ReviewInternational journal of environmental research and public health2023
Closed-Loop Medication Management with an Electronic Health Record System in U.S. and Finnish Hospitals.
Review in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Design, implementation, and evaluation of neonatal abstinence syndrome care management web application: a multimethod study.Scientific reports · 2026Trial
- Implementation of electronic medication management systems in hospital settings: a theory-informed systematic review protocol of mechanisms influencing patient safety, operational efficiency and staff experience.BMJ health & care informatics · 2026Article
- Evaluating the Severity of Reported Potassium-Related Errors and Developing Safeguards to Improve Potassium Safety in Critical Care-a Modified Expert Panel Study.Journal of patient safety · 2026Article
- Medication Discrepancy-Related Medication Safety Incidents in Surgical Patients: A Register Study Based on Medication Safety Incident Reports.Health science reports · 2026Article
- The impact of mobile nursing information systems on patient satisfaction with nursing care: a systematic review and meta-analysis.BMC nursing · 2026Article
- Identifying patient data that should be available in community pharmacies for statutory dispensing and providing clinical pharmacy services: A Delphi study.Exploratory research in clinical and social pharmacy · 2026Article
- SmUDo (Smart Unit-Dose): Redefining efficiency, quality, and staffing strategies for optimized processes.PloS one · 2026Article
- On the road to vision zero: How unit-dose dispensing systems and health-IT are transforming clinical practices.PLOS digital health · 2025Article
- Benefits and challenges associated with implementation and ongoing use of automated dispensing cabinet for medicines: A scoping review.Exploratory research in clinical and social pharmacy · 2025Article
- Centralized daily drug management in clinical trial institutions and specific implementation plans.Frontiers in drug safety and regulation · 2025Review
- Introducing Unit Dose Dispensing in a University Hospital - Effects on Medication Safety and Dispensing Time.Risk management and healthcare policy · 2025Article
- Off-the-shelf medication transformed: Custom-dosed metoprolol tartrate tablets via semisolid extrusion additive manufacturing and the perception of this technique in a hospital context.International journal of pharmaceutics: X · 2024Article
- Enhanced Pharmacy Service Delivery Through a Pharmacy Information System at a Medical Center: A Case Study.Cureus · 2024Article
- Effect of a closed-loop medication order executive system on safe medication administration at a tertiary hospital: a quasi-experimental study.Therapeutic advances in drug safety · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many medication errors in the hospital setting are due to manual, error-prone processes in the medication management system. Closed-loop Electronic Medication Management Systems (EMMSs) use technology to prevent medication errors by replacing manual steps with automated, electronic ones. As Finnish Helsinki University Hospital (HUS) establishes its first closed-loop EMMS with the new Epic-based Electronic Health Record system (APOTTI), it is helpful to consider the history of a more mature system: that of the United States. The U.S. approach evolved over time under unique policy, economic, and legal circumstances. Closed-loop EMMSs have arrived in many U.S. hospital locations, with myriad market-by-market manifestations typical of the U.S. healthcare system. This review describes and compares U.S. and Finnish hospitals' EMMS approaches and their impact on medication workflows and safety. Specifically, commonalities and nuanced differences in closed-loop EMMSs are explored from the perspectives of the care/nursing unit and hospital pharmacy operations perspectives. As the technologies are now fully implemented and destined for evolution in both countries, perhaps closed-loop EMMSs can be a topic of continued collaboration between the two countries. This review can also be used for benchmarking in other countries developing closed-loop EMMSs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.