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PSNet: Patient Safety Network
Journal Article
Study

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. Health Inform J. 2020;26(1):576-591.

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.