Regenstrief Center for Healthcare Engineering

Speaker Series: Ben Dunford

September 18 @ 11:30 AM - 1:00 PM - MANN 203

Ben Dunford, assistant professor of management, presents. Lunch begins at 11:30 a.m. and the presentation begins at noon. This presentation is open to the public.

 

ABSTRACT:

Organizational, Cultural and Psychological Determinants of Smart Intravenous Pump Workarounds: A study of 3 US health systems

Objective: This study investigated nurse perceptions of Smart intravenous medication pumps to provide evidence based insights on how to help reduce workarounds and improve compliance with patient safety policies.  Specifically we investigated the following three research questions: 1) What are nurses’ current attitudes about Smart intravenous pumps?  2) What do nurses think are the causes of Smart intravenous pump workarounds?  3) To whom do nurses turn for Smart intravenous pump training and troubleshooting? 

Methods: We surveyed a large number of nurses (n=818) in three US based healthcare systems to address the research questions above.  Using a voluntary and anonymous web based survey, we asked nurses about their Smart intravenous pump attitudes, organizational perceptions, and the reasons for workarounds.  Using qualitative research methods we coded open ended responses to questions about the reasons for workarounds to organize responses in to useful categories.

Results:  Nurses reported widespread satisfaction with Smart intravenous pumps.  However, they reported numerous organizational, cultural and psychological causes of Smart pump workarounds.  Of 1,029 open ended responses to the question “why do Smart pump workarounds occur?” 44% of the causes were technology related, 47% were organization related, and 9% were related to individual factors.  Finally, an overwhelming majority of nurses reported seeking solutions to Smart pump problems and receiving training from co-workers rather than supervisors or other leaders. 

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