A REVIEW ON PATIENT-CONTROLLED ANALGESIA INFUSION SYSTEM

  • Usha Rani Shola School of Computing Science and Engineering, Vellore Institute of Technology, Chennai, Tamil Nadu, India
  • Neela Narayanan V School of Computing Science and Engineering, Vellore Institute of Technology, Chennai, Tamil Nadu, India

Abstract

PCA is a patient-controlled analgesia infusion pump, which is used to infuse the medicine into the patients after surgery. It contains a syringe with pain medicine to infuse that is prescribed by the physician. The drugs used for pain control are high-alert medicines, since overmedication may cause death to the patients. These types of unbearable events may happen due to medical errors, prescription errors, adverse events (AEs), etc. Hence, it requires a precautionary attention or continuous monitoring for PCA pump infusion patients. However, always physicians or nurses may not monitor a patient continuously. To provide safety to the patient, the PCA pump needs a smart care process to alert the physician. This study represents the survey on PCA pump errors, AEs, and solutions for it to avoid them. The solution will automatically alert the infusion-related situation of the patients, those are taking the intravenous drug infusion at different procedure rooms in the hospitals. Moreover, it increases the safety to infusion pump with advances of decision-making in health, patient monitoring, alert notification to nursing, and productivity. This quality care can be achieved by integrating the PCA pump with other intelligent systems.

  

Keywords: Bar-coded medication administration system, Computerized provider order entry, Electronic medication administration record, Interoperability, Patient-controlled analgesia.

References

1. Goldman JM. Medical Director, Partners HealthCare Biomedical Engineering Director, Integraing the Clinical Environment to Improve Patient Safety at the Sharp edge of healthcare Delivery, CIMIT/
MGH Program on Medical Device Plug--and---Play Interoperability (MD PnP) AGending Anesthesiologist, MassachuseGs General Hospital, MIT SDM 2011 Conference on Systems Thinking for- Contemporary-Challenges. Available from: https://www.sdm.mit. edu/systemsthinkingconference/2011/docs/Goldman_2011-Systems- Thinking-Conference.pdf.
2. Ritter HT IIIrd. Making patient-controlled analgesia safer for patients. Pa Patient Saf Advis 2011;8(3):94-9.
3. Vanderveen T. From Smart Pumps to Intelligent Infusion Systems – The Promise of Interoperability, Published on Tuesday, 27 May 2014, Patient Safety and Quality Health Care. Available from: http://www. psqh.com/analysis/from-smart-pumps-to-intelligent-infusion-systemsthe- promise-of-interoperability.
4. Leonard P, Beattie TF, Addison PS, Watson JN. Standard pulse oximeters can be used to monitor respiratory rate. Emerg Med J 2003;20(6):524-5.
5. Bench. Tech Nation Staffon posted in ECRI: In depth - Dose error reduction systems. In: ECRI Updates, Magazine. Ludington, MI: The Bench; 2014.
6. Cummings K, McGowan R. Smart infusion pumps are selectivelyintelligent. Nursing 2011;41(3):58-9.
7. Koutnik E. Infusion Pumps are Reducing Medication Errors. Available from: http://www.pharmacytimes.com/print.php.
8. Reston J. Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices, Chapter 6 Smart Pumps and Other Protocols for Infusion Pumps: Brief Review.
9. Rani SU, Narayanan VN. Interoperable framework solution to ICU health care monitoring. ICTACT J Commun Technol 2015;6(1):1072-9.
10. Available from: http://www.promisetoamanda.org/2012/06/07/hai.
11. Available from: http://www.prnewswire.com/news-releases/deathof-
18-year-old-amanda-abbiehl-and-opioid-induced-respiratorydepression- physician-patient-alliance-for-health--safety-releasespodcast- on-fifth-death-anniversary-300115196.html.
12. Available from: http://www.searchhealthit.techtarget.com/definition/ Bar-Coded-Medication-administration.
13. Institute for Safe Medication Practices. April, 1; 2009. Available from: https://www.ismp.org/
newsletters/acutecare/archives.
14. Adverse Events Involving Intravenous Patient Controlled Analgesia; 2007. Available from: https://www.ncbi.nlm.nih.gov/ pubmed/17617499.
Statistics
499 Views | 235 Downloads
How to Cite
Shola, U., and N. V. “A REVIEW ON PATIENT-CONTROLLED ANALGESIA INFUSION SYSTEM”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 13, Apr. 2017, pp. 117-21, doi:10.22159/ajpcr.2017.v10s1.19588.
Section
Original Article(s)