End-to-end infusion safety

Move orders seamlessly across every touch point—from pharmacy to bedside—to help reduce errors from preparation to administration
Challenges

Manual processes in IV compounding and administration pose significant risks of inaccuracy and error

Disparate processes and systems requiring manual hand-offs are largely to blame

56% of the most costly and serious medication errors are IV-related.

56% of the most costly and serious medication errors are IV-related.

Physicians expect the order they place to be the medication order administered to the patient, but disparate infusion technologies and manual workflows make compounding and administration complex and error-prone.

(Prusch, A., Suess, T., Paoletti, R., Olin, S. et al. (2011, May). Integrating technology to improve medication administration. American Journal of Health System Pharmacy. 68(9):835–842.)

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7% of IVs are compounded in error, even in high risk situations.

7% of IVs are compounded in error, even in high risk situations.

Errors in IV compounding and administration can put patients' safety at risk, and when a patient reacts unexpectedly to a med, it's difficult to pinpoint the root cause of the problem.

(Reece KM, Lozano MA, Roux R, Spivey SM. Implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy. Am J Health Syst Pharm. 2016;73(3):165–173.)

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1 in 2 nurses have witnessed a medical error because of a lack of device coordination.

1 in 2 nurses have witnessed a medical error because of a lack of device coordination

Nearly all agreed that medical errors could be reduced if medical devices were connected in such a way that they shared data with each other automatically.

(Missed Connections: A Nurses Survey on Interoperability and Improved Patient Care, West Health Institute, March 2015.)

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Only 28% of infusion-related medication errors can be averted with dose error reduction software alone.

Only 28% of infusion-related medication errors can be averted with dose error reduction software alone.

Infusion orders flow from the physician to the pharmacist—but then the communication breaks down at the patient’s bedside, so the nurse must manually program the pump and document the results.

(ECRI Institute. Infusion Pump Integration. In:ECRI Institute, Health Devices, Plymouth Meeting, PA: ECRI Institute; 2013: 210-221.)

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A new approach

Safely manage meds from the pharmacy to the bedside

Standardize infusion therapy across hospitals, connect infusion systems with the EMR and detect and address infusion safety risks before they reach the patient.

Single partner for infusion management

An end-to-end infusion safety solution with a single vendor.

EMR interoperability

Bidirectional and house-wide communication between BD's infusion platform and your EMR system.

IV preparation technology

Automated IV compounding solution with barcoding technology and gravimetric verification.

Continuous monitoring & support

This includes data backup, monitoring points, and a technical support center for an end-to-end infusion safety solution with EMR interoperability

Near real-time* analytics

Detect and address infusion safety risks before they reach the patient

One seamless infusion platform

Wirelessly connected infusion devices and data

One partner with support at every step

Gravimetric hard stops in the pharmacy and PCA pause at the bedside.

Added visibility

Centralized visibility to infusion status and alerts for nursing and pharmacy.

Benefits

Drive predictable and safe results for every patient, every time

Optimize the infusion workflow for Pharmacy and Nursing while helping ensure the safety of your patients

Patient
Operational
Clinical
Technical

The operational benefit

With BD infusion automated workflow solutions that start in the pharmacy and extend to the point of administration, you can drastically improve staff efficiency by cutting out manual and error-prone steps. When you use BD Pyxis IV Prep, you can standardize and streamline your pharmacy's IV preparation and sign-off workflow.

The clinical benefit

BD Pyxis IV Prep guides technicians step-by-step through the compounding process. When you use this objective, scientific approach, you achieve safer and more consistent results.

At the bedside, one standardized infusion platform simplifies the workflow for nursing, as well as minimizes the manual touch points that can lead to unintended errors – through interoperability with the EMR.

The technical benefit

By using a single, streamlined platform for medication management, your IT department will have fewer systems, databases and network traffic to manage, while ensuring scalability for growth and security. IT can easily send formulary data sets, manage user and device administration, and push system updates across all sites and facilities within your health system.

