Alaris (LVP, PCA, & Syringe) Commentary
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Subject Expert
Jackson Tate
Research Director
Commentary Summary
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User Commentary
Product
The Alaris pumps are pretty easy to use and require very little training for end users.
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Relationship
We are usually the ones to find issues with the pumps, but BD is very responsive. When I have to...
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Loyalty, Relationship
We wanted to do in-pump interoperability with the Alaris pumps, but BD had a bad year financially,...
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Loyalty
We are going to stay on the Alaris. BD is replacing our pumps on their dime, so there is no reason...
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Relationship
I have had more support from BD than our other pump vendor. BD has been much more responsive. They...
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Relationship, Operations
BD has had a number of sessions to maximize the information we get that I have attended and found helpful....
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Product
We have a list of enhancements we would love to see in BD’s pump functionality. Probably the biggest...
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Culture, Relationship, Operations
BD has provided presentations to the system. I know that BD is really receptive when I reach out...
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Product
The Alaris pump is intuitive for most of the staff members because they use it so frequently. When...
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Product
The Alaris pump has a way to measure a patient's respiratory state because when we have opioids, we...
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Product
If BD got epidural approval and could do epidurals, that would be really awesome. The nurses...
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Relationship
BD could do better at providing new technology. We have been giving them feedback for a while. We...
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Relationship
BD used to be knocking down our door all day, every day to buy their product, and then poof, we...
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Relationship
BD keeps their promises in terms of working with us and doing remediation, but it just feels like we...
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Product
I have had to tell BD about some errors in how the pump is set up. The Alaris is so old that it...
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Loyalty
The Alaris is not part of our long-term plans. If BD had serious upgrades, we would definitely...
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Relationship, Product
I don't trust the Alaris pump. It under- and overinfuses, and I don't believe the remediation, which...
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Relationship, Operations
I haven't worked with BD here for a few years, so I guess it would be nice to meet with them. I...
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Product
The Alaris pump is not used on an everyday basis. I think that is why I get called for questions a...
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Product
The Alaris pump is a good product. However, I have never used it outside of using it for PCA, so I...
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Loyalty
The Alaris is under investigation, so I don't know whether it will be part of our long-term plans. A...
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Relationship, Operations
I have been pretty satisfied with BD’s support. I like that they provide regularly scheduled on-site...
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Loyalty
We are currently evaluating when to update our infusion fleet because of the new FDA requirements...
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Relationship, Product
I would like to see a change in the delivery method for the Alaris. The fact that the Alaris doesn't...
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Loyalty
We will be updating our pumps in a few years because BD is forcing us to. The FDA recall remediation...
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Relationship
We get good responses from BD’s support team. We have good folks at BD that they are able to connect...
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Operations
For training, we get things that we can go to regularly, and I have felt like the training has been...
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Culture, Loyalty, Relationship
BD has been responsive to us. We are currently working through some contracting with them. They are...
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Relationship
We have partnered with BD on a lot of things in the past, and unfortunately, similar to all of the...
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Loyalty
We have to replace our fleet because it is old. We are to the point where we can't find the parts we...
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Operations
Generally, the implementations go fairly well in my experience. Where BD falls off is a bit in terms...
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Relationship, Operations
The Alaris pump is well made. It is a critical device that is very measurable. The Alaris pump works...
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Operations, Value
When we did a recent update with BD, we already knew what to do and how to implement the update, but...
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Relationship
BD’s customer service is bad. Their pumps go down all the time. A lot of alarms are always...
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Product
Functionality doesn't exist between the Alaris and Epic's system. On both ends, the vendors may be...
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Operations
BD is well versed in implementing interoperability. We did an implementation several years ago, and...
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Relationship
We did have a hiccup where we had technical issues during an upgrade, and even though BD's technical...
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Relationship, Product
From a nursing standpoint, the product is intuitive to use. We get quarterly reports on our usage...
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Relationship
To benefit our organization, we have asked for part of the UI design to be adjusted. The current...
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Operations, Product
We had a recent upgrade, and it didn't seem like it was going well. I didn't have a direct...
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Product
The Alaris is pretty user friendly. We don't have a lot of complaints from our nurses about it. The...
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Loyalty
We decided to stick with the Alaris when we went live with integration because of its integration...
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Relationship, Product
I network a lot with other organizations that use the same EMR but different pumps, and there have...
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Operations
Our go-live with the product was smooth sailing, and using it has been smooth as well. There are...
