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An Assessment of Large-Volume Infusion Device Use by Nurses in Preparation for Conversion to Dose Error-Reduction Software

Smith, Diane RN; Filiatrault, Paul BScPharm, RPh

doi: 10.1097/NAN.0b013e318297be74

In 2008, the Corporate Pharmacy of the Interior Health Authority of British Columbia, Canada embarked on a project to replace large-volume (LV) infusion devices with “smart pumps” (infusion devices equipped with dose error-reduction systems [DERS]). To determine ideal device-to-patient ratios for procurement, Interior Health performed a research study to investigate infusion practice and LV device use. Discoveries were made regarding device use and perceptions of nurses regarding infusion administration, policy, and asset management that have aided in successful device implementation and will aid in future optimization of safe infusion therapy. Since 2009, Interior Health has completed implementation of DERS-equipped LV infusion devices in its acute care facilities.

Corporate Pharmacy Services, Interior Health Authority, British Columbia, Canada.

Diane Smith, RN, is a registered nurse with more than 35 years of nursing experience, 25 of those years in critical care areas in clinical, leadership, and administrative roles. She is a past member of the Canadian Association of Critical Care Nurses and was certified in Critical Care Specialty. Ms Smith transitioned to the corporate pharmacy department to spearhead a project to standardize infusion devices throughout the Interior Health Authority. She is currently retired but continues to consult with the pharmacy department.

Paul Filiatrault, BScPharm, RPh, RPEBC, is regional manager of medication safety for the Pharmacy Services of the Interior Health Authority in British Columbia, Canada. He has served in a variety of clinical and administrative roles during a hospital pharmacy career that has spanned 30 years. Mr Filiatrault has been active as a surveyor with Accreditation Canada for the last 6 years. He is registered with the Pharmacy Examining Board of Canada and is a member of the Canadian Society of Hospital Pharmacists. He is a reviewer for the Canadian Journal of Hospital Pharmacy and has been a clinical instructor/preceptor with the Faculty of Pharmacy at the University of British Columbia.

Corresponding Author: Diane Smith, RN (

The authors of this article have no conflicts of interest to disclose.

© Copyright 2013 by Infusion Nurses Society