Ivenix is committed to helping you achieve the 2020-2021 ISMP Targeted Medication Safety Best Practices
Ivyruth W. Andreica, PharmD, BSN, FISMP, Clinical and Medication Safety Pharmacist
Many hospitals today are using smart infusion devices, yet safety issues persist, along with gaps in clinical efficiencies. Helping clinicians safely and effectively infuse intravenous (IV) medications is a top priority at Ivenix, and doing so is a multipronged effort that requires eliminating gaps during medication administration.
The Institute for Safe Medication Practices (ISMP) recently released its latest smart infusion guidelines – the most comprehensive revision since the last guidelines were updated a decade ago – and we were honored to be involved in development of the new guidelines.
In addition, the ISMP released the 2020-2021 Targeted Medication Safety Best Practices, which outline specific achievable action items that can organizations can target to achieve within one year. We’re pleased to see that Best practice No. 8, which was previously limited to requiring the use of high-alert medications with smart IV pumps, has since been expanded to include all IV infusions.
BEST PRACTICE 8
- Administer medication infusions via a programmable infusion pump utilizing dose error-reduction systems.
- Maintain a 95% or greater compliance rate for the use of dose error-reduction systems.
- Monitor compliance with use of smart pump dose error-reduction systems on a monthly basis.
- Plan for the implementation of bi-directional (i.e., auto-programming† and auto-documentation‡) smart infusion pump interoperability with the electronic health record.
- Allocate resources for ongoing maintenance, updating, and testing of the software and drug library for all smart infusion pumps.
- Ensure drug library content is consistent with the drug information and nomenclature (e.g., drug name, dosing units, dosing rate) in the electronic health record.
- Plan for the implementation of bi-directional (i.e., auto-programming† and auto-documentation‡) smart infusion pump interoperability with the electronic health record
Is your healthcare organization on track to achieve this critical milestone? At Ivenix, we’re committed to helping your institution reach ISMP’s best practice goal by the end of the year. Here’s how:
Compliance rate maintenance and monitoring
The Ivenix pump defaults clinicians into the drug library so they do not have to “opt in,” reducing the number of steps – or potential missteps – while engaging DERS. The library is easily searchable and retrieving infusions takes less time than programming outside of DERS. And our reporting platform provides appropriate reports to help monitor compliance rates.
Drug library maintenance
To ensure efficient drug library maintenance, the Ivenix system has collaborative tools that ensure reviewers can review and comment on drug library content with drug library reports and a pump simulator that can be remotely accessed from anywhere. Ivenix was conscious of the need to ensure near real-time ability to wirelessly update drug libraries on all pumps – the entire fleet can be updated within a few short minutes. After deploying all the content, clinical engineers no longer need to manually collect pumps. Instead, they just log in to a dashboard that informs them of any pumps without the latest updates. Also, drug library updates do not interrupt infusions, clinicians cannot postpone the updates and clinicians do not need to power cycle the pump. Even during periods of drug shortages, drug library update delays do not contribute to low compliance rates and unsafe medication delivery.
The Ivenix pump has a bolus feature that allows users to bolus from the same container, which reduces the recurrence of previously documented errors such as increasing the rate of the primary infusion without a specific volume to be infused. The Ivenix drug library allows the hospital to configure bolus limits that do not have to be similar to the maintenance rate, ensuring clinicians do not do conversions at the bedside. This feature also includes the ability to enter initial doses that pre-populate on the pump, minimizing manipulation at the pump and reducing opportunities for keystroke medication errors.
Interoperability with electronic medical record
Ivenix has a robust platform built to ensure the least amount of effort to build, test and implement interoperability. The Ivenix Management System communicates directly with EMRs, making the process much easier to implement and maintain. During implementation, Ivenix has a novel automated testing tool that ensures the testing can be reduced to a few days instead of months for every drug, ensuring each concentration, infusion parameters and mode of delivery are accurate.
We’re proud of our extensive collaboration with ISMP in developing the latest guidelines, and committed to helping healthcare systems achieve these important goals in targeted medication delivery. We engineered a smart infusion pump that makes complying with these updated guidelines simple and straightforward with the ultimate goal of delivering safer infusions for patients, improving outcomes, all while boosting clinical efficiencies and reducing error-prone manual steps.
For more information on how we can help you reach your medication safety best-practice goals,
drop us a line or download our brochure.