Assessment of the effectiveness of standardized infusion devices for healthcare management英文文献资料.docVIP

Vol.3, No.2, 93-98 (2011) Health doi:10.4236/health.2011.32017 Assessment of the effectiveness of standardized infusion devices for healthcare management Shio Sugita , Hideko Aida , Aya Okada , Hiroyuki Kobayashi 1* 2 3 2 1 2 3 Former Department of Nursing, Juntendo University Hospital, Tokyo, Japan; Corresponding Author: usakonominmi@yahoo.co.jp * Department of Hospital Administration, Juntendo University School of Medicine, Tokyo, Japan Department of Nursing, Juntendo University Nerima Hospital, Tokyo, Japan Received 6 December 2010; revised 10 February 2011; accepted 15 February 2011. ABSTRACT tion of tubes and drugs caused dissolution and elution of the highly toxic substance diethylhexyl phthalate (DEHP) [2-4] and lipid-soluble drugs that caused cracks at the connections of tubes, which caused leakage of the drug [5-7]. After receiving reports of these cases, all medical institutions in Japan have begun regulating the use of infusion devices according to the composition of the devices, such as polyvinyl chloride (PVC)-free, DEHP- free, or conventional materials. However, this regulatory process requires the medical staff to have extensive knowledge about the selection and handling of infusion devices, which depends on many factors, such as the intended purpose of infusion, drug, drip rate, and the patient’s condition. In a previous study, we analyzed the risks that are as- sociated with different pharmacological agents, infusion routes, catheter-related infections, and electronic equip- ment. Specifically, we selected PVC-free closed-system integrated infusion devices (hereafter referred to as standardized infusion devices) as the reference standard in our hospital and introduced these devices into the chemotherapy department, where strict control of