9Is this the volume or flowrate accuracy ? Most intravenous infusion pumps are specified to deliver within +/- 5 %Is this the volume or flowrate accuracy ?
10FLOW ACCURACYMost intravenous infusion pumps are specified to deliver within 5 % of flow setting , 10 % is acceptable for most applications ; for critical applications, the error should not exceed 5 %Inspection and Preventive Maintenance System ECRI . All Rights Reserved.
14B A C Infusion pump performance parameters Good long term accuracy Alarm after occlusion Small occlusion bolus Able to detect small air embolus Small flow rate increments Bolus accuracyBAGood long term accuracy Good short term accuracy Rapid alarm after occlusion Small occlusion bolus Able to detect very small air embolus Small flow rate increments Good bolus accuracyLong term accuracy Alarm after occlusion Small occlusion bolus Able to detect small air embolus Increments flow rateC
15B C A START is the patient a neonate ? N N Is a drug being delivered ? YYThe drug have a short half life or narrow therapeutic index ?NIs the drug diamorphine ?Is the patient volume sensitive ?YYYNNBCA
17In the early 1990sFirst reported in the early 1990s by ISMP and the ECRI Institute , accidental, uncontrolled free-flow of IV solutions after removal of administration sets from infusion pumps was recognized as a serious problem that led to death and patient injury- 22k -
18In September 1992ECRI , issued a recommendation against purchasing any infusion device that dose not have a free flow protection built in to the administration sets
19In 1994FDA published an advisory with its own suggestions for preventing infusion-related errors.
20In November 2000JCAHO released a Sentinel Event Alert on infusion pump risks, noting that at least six deaths because of free-flow accidents.
212003 JCAHO National Patient Safety Goals: Goal 5 : Improve the safety of infusion pumpsEnsure free-flow protection on all general-use and PCA intravenous infusion pumps used in organization.
222003 JCAHO National Patient Safety Goals: Free-flow protectionrefer to a design in which the protection is built in to the administration set used with the pump