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Alaris Pump Compliance

Learn how to achieve high compliance in healthcare settings with Alaris pump systems, supported by Aurora Health Care. Set clear goals, establish accountability, and optimize processes to ensure successful compliance. Get insights on addressing low compliance rates and valuable lessons from other organizations.

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Alaris Pump Compliance

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  1. Alaris Pump Compliance Julie L. Kindsfater (Puotinen) October 2013

  2. Aurora Health Care • Private, non-profit • 15 hospitals • 159 clinic sites • 30,000 caregivers • 1.2 million patients

  3. AHC compliance – IPI chartJanuary – August 2013

  4. AHC compliance by profileAugust 2013

  5. Achieving high compliance – set high expectations Set an objective goal and incorporate into your institution's safety goals • E.g. compliance at least 90% in all profiles • Supported by hospital, nursing, and safety leadership • Communicated to and understood by staff • Achievable with your data set

  6. Achieving high compliance - accountability Define accountable parties and process to respond to compliance data • System Alaris analytics team • Nurse representative from each site, drug policy, risk management • Review system data, share lessons learned, review library change requests, discuss system-level issues • Site-based Alaris analytics teams • Nurse (from system committee), pharmacy, quality, risk • Review site data, create and implement site action plan for performance improvement, identify issues to forward to system team • Compliance data sent to team members and site Chief Nurse Officer

  7. Achieving high compliance – data set • Standard concentrations • Drug names match eMAR entry • Entries accommodate clinical practice and order sets • Provide additional tools as needed • Solicit feedback • E.g. Alaris email for library questions/issues

  8. Dashboard – v.1February 2011

  9. Dasboard – v.2February 2012

  10. Dashboard v.4Q2 2013

  11. Addressing low compliance • Investigate • Identify root causes/contributing factors • Solicit feedback • Compliance rounds • Engage accountable parties • Re-educate • What and why

  12. AHC compliance by profileAugust 2013

  13. AHC – pediatricprofile • Discussed with nursing practice council and pediatric nursing groups • Clarified profile name and moved to 1st screen • Revised fluid build • Re-educated nurses on rationale for using library entries and age definitions • Monitored and reinforced

  14. Improving compliance – optimization AHC - minor changes should eliminate 17% of all Guardrail alerts (white noise)

  15. Concerns and lessons learned at other organizations?

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