That means you can maintain standardization, improve safety, reduce cost, all while ensuring system reliability and security.

The patient benefit

Because we've built safety features like hard stops and monitoring throughout BD's infusion platform, medication errors and safety risks can be detected and addressed before they reach patients.

Using this data-driven and proactive approach to infusion safety, you can help avert infusion-related patient harm. The interoperability of BD's infusion platform reduces the need for manual key presses, reducing chances of error.

Solutions

Unite people, process, and technology in one workflow

Simplified systems management creating a more efficient workflow

Compound IV

BD Pyxis™ IV Prep

The pharmacist-verified order is received. BD Pyxis™ IV Prep uses barcoding technology to ensure the right drug is selected and uses gravimetric analysis to ensure the pharmacy technician is compounding the accurate dose.

Deliver IV

BD Pyxis IV Prep

The pharmacist-verified order is received. BD Pyxis IV Prep uses barcoding technology to ensure the right drug is selected and uses gravimetric analysis to ensure the pharmacy technician is compounding the accurate dose.

Administer IV

BD Alaris™ System

After the patient has been assessed, the patient ID, the medication and the BD Alaris™ System module are scanned. The EMR sends the infusion order parameters directly to the pump, automatically pre-populating it. The prepopulated infusion parameters are reviewed and the nurse starts the infusion.

Document IV

BD Alaris System

Once the infusion is started, infusion status data is sent from the pump to the EMR within seconds. This includes all starts, stops, rate changes titrations, fluid volumes. The nurse simply reviews and validates the data, so it can be captured in the patient's record.

Analyze IV

BD Alaris System

Once the infusion is started, infusion status data is sent from the pump to the EMR within seconds. This includes all starts, stops, rate changes titrations, fluid volumes. The nurse simply reviews and validates the data, so it can be captured in the patient's record.

 
  1. Compound IV
  2. Deliver IV
  3. Administer IV
  4. Document IV
  5. Analyze IV

Partner with BD

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We want to speak with you.

Talk to a solution expert

56% of the most costly and serious medication errors are IV-related.

Physicians expect the order they place to be the medication order administered to the patient, but disparate infusion technologies and manual workflows make compounding and administration complex and error-prone.

(Prusch, A., Suess, T., Paoletti, R., Olin, S. et al. (2011, May). Integrating technology to improve medication administration. American Journal of Health System Pharmacy. 68(9):835–842.)

×

7% of IVs are compounded in error, even in high risk situations.

Errors in IV compounding and administration can put patients' safety at risk, and when a patient reacts unexpectedly to a med, it's difficult to pinpoint the root cause of the problem.

(Reece KM, Lozano MA, Roux R, Spivey SM. Implementation and evaluation of a gravimetric i.v. workflow software system in an oncology ambulatory care pharmacy. Am J Health Syst Pharm. 2016;73(3):165–173.)

×

1 in 2 nurses have witnessed a medical error because of a lack of device coordination

Nearly all agreed that medical errors could be reduced if medical devices were connected in such a way that they shared data with each other automatically.

(Missed Connections: A Nurses Survey on Interoperability and Improved Patient Care, West Health Institute, March 2015.)

×

Only 28% of infusion-related medication errors can be averted with dose error reduction software alone.

Infusion orders flow from the physician to the pharmacist—but then the communication breaks down at the patient’s bedside, so the nurse must manually program the pump and document the results.

(ECRI Institute. Infusion Pump Integration. In:ECRI Institute, Health Devices, Plymouth Meeting, PA: ECRI Institute; 2013: 210-221.)

×

Single partner for infusion management

With BD, you can establish an enterprise approach to infusion management.

With BD, you can:

  • Identify the challenges and gaps in your current process.
  • Design your end-to-end infusion management workflow from the physician’s order through pharmacy and nursing to your EMR.
  • Measure results against tangible metrics and benchmarks from the industry.
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EMR interoperability

When you connect BD's infusion platform with your EMR, you can create interoperability that pre-populates the pump with infusion order parameters and sends infusion status data back to the EMR, helping to enable safe and accurate med delivery and accurate and timely documentation.