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Relationship, Operations, Product
I can't think of anything major that isn't going well. Certainly, there have been remediations and...
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Product
From a usability perspective, our nurses find the pumps easy to use and program. The product is...
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Loyalty, Product
We have had issues with the pumps. There is a feature that allows whoever is programming the pump to...
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Relationship, Product
IV flushing has been a pain point for us since we went live. That is more of an Epic thing than a BD...
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Loyalty
We are definitely leaning toward moving to the Alaris for our system. I think we have had...
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Culture, Relationship
When I think of BD compared to another vendor, BD's folks who support the Alaris pumps may have a...
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Relationship
The support has been there from BD when needed in terms of what I am doing with the infusion pumps....
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Value
For the Alaris, there has been a litany of recalls. The pumps are too expensive.
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Loyalty, Product
I like the pumps. The providers don't complain to me. In fact, we are putting an order in for some...
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Operations
During one implementation, the team was brand new, so we got to be the ones to iron out all the...
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Product
With the Alaris, we don't like that we can't do epidurals or integrate the PCAs with our EHR. The...
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Product
We like the Alaris' interoperability with our EHR and the charting accuracy from that.
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Loyalty
We have to switch to a different vendor’s pump. It is not that we have an issue with the Alaris; we...
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Product
The issues we have with the Alaris pump are more on the operational side with how we use the pump....
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Relationship
BD has taken a very long time to get their FDA certification back, and that has really held us back...
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Product
As far as I know, the Alaris pumps kind of seem like any other device. We can upgrade and do lots of...
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Relationship
BD is excelling with people who are empowered to solve our problems, and that is making the...
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Product, Value
Reporting in the knowledge portal and being able to extract reports from BD's product really makes a...
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Product
BD has a good pump, and they are still the market leader. I just wish the Alaris were smaller; it...
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Culture, Value
BD has bent over backward in terms of pricing and everything, but most pump manufacturers in this...
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Operations
BD did pretty well on the implementation, and their upgrades have gone pretty smoothly.
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Product
The reporting that we are able to get from BD’s knowledge portal allows us to look at how many times...
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Loyalty
Nothing much has changed from BD; they are still offering the same pump. They are coming out with...
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Relationship
On the interoperability side, we were a little frustrated. When we bought our pumps, there were some...
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Product
I would not buy the Alaris pumps again based on the experience and feedback that we have received....
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Culture, Relationship, Product
With BD, I have never been able to get any feature added, even though that ability was promised in...
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Culture, Value
In general, for everything we need, BD asks for money. BD charges for every little thing, even for...
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Product
Moving the BD pumps around has been a bit challenging because of their size.
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Loyalty
I have learned that BD is going to withdraw from the market any BD pumps that have been used for...
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Loyalty, Product
The interoperability issues we had with integrating our EMR with the Alaris were our build, the...
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Loyalty, Relationship, Value
We have the same pumps that we had before, but BD has updated their drug library format and stuff....
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Relationship
BD is generally somewhat predictable, but to some degree, there is some disorganization because of...
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Loyalty, Relationship, Product
I would like to see a bit more innovation in the features. BD’s peers, like other pump vendors, are...
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Product
Not getting a consistent type of tubing can just really throw our medication-use process into a...
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Relationship, Product
The vendor’s support of the optimization of our interoperability with our EMR is an area where they...
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Loyalty, Operations
BD has had multiple recalls. We did the remediation process for all of our pumps and updated them,...
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Relationship
BD has fallen down in terms of keeping some promises, especially with the timeline with the recall...
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Loyalty
It just seems like we have seen some system errors come up where basically the device throws an...
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Relationship
BD is doing consistently well with support. I can always reach somebody on the support side, and...
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Relationship, Relationship
Keeping promises would mean that BD would take action and be transparent. We experienced a...
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Relationship, Relationship
As we were contemplating some earlier offerings, BD had to mitigate their recall, and we were...
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Operations, Operations
BD offers training. We just have not found it very helpful.
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Relationship, Relationship
Our problems were escalated to high leadership, but they were not empowered to solve our problems.
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Value, Value
We have had a lot of breakages and have had to do a lot of repairs early in the life of the devices....
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Product, Product
We continue to have a lot of issues with our Alaris pump system. There are known issues with the...
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Product, Product
We experience a lot of channels not communicating to the point-of-care unit. We still have a lot of...
