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Table 4 The results of mix-up test-cases when programming the pumps with another drug’s infusion rate (n = 98)

From: Dose error reduction software in medication safety risk management – optimising the smart infusion pump dosing limits in neonatal intensive care unit prior to implementation

 

Patient 1.0 kg

Patient 3.5 kg

Fentanyl 5 μg/ml

Soft upper limit 0.44 mL/h

Soft upper limit 1.54 mL/h

 Dopamine 1 mg/mL (mL/h)

0.12

0.3

0.6a

0.42

1.05

2.1a

 Norepinephrine 40 μg/ml (mL/h)

0.15

0.3

0.6a

0.53

1.05

2.1a

 Heparin flush 0.6 IU/mla (mL/h)

0.6a

1.0a

N/A

0.6

1.0

N/A

Fentanyl 10 μg/ml

Soft upper limit 0.22 mL/h

Soft upper limit 0.77 mL/h

 Dopamine 2 mg/mL (mL/h)

0.06

0.15

0.3a

0.21

0.53

1.05a

 Norepinephrine 40 μg/ml (mL/h)

0.15

0.3a

0.6a

0.53

1.05a

2.1a

 Heparin flush 0.6 IU/mla (mL/h)

0.6a

1.0a

N/A

0.6

1.0a

N/A

Dopamine 1 mg/ml

Soft upper limit 0.99 mL/h

Soft upper limit 3.46 mL/h

 Fentanyl 5 μg/ml (mL/h)

0.1

0.2

0.4

0.35

0.7

1.4

 Norepinephrine 40 μg/ml (mL/h)

0.15

0.3

0.6

0.53

1.05

2.1

 Heparin flush 0.6 IU/mla (mL/h)

0.6

1.0a

N/A

0.6

1.0

N/A

Dopamine 2 mg/ml

Soft upper limit 0.49 mL/h

Soft upper limit 1.73 mL/h

 Fentanyl 10 μg/ml (mL/h)

0.05

0.1

0.2

0.18

0.35

0.7

 Norepinephrine 40 μg/ml (mL/h)

0.15

0.3

0.6a

0.53

1.05

2.1a

 Heparin flush 0.6 IU/mla (mL/h)

0.6a

1.0a

N/A

0.6

1.0

N/A

Norepinephrine 40 μg/ml

Soft upper limit 0.82 mL/h

Soft upper limit 2.89 mL/h

 Fentanyl 5 μg/ml (mL/h)

0.1

0.2

0.4

0.35

0.7

1.4

 Dopamine 1 mg/mL (mL/h)

0.12

0.3

0.6

0.42

1.05

2.1

 Heparin flush 0.6 IU/ml (mL/h)

0.6

1.0a

N/A

0.6

1.0

N/A

Heparin flush 0.6 IU/ml

Soft upper limit 1.1 mL/h

Soft upper limit 1.1 mL/h

 Fentanyl 5 μg/ml (mL/h)

0.1

0.2

0.4

0.35

0.7

1.4a

 Dopamine 1 mg/mL (mL/h)

0.12

0.3

0.6

0.42

1.05

2.1a

 Norepinephrine 40 μg/ml (mL/h)

0.15

0.3

0.6

0.53

1.05

2.1a

  1. Regardless of the patient’s weight, heparin flush is always used in one of the two optional infusion rates. Therefore, only two test results are reported to mix-ups with heparin flush (N/A indicates no test result reported in the column)
  2. (a) identifies the test cases where the soft upper limit triggered an alert (n = 24/98, 24%)