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  1. Longshore, Lisa MSN, RN, CNP
  2. Smith, Timothy BSN, RN, CRNI(R)
  3. Weist, Michelle PharmD, BCPS


Complexities of today's medications and greater use of high-risk medications place the patient at an increased risk for nursing errors. The purpose of this case report is to present, from a nursing perspective, the successful experience of a multihospital healthcare system's quest to decrease or eliminate medication administration errors through implementation of intelligent pumps. This case report focuses on the vital role that nursing services played, including the selection of pumps, development of the drug library, education of end users, and strategies employed to achieve a high compliance rate. Also described are the ongoing educational efforts, lessons learned, and specific results in intercepting significant medication administration errors.