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Product
There have been multiple recalls with the Alaris pumps. There have been repeated recalls, and that...
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Relationship, Operations
BD could have helped a little more with getting updates done and dealing with certain pump issues...
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Relationship, Operations
We had an upgrade with the Alaris pumps, and I felt like BD was very well prepared. They listened to...
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Relationship
For some of the issues we have had, it has taken a little time to get ahold of somebody at BD.
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Relationship
We purchased all of the Alaris equipment. We were also going to purchase some more syringe modules...
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Product
Something that makes us a little cold toward the Alaris is that when we were purchasing equipment,...
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Loyalty, Value
There is a high cost associated with the remediation, and that is definitely the major negative for...
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Relationship, Product
The Alaris is pretty much unchanged. BD introduced groundbreaking technology to us over a decade...
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Operations
We don't really use any of BD's training resources; we do our own training program.
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Loyalty
We have been asking BD about EMR interoperability for a while. We have been waiting for their new...
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Relationship, Product
From a safety perspective, the Alaris pump has gotten better through the years. We had a lot of...
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Relationship
We had very little connection with BD over the last few years because a lot of development was stuck...
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Product
Our staff is really used to using the pumps, and they are intuitive. There are enough other...
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Loyalty, Relationship
We are looking for more connection with whoever their right people are. The vendor has a lot of...
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Loyalty, Relationship
Once the recall and COVID-19 hit, we basically stopped hearing from BD except for check-ins from our...
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Loyalty, Product
We are in a bit of a tricky spot. We have acquired some new sites that use a different pump, and the...
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Loyalty
We are concerned about the accuracy measures for the Alaris that have been tested and published. It...
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Operations
With BD, we could do more outreach and ask for help, but BD is also not setting up opportunities for...
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Loyalty
I am optimistic about BD. I'm hoping they are going to release their interoperability software soon...
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Relationship
With BD, a lot of things depend on getting the right IT and biomed people at the table. We have to...
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Product
The workflows in BD that we figured out with pump interoperability once we got our nursing teams are...
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Product
I don't really feel like BD has had anything relevant recently with new technology. I'm still a...
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Product
I would buy the Alaris pumps again. I recently came back from a conference, and I saw a couple of...
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Relationship, Product
The Alaris pumps have great functionality, but BD has had a lot of bumps in the road. The vendor...
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Culture, Value
BD likes to charge us to give people access to the server and additional analytics sites. BD would...
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Loyalty, Product
BD really promoted interoperability to us even though we couldn't add that anytime soon. The Alaris...
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Relationship, Product
During a recent software upgrade, BD added some different options that we did not have previously,...
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Product
BD does not have a good patient-controlled epidural solution, and that is a deal-breaker for us...
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Operations
The vendor has good educational platforms for training opportunities.
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Relationship, Product
The biggest challenge with BD is that they have had a lot of FDA recalls and things recently. Each...
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Product
With the Alaris pumps, sometimes some of the alerts can be a bit confusing with interoperability.
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Loyalty, Product
With the reports in the Alaris, we look at whether users are using the pump library or whether they...
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Product
I would recommend the Alaris. The pumps are like Legos; they just snap on, and we can build them....
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Relationship, Operations
BD seems to use a more train-the-trainer approach. The vendor is very supportive of the onboarding...
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Culture, Value
We are not nickel-and-dimed by BD. BD is good at not making promises they can’t keep, and they have...
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Culture, Value
I believe BD does avoid charging for every little thing. We have a contract in place, so I don't...
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Relationship, Product
BD is vendor agnostic in terms of the other solutions we can use with the Alaris. If people want to...
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Relationship
I think the end users have their outcomes, and I don't think BD is hindering any goals, but I am not...
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Product
In general, I would probably suggest that companies choose one vendor’s pump instead of a mix.
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Product, Value
The vendors that have PCA pumps do not offer integration for those pumps. If BD had the Alaris PCA...
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Relationship
We specifically asked for the vendor’s 510(k) clearance, and they were elusive at first. I had to...
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Operations
The vendor was on-site with hands-on support during our most recent software upgrades. As part of...
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Product
The Alaris is pretty easy to use, but there are some things about it that are error prone. With the...
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Loyalty
We may transition totally away from BD, if possible. We are in the middle of an RFP process. BD...
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Product
There are a few limitations to the product that we haven't been able to overcome. My biggest concern...
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Loyalty
The product is going through recall, and the majority of our pumps aren’t eligible for the upgrade...
