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Continuing Education in Anaesthesia Critical Care and Pain | Volume 4 Number 3 | 2004
Continuing Education in Anaesthesia, Critical Care & Pain | Volume 4 Number 3 2004 © The Board of Management and Trustees of the British Journal of Anaesthesia 2004

The safe use of infusion devices

Stephen Keay, BA, Medical Equipment Training Officer
Cardiff and Vale NHS Trust, Cardiff, Wales

Chris Callander, MBChB FRCA, Consultant Anaesthetist
Department of Anaesthesia, Royal Gwent Hospital, Cardiff Road, Newport, Wales, NP20 2UB
Tel: 01633 234167, Fax: 01633 234168, E-mail: christopher.callander{at}gwent.wales.nhs.uk (for correspondence)

Infusion devices are used extensively in all clinical areas and are an essential tool for providing perioperative care, critical care and pain management. Concern has been raised about the high incidence of critical incidents related to these devices. The majority of these incidents reported to the Medical Devices Agency (now part of Medicines and Healthcare products Regulatory Agency (MHRA)) is attributable to human error. The National Patient Safety Agency has therefore initiated a project in an attempt to reduce the number of these errors. Plans include standardization of devices, evaluation of user experience, possible development of equipment libraries and internet-based training. Whilst there is a bewildering choice of equipment available, they are essentially either syringe drivers or volumetric pumps. This review will consider three areas: starting the infusion, delivery of the infusion, and organizational structure.


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