Revista da Escola de Enfermagem da USP (May 2020)

Handling errors in conventional and smart pump infusions: A systematic review with meta-analysis

  • Ana Paula Amorim Moreira,
  • Márglory Fraga de Carvalho,
  • Roberto Carlos Lyra da Silva,
  • Cristiano Bertolossi Marta,
  • Eliana Rosa da Fonseca,
  • Maria Tereza Serrano Barbosa

DOI
https://doi.org/10.1590/s1980-220x2018032603562
Journal volume & issue
Vol. 54

Abstract

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Abstract Objective: To identify the scientific evidence on the frequency of handling errors of conventional and smart pump infusions in intravenous insulin therapy in intensive care units. Method: A systematic review with meta-analysis conducted in the Virtual Health Library, MEDLINE via PubMed, Scopus and Web of Science databases. Articles were assessed regarding the level of evidence by applying the Oxford Center for Evidence-Based Medicine Evidence Scale. Results: Twelve (12) publications were selected which met the eligibility criteria. The programming error rate using the conventional infusion pump ranged from 10% to 40.1%, and the smart pump technology error rate ranged from 0.3 to 14%. The meta-analysis of two studies favored the smart pump in reducing the relative risk of programming errors by 51%. Conclusion: Based on selected articles, the smart pump reduces the risk of programming errors.

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