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Operations, Product
I'm pleased with the overall product. The design, setup, and programming of the pump are intuitive....
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Relationship
The vendor has executive involvement in important decisions and brings in people who can answer as...
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Relationship, Product
The vendor does well at producing outcomes. One of the things I'm happy with is their quarterly...
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Product
There are a lot of things I like about the product in terms of the actual hands-on pieces. However,...
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Product
We have had no major issues with the Alaris pumps. However, we sometimes hear from our clinicians...
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Loyalty
Comparing all the devices on the market today, the Alaris is one of the least developed. BD might...
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Product
Knowing our clinicians’ concerns with the Alaris, we haven’t been interested in going live with...
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Culture, Value
BD charges us for every little thing, even things that were not initially included in the contract....
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Relationship, Product
The main problem with BD in the last couple of years has been the recall of products. The recall...
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Relationship
BD does a fabulous job of giving us data, and their support team has been excellent. Everything...
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Relationship, Product
BD is not behind the rest of the industry, but if someone in the industry could figure out a way to...
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Relationship
BD’s customer service is pretty good. The Alaris pump representatives are pretty responsive.
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Product
With the Alaris pumps, if we don’t know something, we can just try a couple of different clicks, and...
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Product
When we run everything through the Alaris, there is smooth sailing.
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Product
The color display on the Alaris is easy to read. The patient ID is on the pump, and we can see it...
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Relationship
The support we get for the Alaris has always been fantastic.
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Loyalty
I don't see the Alaris changing much. I hope that in a year from now maybe our journey and...
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Product
The gravity component of the product is challenging to work with in our work settings. When we have...
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Product, Value
I really like the product’s drug library. It allows us to add extra patient safety features. We...
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Product
I like the interoperability piece of the product; it programs the pump when done correctly, so it...
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Relationship, Product
We have had some challenges with our internet service, and the vendor could have done more testing...
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Relationship
BD meets with us regularly to review our data, and they are definitely proactive. Also, their...
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Product
The best way we are told to do titratable drugs in the Alaris is almost like using a fluid version,...
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Relationship, Product
When something needs to be adjusted, those alerts are very difficult to understand from an end-user...
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Relationship, Product
BD had a little event related to the hardware on the LVP module. The issue was not raised to the...
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Product
There are certain drugs where we want a variable rate of intermittent administration. I don’t think...
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Product
Compared to their competitors' solutions, BD’s whole pump user interface is preferable. We like the...
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Product
I wish that the Alaris allowed us to program with a leading zero instead of a decimal. The system is...
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Loyalty, Product
BD has invested in a new medication safety analytics reporting platform that is far superior to the...
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Culture, Relationship
I sometimes find out about a safety alert from an outside source before the vendor tells us. I even...
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Relationship
In the past, there have been recalls, but BD hasn't told us about them, even though we specifically...
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Relationship
I do have contacts with BD that I could reach out to if I needed to reach them.
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Product
I would recommend BD and their product, but I would tell whoever is looking into BD about the things...
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Relationship, Operations
BD doesn't provide updates on what is going on. For a recent recall they had, I would have liked to...
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Relationship, Product
Once we put recommendations into the product, I would like to see how the process works to get them...
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Product
It is probably not possible to make the pumps lighter, but they are very heavy. We were looking at...
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Product
For some of the medications that are in large volume, it would be nice if there were a way to have...
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Culture, Value
BD charges for everything that they provide. There is a software maintenance agreement, and there...
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Operations
We haven't done training in a long time, but I was hoping that we could do that again. BD offered to...
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Product
I would like for the pump to be able to have a limit for weight-based dosing as well as...
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Operations
The training is quite good for the Alaris. BD comes in annually to train us.
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Relationship
I don't have anything negative to say about the Alaris pumps. The library maintenance goes well, and...
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Product
There aren't many competitors with the Alaris pumps. There are only one or two pumps that are fully...
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Product
Our upgrades with the Alaris have been pretty seamless. But BD hasn’t made major changes to the...
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Relationship
We don’t have the need to use the support team for the Alaris very much.
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Operations
BD has some computer-based training that we can do. The product is actually pretty easy to use and...
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Loyalty, Product
One thing that disinclines me from continuing with BD is that a while ago, they discontinued support...
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Product
We would like to be able to integrate the Alaris pumps with some of our other software so that we...
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Relationship, Product
The Alaris pump is a good product, and most of our issues have been with communication because...