With BD, you can:

  • Wirelessly send the physician-ordered and pharmacist-verified infusion parameters from the EMR to the infusion device. Your nurses will use their BCMA scanner to scan the medication, the patient's wristband, and the pump. Then they will simply review, confirm the pre-populated order parameters to and start the infusion – delivering the infusion exactly as prescribed.
  • Transmit all infusion status data (start, stop, pauses, rate changes, titrations and fluid volumes) back to the EMR in near real-time*, so the nurse can validate and commit the data to the patient’s record.
  • View, analyze, and trend all administered infusions, from throughout the hospital or health system, via a web-based reporting system.

*Subject to internet connection, device variability, and selected settings.

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IV preparation technology

BD Pyxis™ IV Prep helps to provide enhanced safety and quality assurance by combining barcoding and gravimetric measurements during the preparation of IV meds in an automated, repeatable process that meets ISMP guidelines.

With BD, you can:

  • Have a highly configurable automated IV workflow solution will guide pharmacy technicians through the IV compounding process, step by step, correcting potential errors in real time.
  • Have remote verification gives the pharmacist the flexibility to verify preparations from outside the cleanroom.
  • Monitor and sign off on pharmacy tech work remotely from a computer anywhere in the hospital.
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Continuous monitoring & support

When you work with BD, you get continuous support to ensure your connected infusion system operates smoothly around the clock. 

With BD, you can:

  • Call into our support center to address urgent system issues.
  • Ensure continuous backups of hospital data on BD servers. So, if your system goes offline, no information is lost.
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Near real-time* analytics

With analytics and post-implementation support from BD, you can uncover actionable infusion and medication data that will allow you to make data-driven decisions to help improve safety.

With BD, you can:

  • Collect infusion data from all your large-volume pump, syringe, and patient-controlled analgesia (PCA) modules.
  • Interpret, analyze and trend infusion data with support from BD clinical consultants.

*Subject to internet connection, device variability, and selected settings.

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One seamless infusion platform

Standardize infusion therapy across hospitals, connect infusion systems with the EMR, and detect and address infusion safety risks before they reach the patient and accurately capture infusion status data to maximize your revenue lift opportunity.

With BD, you can:

  • Simplify the complexity of bedside devices by using the BD Alaris system to manage all infusion modalities. Thus, your nurses need to learn only a single interface for all types of infusions, from large-volume and syringe pumps to patient-controlled analgesia (PCA).
  • Consolidate your drug libraries and transmit this data wirelessly through a secure server, which can then deploy it to all devices that need them.
  • Extend the infusion platform across multiple facilities without additional servers - simplifying your technical infrastructure through reduced wireless network traffic, interfaces, and maintenance costs.
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Hard stops and forcing functions

With the hard stops and forcing functions throughout BD's IV management system, you can prevent dosing errors in the pharmacy and at the bedside in near real-time*.

With BD, you can:

  • You can achieve safer and more consistent results by having a guided step-by-step compounding process using gravimetric analysis and hard stops.
  • Link the PCA pump with the patient’s end-tidal CO2 monitor to automatically detect dangerously low respiratory rates and stop infusion.

*Subject to internet connection, device variability, and selected settings.

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Added visibility

With BD's web-based dashboard with near real-time all med visibility to critical BD Alaris and BD Pyxis ES system alerts and patient IV compounding needs in one view.

With BD, you can:

  • Track all running infusions that are not protected by BD AlarisTM GuardrailsTM safety software and/or hitting a soft limit violation, including the violation that occurred (e.g. dose, rate, concentration, duration) - helping identify potential medication errors before administration is complete.
  • View the estimated time until completion and volume remaining on running infusions - helping pharmacy plan IV admixture workflow and preparation in a timely matter.
  • Improve and facilitate communication between pharmacy and nursing through increased visibility - includes identifying disparities between policies and clinical practice to help improve care.

*Subject to internet connection, device variability, and selected settings.

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