ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2024
Evaluation of the Effect of Smart Pump Interoperability on Infusion Errors in the Pediatric Hospital Setting.
Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of a bidirectional interoperability between electronic health records and smart infusion pumps in hospital settings: a systematic review.BMJ health & care informatics · 2026Pooled it
- Current status and future outlook of artificial intelligence and automation in intravenous infusion systems.NPJ digital medicine · 2026Review
- Acceptance and Adoption of Intravenous Smart Pump Integration to Anesthesia Information Management System by Anesthesiologists: A Single Centre Study.Journal of medical systems · 2026Article
- Evaluating the Impact of Smart Infusion Pump Interoperability on Reducing Medication Administration Errors: A Systematic Literature Review.Medical devices (Auckland, N.Z.) · 2025Review
- Enhancing Patient Safety and Charge Capture Through Smart Infusion Pump Interoperability: A Health Economic Analysis for US Health Systems.ClinicoEconomics and outcomes research : CEOR · 2025Article
- Monitoring smart infusion pumps in adult intensive care units.Revista CuidarteArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSmart pump interoperability is a newer technology integrating intravenous medication -infusion instructions from the electronic medical record into a smart pump. This technology has demonstrated significantly decreased medication errors in the adult population; however, this has not been reported in pediatrics. The purpose of this study was to compare the frequency and severity of infusion related errors before and after the implementation of smart pump interoperability at a pediatric institution.
methodsThis was a retrospective study conducted at multiple institutions within the same health care system to assess the effect of smart pump interoperability on infusion errors. Data were retrospectively analyzed for a 6-month period prior to (January-June 2020) and after (January-June 2022) smart pump interoperability implementation. All who received medications via a smart pump were included in the analysis. Infusions were excluded if administered via a patient-controlled analgesia pump, epidural pump, or intravenously pushed without using a smart pump.
resultsA total of 143,997 versus 165,343 infusions were administered in the before versus after interoperability group. There were significant decreases in mild, moderate, and severe harm averted events once interoperability was implemented (p < 0.001). Errors caught before administration decreased after interoperability implementation from 197 events to 20 events because of fewer overall errors (p < 0.001). The number of guardrail alert overrides was significantly reduced, from 23,751 to 5885 (p < 0.001), as was the number of high-risk overrides, from 5851 to 207 (p < 0.001).
conclusionImplementing smart pump interoperability significantly reduced the frequency and severity of infusion errors and high-risk overrides at a pediatric institution.
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