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Operations, Product
The product is fairly easy to use. Even I can figure out how to use a couple of modules.
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Operations, Product
We use the end-tidal CO2 module, but I don't think there has been good training on it, and I don't...
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Product, Value
The product has a lot of safety mechanisms built into the smart technology, so I think we have fewer...
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Value
There are a few things we would like to see improved with the Alaris. One is that our clinical...
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Product
One thing on our wish list with the Alaris is that we would love it if BD could make the pump's flow...
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Loyalty, Product
Some of the screen features of the Alaris pumps need to be augmented. The next upgrade will make...
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Product
We like the advantages of the drug library in the Alaris and the flexibility we have with it to...
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Relationship
BD’s help desk people are terrible to get through to. They have changed their online help desk...
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Relationship, Product
We would tell friends or peers looking to partner with BD that the LVP and the syringe mechanisms...
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Value
BD has charged us for replacement things that need to be done for their remediation. We ended up...
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Product
We would like it if the Alaris PCA could be dosed using weight-based dosing and be interoperable.
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Relationship
BD did not keep their promises when they had recalls with everything. The vendor told us that they...
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Operations
BD doesn’t look at the quality of the implementation and upgrades. BD just ramrods the...
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Operations, Product
One of the integrations is still not live, so that says something. We can't tell who owns the...
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Relationship, Operations
BD needs to figure out how to use their technology, engage the nursing staff, and run focus groups....
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Relationship
We would like BD’s organization to be willing to be flexible with our staff. When we call for...
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Relationship, Value
BD doesn’t keep all of their promises. To me, a promise would be BD putting out a product that is...
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Culture
I wish BD would do everything they could to promote themselves to me. I sent a request proposal to...
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Product
We have been integrated with the Alaris pumps for a while. When we integrated the pumps, they did...
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Product
BD’s pumps work properly, but there is nothing new from BD as far as technology goes. There isn't...
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Loyalty, Product
BD’s form factor hasn't been updated in decades, and that is frustrating. The multichannel brain is...
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Operations, Product
The most recent upgrades for the Alaris have gone really well.
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Product
It would be nice if we could do weight-based dosing in the Alaris PCA pumps and have PCA be part of...
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Product
The Alaris' drug library software is easy to use, and the solution works really well overall. I use...
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Product
Our issue with the interoperability project between the pumps and our EMR is ensuring our nurses...
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Value
In terms of cost, it is reasonable how the vendor charges us. The pump's quality and longevity are...
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Relationship
BD is such a huge company, so getting directly in contact with a support person that can help...
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Operations
If another organization decided to go with BD, I would tell that organization to make sure to have...
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Value
The ongoing maintenance of the product is what would hold me back from saying it is the best out...
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Operations
There is really no ongoing training. We have to request that. BD doesn't prompt us or reach out. The...
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Relationship
The people I have worked with for a long time have remained at BD, and they continue to be really...
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Relationship
BD is more reactive than proactive. I typically hear about recalls and things like that rather than...
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Operations
BD doesn't provide ongoing training unless we ask for it. We have been able to organize a few...
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Product
The PCA module does not have integration currently, but I have been told that BD has applied for the...
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Product
The Alaris is a good pump for the most part. The fact that BD supports all three administration...
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Loyalty, Loyalty, Loyalty, Value, Value, Value
There has been a recall, and the vendor has had to go back through the FDA validation process. We...
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Product, Product, Product
There have been some significant improvements from our EMR vendor that have helped us with some of...
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Operations, Operations, Operations, Product, Product, Product
Some of the things we implemented back when we first began with the vendor are still problematic...
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Operations, Operations, Operations
We are noticing that our biomed techs are not getting training on planned or preventive maintenance...
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Product
The Alaris has worked out great because the nurses can do infusions. The provider places the order,...
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Relationship
The support team has been very good. I open tickets whenever we have issues, and the support team...
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Operations
The project team that was involved with the implementation did exceptionally well in helping us get...
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Product
The functionality for building data sets in the Alaris is robust. But we can't make easy changes on...
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Product
One of the Alaris' strengths is the level at which the pumps enhance patient safety when the system...
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Relationship
We upgraded and did the remediation because there is a 510(k) pending for the Alaris pumps, and that...
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Product
We were having a bunch of overinfusions with the pumps. We would send in devices and tubing, and BD...
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Product
I am not terribly thrilled with the product because it is a gravity system and really doesn't have...
