SynthesisBMJ health & care informatics2026
Effects of a bidirectional interoperability between electronic health records and smart infusion pumps in hospital settings: a systematic review.
Synthesis in BMJ health & care informatics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
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Abstract
objectivesTo explore the effects of bidirectional interoperability between electronic health records (EHR) and smart infusion pumps on medication errors (MEs), system compliance and workflow efficiency and economic aspects.
methodsThis systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 criteria. The literature search on Scopus, MEDLINE (Ovid), Web of Science, Cumulated Index in Nursing and Allied Health Literature, and Evidence-Based Medicine Reviews was conducted on 3 October 2024. Peer-reviewed studies considering bidirectional interoperability between EHR and smart pumps in hospitals were included. Study selection according to a predetermined Population, Intervention, Comparison(s) and Outcome tool, data extraction and evidence quality assessment (Joanna Briggs Institute critical appraisal tool assessment and the Grading of Recommendations Assessment, Development and Evaluation approach) were carried out by two individual reviewers.
resultsSeven studies from the USA, published between 2011 and 2024, were included. The studies used variable designs to compare the effects of bidirectional interoperability between smart infusion pumps and EHR on system compliance and workflow efficiency (n=6 studies), MEs (n=3) and economic outcomes (n=2) before and after implementation. The observed effects were mainly positive; however, evidence quality was low because of the observational nature of studies. DISCUSSION: The interoperability between EHR systems and smart infusion pumps remains a relatively novel research topic. Evidence is geographically concentrated, limiting its generalisability to different healthcare systems, regulatory environments and technology adoption patterns.
conclusionWhile bidirectional interoperability may reduce MEs, improve system compliance and workflow efficiency and enhance hospitals' charging accuracy of provided care, future studies should prioritise controlled designs, robust data and economic outcomes to justify the investment. PROSPERO REGISTRATION NUMBER: CRD42024538518.
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