Automated collection of infusion pump data: nurse usage and perceptions

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Title Automated collection of infusion pump data: nurse usage and perceptions
Publication Type thesis
School or College School of Medicine
Department Biomedical Informatics
Author Dalto, Joseph Desmond
Date 1997-12
Description Automated collection of infusion pump data has existed at LDS Hospital since 1986 using a prototype Medical Information Bus (MIB). No study to date has evaluated how nurses utilize the MIB for infusion pump data. This research presents two studies on utilization of automated collection of infusion pump data. The first study was conducted in four adult Intensive Care Units (ICUs) at LDS Hospital and evaluated nurse use and perceptions of automated data collection. The second study was conducted in the ICU at McKay-Dee Hospital and collected data before and after the implementation of an automated data collection system using the IEEE 1073 MIB standard. The study on nurse usage of automated data collection at LDS Hospital was conducted from mid December of 1995 to mid March of 1996. Measured variables were the medication infused, the method of infusion, and the number of rate changes for each infusion. The nurses used the prototype MIB for 53.4% of 9,644 infusions. Of the 22,199 rate changes documented during this study, 99.35% (22,055) were documented by the MIB. To evaluate nurse perceptions of automated data collection a paper survey was distributed to the nurses in October of 1995. Of the 158 surveys distributed, 72 were returned giving a response rate of 46%. The nurses felt that the prototype MIB improved the accuracy (p < 0.001), timeliness (p < 0.001), and completeness (p < 0.001) of documentation. Of the 72 nurses who responded, 67 felt that the prototype MIB saved them time. The repeated measures trial at McKay-Dee Hospital was conducted from June 1996 through March 1997 and reported data on 6,209 infusions. Before implementation of the MIB, nurses documented an average of 0.69 rate changes per infusion. After implementation, an average of 1.32 rate changes per infusion were documented. The nurses used automated data collection for 40.7% (985) of the infusions which accounted for 76.84% (2,458) of the rate changes documented. The results of these studies showed that automated data collection systems can provide a more complete clinical record. Furthermore, nurses perceived that automated data collection improved the quality of documentation and saved them time.
Type Text
Publisher University of Utah
Subject MESH Infusion Pumps; Medical Informatics; Automatic Data Processing; Intensive Care Units; Documentation; Data Collection; Critical Care Nursing
Dissertation Institution University of Utah
Dissertation Name Master of Science
Language eng
Relation is Version of Digital version of Automated Collection of Infusion Pump Data: Nurse Usage and Perceptions
Rights Management Copyright © Joseph Desmond Dalto 1997
Format application/pdf
Format Medium application/pdf
Format Extent 1,200,416 bytes
Identifier undthes,4410
Source Original in Marriott Library Special Collections
ARK ark:/87278/s6377bfg
Setname ir_etd
ID 190373
Reference URL https://collections.lib.utah.edu/ark:/87278/s6377bfg
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