Hello everyone,

In the past ~ 60 hours our organization has experienced three events of rapid over-infusion of a medication utilizing BD/CareFusion Alaris infusion pumps. Initial investigations indicate that the pumps were programmed correctly according to the medication orders and a crosscheck with Epic/Alaris Interop. Thankfully all three patients have avoided serious harm.

There is suspicion for a pump malfunction, which is being escalated. We are working with the vendor and implementing mitigation strategies across the system.

I wanted to simultaneously promote awareness and seek feedback if any others are experiencing similar events.

Thank you!