American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026
Implementation and evaluation of continuous infusion automatic scheduled dispensing leveraging infusion pump integration.
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Booth Jennifer, Brimmer Jessica, Thirwani Anuj, Nelson Marissa, Lopez Ben, Forshay Charlotte
Аннотация
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.
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.