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Observing Nurse Interaction with Infusion Pump Technologies.


In: Henriksen K1, Battles JB1, Marks ES2, Lewin DI1, editors.


Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology). Rockville (MD): Agency for Healthcare Research and Quality (US); 2005 Feb.
Advances in Patient Safety.

Author information

Agency for Healthcare Research and Quality
US Department of Defense
Department of Industrial Engineering, University of Wisconsin-Madison (PC, MO, PR, BH, SS). Center for Quality and Productivity Improvement, University of Wisconsin-Madison (PC, ASH, MO, SS). University of Wisconsin Hospital and Clinics (JD, TR, ME). University of Wisconsin Medical School (TBW). [Note: TR is now at the Ben Taub General Hospital, Houston, TX, and JD is now at the Washington Medical Center, Seattle, WA.]


In this paper, we describe the use of observational methods to assess the interaction between nurses and medication administration technologies. The observations were conducted to examine the use of point-of-care bar code technology and pre- and post-implementation of intravenous (IV) pumps with medication delivery software to prevent programming errors (known as Safe Medication Administration through Technologies and Human Factors or SMArTHF or Smart IV pumps). A total of 62 observations were conducted for the bar code technology, 52 observations were conducted pre-implementation of the Smart IV pumps, and 63 observations post-implementation of the Smart IV pumps. We describe the procedures used to collect data, and we present preliminary observation data analysis on the physical environment and the sequence of steps used in the medication administration process under three technological conditions (bar code technology, IV pump technology (before implementation of Smart IV pump), and Smart IV pump technology (after implementation of Smart IV pump).

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