- Infusion devices
- NPSA have issued guidance to reduce errors
- Standardisation of devices
- Evaluation of experience
- Development of training
- Staring the infusion
- Choice of device
- Connections
- Correct settings
- Activating the device
- Purging removes the mechanical slack in the system
- Anti-siphon valve
- Used with syringe drivers. If the pump is 100cm above patient or there is a crack in the line siphoning can occur
- Anti-reflux valve
- Prevent backflow up a secondary and often low pressure line and prevent a subsequent bolus
- Dosage calculations
- Use of pre filled bags, 2nd person check
- Documentation
- Priming the system
- Large priming volumes increase risk of delayed boluses
- Delivery of the infusion
- Inadvertent bolus
- Connect to pump before patient
- Siphonage or free flow
- Avoided by above measures
- Occlusion
- Often need to be overcome by higher pressures
- Post-occlusion bolus
- Given following the release of an occlusion
- Air entrainment
- Tampering
- Problems
- Setting up errors
- Calculation error
- Error in drawing up solution
- Incorrect settings
- Under-infusion
- Faulty device
- Mechanical slack
- Air in line
- Occlusion
- Over-infusion
- Faulty device
- Siphonage
- Free-flow
- Post-occlusion bolus
- Inadvertent bolus during transfer
- Communication errors
- Incorrect record
- Label abscence
- Incorrect information during handover
- Organisational structure
- Procurement
- Only one type of syringe driver and 1 type of volumetric pump
- Training
- Covered under Health and safety law. 3 yr refresher courses.
- Maintenance
- CEACCP
Link:ceaccp.oxfordjournals.org/content/4/3/81.full.pdf