Secondary infusions are a common and convenient method to administer intermittent infusion unattended through a single IV access using infusion pump technology. Previous studies have indicated that clinicians have a high frequency of committing operation errors while administering secondary infusions. The purpose of this study was to evaluate the safety of secondary infusion practice by identifying and analyzing potential failure modes when delivering secondary infusions on five different smart infusion pumps. Healthcare Failure Mode and Effect Analysis (HFMEA) was used to investigate the potential outcomes of each identified failure mode, while prioritizing failure modes that are considered high risk for each pump. General categories of failure modes are described and mitigation strategies for some of the failure modes are discussed.
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