PCD Point-of-Care Infusion Verification

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The Point-of-Care Infusion Verification profile supports the electronic transfer of infusion parameters from a Bedside Computer-assisted Medication Administration (BCMA) system to a general-purpose infusion pump.

Summary

Point-of-Care Infusion Verification (PIV) brings infusion systems into the electronic medication administration process. The workflow provides for the electronic transmission of infusion information from a barcode-enabled medication administration system (BCMA) to an infusion pump as part of the medication administration process. This reduces the need for manual programming of the pump, and leverages the use of the pump’s onboard drug library to reduce medication errors.

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Benefits

Reduces or elminates errors in data entry during pump programming
Improves patient safety by providing correct medication orders to the right patient at the right time
Reduces errors in recording the medication administration
Applies the five rights of medication administration electronically


Details

The goal of the proposed integration is to bring infusion systems into the electronic medication administration process. The following primary steps comprise this process:

Order medication
Verify order for inclusion in the eMAR
Prepare and dispense medication
Administer medication

While medication errors can occur at each point in this process, this proposal is concerned with the “Administer medication” step, where half of the errors made by clinicians involve infusions. These errors usually involve a breach of one of the 5 Rights of Medication Administration:

Right Patient
Right Drug
Right Dose
Right Route
Right Time

It is the caregiver’s responsibility to ensure that these rights are reviewed prior to administering each drug or starting each infusion. Because manual programming of the pump may still result in administration errors, this profile was developed to support automated programming the pump, thereby closing the loop between the clinician who uses a BCMA system to verify the 5 Rights and the actual programming of the pump. The Point-of-Care Infusion Verification profile supports the electronic transfer of infusion parameters from a Bedside Computer-assisted Medication Administration (BCMA) system to an infusion pump. This capability will reduce errors by eliminating keystroke errors and by increasing the use of automatic dosage checking facilitated by the onboard drug libraries in “smart pump” systems. In addition to the reduction of medication administration errors, this integration may also increase caregiver productivity and provide more contextual information regarding infusion data.

Systems Affected

  • Infusion Pumps
  • Electronic Medication Administration Systems
  • EMR, CIS

Actors and Transasctions

  • Infusion Order Programmer (IOP)
  • Infusion Order Consumer (IOC)
  • PCD-03: Communicate Infusion Order

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Specification

Profile Status: Trial Implmementation

Documents:

Underlying Standards:

See Also

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Related Profiles

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Reference Articles

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