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With the goal of enhancing patient safety, smart pump drug libraries typically provide a comprehensive list of an organization’s available medications along with protocols for concentration, dosing unit, and overall dosing limits as well as clinical advisories for each drug.
Smart IV infusion pump safety issues include users bypassing the drug library and its built-in dosing limits, failure to program limits, alert fatigue, a cumbersome library creation, and non-standard update process as well as underutilization of data resulting in missed quality improvement opportunities.
This paper is part one of a series and reviews these drug library challenges in detail. A companion paper examines solutions to these challenges.