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Table 1 Definitions

From: Smart pumps improve medication safety but increase alert burden in neonatal care

Unique and Total Infusion Starts

Each new bag or syringe for a medication is given a unique infusion ID. Given that a unique infusion may be started and stopped multiple times, as a result of alarms and alerts, the total number of infusion starts will be greater than the number of unique infusions. We considered each infusion start an opportunity to evaluate the pump.

Cancel

Provider cancels the pump programming after an alert and starts over. Cancellation is forced by the pump when a hard limit is exceeded.

Reprogram

Provider resets the pump programming for medication dose or rate after an alert.

Override

Provider receives an alert and chooses to proceed without changes in pump programming.

Basic Mode

Pump programming mode that requires all information to be manually entered and which bypasses all safety features of the pump except volume to be infused.

Dose Error Reduction Software

Software present in the pump that allows the creation of a population-specific drug library with established minimum and maximum dose and/or rate limits by medication.