Implementation and evaluation of continuous infusion automatic scheduled dispensing leveraging infusion pump integration

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ID: 316367
2026
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Ranked #99 of 143 articles by views in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists

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Abstract
PURPOSE: This project aimed to develop, implement, and evaluate an automatic scheduled dispensing workflow for titratable and nontitratable continuous infusions leveraging infusion pump integration within the electronic health record. SUMMARY: Infusion pump integration allows the development of a scheduled dispensing workflow, in which the electronic health record automatically schedules the next dispense for a continuous infusion based on the administered rate and volume of the medication. This functionality streamlines pharmacy and nursing workflows by eliminating the need for manual re-dispensing pursuant to manual tracking or nursing-to-pharmacy electronic requests. An automatic scheduled dispensing workflow was developed and piloted at a select pharmacy, with subsequent expansion throughout the health system. A retrospective, descriptive analysis was performed comparing the following data points before and after implementation: total dispenses, bags returned, and in-basket messages for continuous infusion dispenses. At the pilot site and the expansion sites, after implementation the number of in-basket messages per continuous infusion dispense decreased by 49% and 65%, respectively. An increase in the number of medication returns and the number of wasted bags per continuous infusion dispense was observed for both the pilot site and the expansion sites. CONCLUSION: A continuous infusion scheduled dispensing workflow was successfully implemented within a health system. This workflow resulted in a reduction in nursing-to-pharmacy in-basket message communication per dispense, with an increase in returns and waste.
Reference Key
openalex_W7163883833 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Jennifer Booth, Jessica Brimmer, Anuj Thirwani, Marissa Nelson, Ben Lopez, Charlotte Forshay
Journal American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Year 2026
DOI
10.1093/ajhp/zxag156
URL
https://doi.org/10.1093/ajhp/zxag156
Keywords Keywords not found

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