Master Dataset: Monitoring smart infusion pumps in adult intensive care units

The administration of medications in intensive care units is one of the main care activities performed by nursing professionals. The integration of scientific knowledge, combined with the use of technologies such as infusion pumps, helps reduce errors and improve the quality of care. Our objective was to describe the use of an infusion pump monitoring platform in the administration of medications in adult intensive care units at a University Hospital in Bogotá, Colombia. An observational, retrospective study was conducted, collecting 35,738 records of medication administration from 5 intensive care units through the use of a monitoring platform during the year 2023. A descriptive analysis was performed using frequencies and proportions, along with simple compliance associations between medications and dosages. The results revealed adherence to the drug library (66%) during the first year of using the monitoring platform, and reported 5,589 pullback involving high-risk medications, 76% of which were related to the administration of norepinephrine, midazolam, and fentanyl. These results were consistent with other studies, which reported compliance with drug libraries ranging from 65% to 80% during the first year. Finally, the implementation of institutional monitoring programs for medication administration, through the use of technologies integrated into infusion pumps, can positively impact patient safety, reduce care-related costs, and strengthen the continuous improvement of healthcare institutions.

重症监护病房内的药物给药操作是护理人员开展的核心护理活动之一。将科学知识与输液泵(infusion pump)等技术手段相结合，有助于降低给药差错、提升护理质量。本研究旨在描述哥伦比亚波哥大某大学医院成人重症监护病房中，输液泵监测平台在药物给药流程中的应用情况。本研究为回顾性观察性研究，于2023年依托该监测平台，从5个重症监护病房中共收集到35738条药物给药记录。研究采用频次与占比开展描述性分析，并辅以药物与给药剂量间的简单依从性关联分析。结果显示，在启用监测平台的首年，药物库(drug library)依从率达66%；期间共记录到5589起高风险药物给药回撤事件，其中76%与去甲肾上腺素、咪达唑仑及芬太尼的给药操作相关。该结果与其他同类研究一致，后者报道的首年药物库依从率区间为65%至80%。综上，通过集成输液泵技术的医疗机构给药管理监测项目，可对患者安全产生积极影响，降低护理相关成本，并助力医疗机构持续优化医疗服务质量。