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The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Health Inform J. 2020;26(1):576-591. Epub 2019/04/16. doi: 10.1177/1460458219839574.
The authors conducted a sociotechnical investigation to describe the implementation of a closed-loop documentation system linked with smart pumps for intravenous infusion administration in one ICU. These types of closed-loop systems automate steps in the documentation of medication administration. In this case, the smart pumps were ‘mapped’ to an electronic prescribing and administration system. As a result, nurses do not need to manually enter these data after administration.
