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Innovations you need to know about

29-Feb-2016

RQHR leads Hospira (SMART) pump kick off of provincial initiative

New Smart IV pumps at the patient’s bedside will ensure a provincial standard for the administration of intravenous medication, improving patient safety in Saskatchewan.

Through a provincial initiative supported by the health regions, Saskatchewan Cancer Agency, eHealth Saskatchewan and 3sHealth, approximately 3,000 new Hospira Plum 360 IV pumps will be introduced in hospitals, health-care facilities and homecare environments throughout the province over the next 10 months. The Smart IV pumps provide innovative technology using a pre-programmed standard drug library with minimum and maximum dosing limits. Saskatchewan is the first Canadian province to implement the new Hospira 360 pump.

Implementation of the pumps commenced last week in the RQHR ICUs. In the coming weeks pumps will be introduced in Regina hospitals and health care settings and into rural areas within the RQHR.

The ‘smart’ pumps differ from typical infusion pumps in that they are pre-programmed with the provincial drug library. Over the past six months, pharmacists, physicians, and nurses from across Saskatchewan worked together to create and validate the drug library. This will be entered into the drug error reduction software and a provincial process for keeping the drug library current will be created. This software will increase patient safety by reducing dosage errors.

The provincial team involved in testing the equipment has included RQHR staff who have been integral members involved in developing training, standard work and communication plans that will be replicated as the program rolls out across the province.

“Understanding the new technology, the provincial drug library to support it, and the impact this can have on patient safety are important concepts that need to be communicated to all staff, not just the clinicians who will be working directly with the pumps,” says Lori Garchinski, Executive Director, Critical Care, Cardiosciences and Medicine In patient units for RQHR and Chair of the Smart Pump Education and Training Working Group. “Training sessions and material created by the provincial committee will ensure the pumps are utilized appropriately.”

There are two impacts from the doctors’ perspective. Firstly for those working outside the ICUs, ordering of infusions will be the same as before, with safer administration of those infusions. For those working within the ICUs and other critical areas such as ED, Operating rooms and in Code Blue situations, they have been fully engaged in changing of some dosage concentrations and standardizing to weight based management.

Using an innovative financing model, the health system has acquired an investment of $8.8 million in the smart pumps without any cash up front and with lower operational costs compared to the previous year.

This initiative is an example of better quality at lower cost.

New ECG Software

Monthly we obtain on average 4000 ECGs and store in paper form. This storage software will allow ECGs to be electronically stored and anyone with SCM access will be able to view the results as long as they have access to patient demographics and be within the circle of care. There will also be an ability to view ECGs remotely from home. This technology will enable to us to continue to provide the highest quality of care as it will reduce the time it takes to diagnosis cardiac problems as results can be viewed anywhere whether they are outside an urban hospital setting or in a rural hospital setting. This purchase would not be possible without the generous donation from GMS.

On-line Availability of Echocardiogram and Trans-esophageal Echo

Commencing Feb 29, 2016, all pediatric and adult based echocardiograms and Trans-esophageal Echoes (TEEs) results (once they have been interpreted and dictated by a Cardiologist) will now be stored and available for viewing in Sunrise Clinical Manager. This change will result in more optimal acute care bed utilization as a result of more timely diagnostic assessment and resulting care and management of patients. Until all clinicians are used to this change in process, a paper copy of results will also be available and stored in the patient chart.