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

2. 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

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

4. Data Study: How Fast Do Pumps Update?

5. 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

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

7. 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

8. 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

9. Visual Cue Prototype
Signage
Poster Board
April 2017 B
Beagle

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

11. We need your help….
Frontline Users Survey
Registered Nurse
 LVN/LPN
 Advanced Practice Nurse
 Pharmacist
 Nurse Anesthetist/ Anesthesiology
 Medication Safety Officer/ Patient Safety Officer
 Biomedical Engineer
 Supply Chain Management

12. Thank you
Questions?