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Relationship, Product
The integration piece is on us most of the time. Occasionally when there is a problem, BD will help...
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Product
BD is behind the curve. One of the most dangerous workflows is the PCA workflow, and BD still hasn't...
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Relationship
We can get ahold of our BD representative when we need them. When we have needed to have meetings...
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Product
BD has really excellent KPI reports that we can drive upward. They are super nice.
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Product
The interaction with the server is fairly straightforward and clear. The user interface at the pump...
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Relationship, Product
The product is fairly reliable. The vendor accommodates a lot of different clinical scenarios, and...
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Operations
The vendor provides really good training materials either on a website or on a learning module as...
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Product
The vulnerability of the product is that it works as well as the way it is set up and maintained....
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Relationship
BD had a bunch of recalls. But BD has been very transparent with any defects that might exist. They...
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Product
The interoperability project with the Alaris has been a big success. The product is pretty easy to...
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Product
The Alaris has a lot of recall problems. Because of those problems, we aren't fully live with...
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Operations
BD has a train-the-trainer model that works pretty well. When we went live, we had a whole fleet of...
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Operations, Product
Implementing the Alaris requires a lot more nursing education than we thought based on BD's pitch. I...
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Culture, Relationship
BD has been responsive to all our questions and requests. BD gives us a lot of options for support....
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Relationship
BD checks in with us sometimes, but we usually have to reach out to them with any issues.
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Product
In my role, safety is my biggest concern. Having pump interoperability with the Alaris has decreased...
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Product
Of the different problems that exist with BD’s software, the vendor doesn't seem to be making any...
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Relationship, Product
Unfortunately, another recall has put the vendor in a difficult position. I am sure they are...
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Relationship, Product
BD has struggled with national recalls of their pumps, and we have had issues with getting new...
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Relationship, Operations
I would like more high-level meetings with BD to review some of our data. Also, I would like to know...
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Loyalty
We see good results with the Alaris, and we are working on better processes with BD. I think I will...
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Product
I feel like BD could improve some of their software updates. The interoperability works pretty well,...
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Product, Product
There are inaccuracies with the Alaris' large-volume pump. That pump model has been recalled, but...
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Product, Product
The pumps have very old technology. The vendor hasn’t updated the technology very much in a long time....
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Product, Product
I like the product because I can open up the screen and see everything that I am verifying.
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Culture, Culture
Our contract with BD is very itemized. We don’t make many changes without updating our contract and...
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Operations, Operations
We wanted to go live with the Alaris in all of our units, but then there were a lot of recalls, and...
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Relationship, Relationship
The vendor has been willing to help us with our challenges. They provide other items if something...
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Operations, Operations, Product, Product
We haven't needed ongoing training because the product is pretty user friendly, and it is easy to...
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Relationship, Relationship, Operations, Operations
We have had good support from BD as we have been navigating the installation of the Alaris pumps. We...
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Product, Product
The Alaris integrates differently with different EMRs. Some integrations are much better than...
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Relationship, Relationship, Product, Product
BD has had a lot of fights with the FDA recently, so they haven't been able to do many updates. The...
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Relationship, Relationship
BD provides very easy-to-work-with maintenance software. Their tech support team works with us...
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Relationship, Relationship, Product, Product
We would like to see BD improve the product's security. We have a vulnerability that our security...
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Product, Product
Our EMR vendor actually supported the interoperability of the Alaris quite well.
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Product, Product
We like the wireless updates in the Alaris when we do a data file release or a data set release....
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Product, Product
The one concern that we have with the Alaris is the ability to hang the CPU at or below the heart...
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Loyalty, Loyalty
We feel like the upgrade process is pretty seamless for the Alaris. We are looking forward to seeing...
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Relationship, Relationship
BD doesn’t keep their promises. They overpromise a lot of things that don't actually come to...
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Product, Product
Some of the product's reporting capabilities could be refined a bit to give us more information,...
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Relationship, Relationship
I want BD to be more responsive to tickets that we open up. It takes a really long time for someone...
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Product, Product, Value, Value
The product really helps with pharmacy work and nursing workflows. It helps streamline workflows,...
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Product, Product
We would like to see the bidirectional documentation be easier. We want to get humans out of the...
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Product, Product
The vendor needs to design a standard report. Even though the vendor wants the users to design what...
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Product, Product
The Alaris doesn’t have MRI-friendly pumps. We use a different pump for the MRI because the Alaris...
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