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Journal Article > Commentary
Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems.
Balka E, Kahnamoui N, Nutland K. Int J Med Inform. 2007;76:S48-S57.
The authors describe one hospital's implementation of an automatic drug dispensing system (ADS) and discuss the importance of recognizing social context when implementing ADS to minimize unintended consequences.
Journal Article > Study
Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital.
Guérin A, Tourel J, Delage E, et al. Drug Saf. 2015;38:729-736.
This pre-post study evaluated the impact of smart pump infusion devices on reported adverse drug events (ADEs) in an inpatient setting. Researchers observed an increase in ADEs immediately following implementation of the new devices, as has been previously seen after electronic health record implementation. Subsequently, ADEs returned to rates similar to before smart pump use. This lack of benefit from smart pumps indicates the need for human factors approaches to characterize the actual use of devices.