ISMP Survey on Smart Infusion Pumps

ISMP is conducting a survey on smart infusion pumps (programmable pumps with dose error-reduction software) to gather information about current practices when using these devices. If you use smart pumps in your facility, please direct this survey to the individual most knowledgeable about implementation and current use of the smart pumps.

Dear smart pump facility representative: Please take a few minutes to tell us how smart pumps are being used in your facility. Please submit your responses to ISMP by September 5, 2008.

1. How long have you been using smart infusion pumps?

Less than 1 year
1-2 years
3 or more years

2. For which of the following activities do you use a wireless system? (select all that apply)

Updating drug libraries
Tracking pump locations
Obtaining data/reports
Don’t have a wireless system

3. How many times per year do you typically modify the drug library?

0
1
2-4
More than 4

4. Your drug library/profile selections are based on which criteria? (select all that apply)

Patient care area
Patient weight
Therapeutic drug class
Other:

5. For each patient care unit listed in the first column of the table, select the types of infusions for which you employ smart infusion pumps. Select Y (Yes) if you use smart pumps for the specified infusion; Select N (No) if you do not use smart infusion pumps for the specified infusions; Select NA (Not Applicable) if you do not administer the type of infusion on the specified unit, or if you do not have the specified unit in your facility.

Patient Care Units	General Infusions	Bolus Doses	Intermittent Infusions (e.g., antibiotics)	PCA	TPN	Blood	Chemo-therapy	Titrating Infusions	Enteral Feedings
Medical/Surgical	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Adult Critical Care	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Pediatric Critical Care	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Neonatal Critical Care	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Pediatrics	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Oncology	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Surgical Suites	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Post Anesthesia Care	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Obstetrical	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Emergency Department	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Endoscopy	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Radiology	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA
Other:	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA	Yes No NA

6. For each type of drug infusion listed across the top of the table, please tell us how many concentrations exist in the drug library, and whether you employ a soft stop (can bypass dose warning), hard stop (cannot bypass dose warning), or no stop (no warning) if a maximum dose is exceeded when programming the pump.

	Number of concentrations in the drug library:	Use of soft stops, hard stops, or no stops if maximum dose exceeded:
Insulin
Heparin
Propofol
DOBUTamine
DOPamine
HYDROmorphone
EPINEPHrine
Phenylephrine
Morphine

7. How often do you review data from the smart infusion pumps?

Daily
Weekly
Monthly
Every 6 months
Yearly
Data not reviewed
No data available

8. During the past 12 months, has your organization experienced pump programming errors associated with the following factors that have reached patients, despite using smart pumps?

a) Selection of a zero instead of a decimal point (e.g., 1.2 entered at 102) Yes No Don’t Know
b) Omission of a decimal point (e.g., 1.2 entered as 12, 1.0 entered as 10) Yes No Don’t Know

9. Please tell us how many licensed beds are in your facility.

Less than 100
101-200
201-300
301-400
401-500
More than 500