A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center
Tran M, Ciarkowski S, Wagner D, Stevenson JG.Jt Comm J Qual Patient Saf. 2012 Mar;38(3):112-9.
As with the use of any therapy involving opioids,
patient-controlled analgesia (PCA)–related errors can lead to
overdose and even death. “Smart” (computerized) pumps have
medication safety enhancements, particularly those related to
operator errors during administration, to improve overall safety
and efficacy. After the occurrence of PCA–related errors that
occurred at a tertiary care academic medical center, an analysis
of PCA errors was conducted. The introduction of smart pumps was
identified as a possible solution, and the medical center adopted
the technology in 2006.
A study was conducted to investigate the impact of