?

Data Study: Findings from Pump Status Reports We followed pump status patterns of 3 update cycles (total of 80 days) for one hospital (686 pumps) 251 (36.58%) pumps were current at the end of all three update cycles. All of these were on average current for only 54 days (67.6%) out of 80. Only 13 pumps (1.8%) were current more than 80% of the time (64 days). 159 (23.17%) pumps were NEVER current during entire three update cycles. Systems/process failure– information and physical workflows need to be re-designed, coordinated and integrated

CTSI CHeP Project Visual Cues for Smart Pump Drug Limit Library Update to Improve Patient Safety (protocol #: 1610892136) Indianapolis Coalition for Patient Safety (ICPS) Eskenazi Health Purdue University Funding - 2016 Indiana CTSI Community Health Partnerships (CHeP) Trailblazer Award - Community-engaged pilot projects

Study Questions Objective Implementing a visual cue to increase frontline users’ awareness of pump library updates Improve the speed of pump updates to ensure patient safety

Study Design Phase I: Baseline Metrics Method: survey Population: Frontline users of infusion pumps and patient safety experts Phase II: Focus Group for Visual Cue Design Method: User-centered design approach Population: 10 – 15 frontline pumps users Phase III: Implementation and Assessment of Intervention Method: Intervention and control groups in one facility; end-of-survey; statistical analysis of pump data Population: Frontline users of the study group

Visual Cue Prototype Email Signage Poster Board April 2017 B Beagle

Expected Outcome Increased staff awareness Shortened time to complete updating drug library in the fleet

We need your help…. Frontline Users Survey https://redcap.uits.iu.edu/surveys/?s=T7NR3A8RJC Registered Nurse  LVN/LPN  Advanced Practice Nurse  Pharmacist  Nurse Anesthetist/ Anesthesiology  Medication Safety Officer/ Patient Safety Officer  Biomedical Engineer  Supply Chain Management

Thank you Questions?