{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:42:44Z","timestamp":1786120964101,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Technology and Health Care"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Infusion and syringe pumps are essential for safe and continuous medication administration, but quantitative indicators for their allocation across hospitals remain unclear. This study examined whether pump ownership in hospitals employing clinical engineers was associated not only with hospital size but also with hospital functional and structural characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This nationwide cross-sectional study integrated questionnaire data on infusion and syringe pump ownership with publicly available hospital-level data in Japan. A total of 248 hospitals were analyzed. Associations with hospital characteristics were examined using Spearman's rank correlation, non-parametric group comparisons, and multiple linear regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pump ownership was strongly correlated with the number of beds for both infusion and syringe pumps. Pumps per bed ranged from 0.26 to 0.48 for infusion pumps and from 0.16 to 0.45 for syringe pumps. In multivariable analyses, infusion pump ownership was associated with bed count, chemotherapy cases, emergency transports, and advanced treatment hospital status. Syringe pump ownership was associated with bed count, emergency transports, surgeries under general anesthesia, secondary and tertiary emergency care status, and advanced treatment hospital status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pump ownership was associated with hospital size and functional characteristics. These findings support function-based and data-driven medical device allocation indicators.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09287329261472778","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:56:31Z","timestamp":1785902191000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of infusion and syringe pump ownership with hospital functions in facilities employing clinical engineers"],"prefix":"10.1177","author":[{"given":"Hirohito","family":"Imada","sequence":"first","affiliation":[{"name":"Biodesign Division, Department of Industry-Academia Collaboration, Open Innovation Headquarters, Office for Academic and Social Cooperation, Hiroshima University, 1-2-3 Kasumi, Minami-ward, Hiroshima-city, Hiroshima 734-8551, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kento","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Clinical Engineering, Tokyo Yamate Medical Center, 3-2-1 Hyakunin-town, Shinjuku-ward, Tokyo 169-0073, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Oishi","sequence":"additional","affiliation":[{"name":"Kiwi (Freelance clinical engineer medical device safety management\/educational support service), 2-6-11 Daimyo, Chuou-ward, Fukuoka-city, Fukuoka 810-0041, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sho","family":"Tomisaki","sequence":"additional","affiliation":[{"name":"Graduate School of Health Science and Technology, Kawasaki University of Medical Welfare, 288 Matsushima, Kurashiki-city, Okayama, 701-0193, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Nishigaki","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Fujita Medical University, 1-98 Dengakugakubo, Kutsukake-town, Toyoake-city, Aichi 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehito","family":"Hananouchi","sequence":"additional","affiliation":[{"name":"Biodesign Division, Department of Industry-Academia Collaboration, Open Innovation Headquarters, Office for Academic and Social Cooperation, Hiroshima University, 1-2-3 Kasumi, Minami-ward, Hiroshima-city, Hiroshima 734-8551, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-013-0090-2"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-014-0232-1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-020-00986-5"},{"key":"e_1_3_3_5_2","first-page":"60","article-title":"Risk of medication errors with infusion pumps: a study of 1,004 events from 132 hospitals across Pennsylvania","volume":"1","author":"Taylor MA","year":"2019","unstructured":"Taylor MA, Jones R. Risk of medication errors with infusion pumps: a study of 1,004 events from 132 hospitals across Pennsylvania. Patient Saf 2019; 1: 60\u201369.","journal-title":"Patient Saf"},{"key":"e_1_3_3_6_2","unstructured":"Japan Hospital Association All Japan Hospital Association. Japan Medical Corporation Association. Hospital Management Survey 2022. 2022."},{"key":"e_1_3_3_7_2","unstructured":"National Council of Municipal Hospitals. Report on the Survey of Hospital Management in 2022 as of June 2022. 2022."},{"key":"e_1_3_3_8_2","unstructured":"Ministry of Health Labour and Welfare. Hospital Business Management Indicators for Fiscal Year 2019. 2019."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219124"},{"key":"e_1_3_3_10_2","first-page":"494","article-title":"Central management of medical devices: balancing safety and economy","volume":"23","author":"Tamai H","year":"2012","unstructured":"Tamai H. Central management of medical devices: balancing safety and economy. Clin Eng 2012; 23: 494\u2013501.","journal-title":"Clin Eng"},{"key":"e_1_3_3_11_2","volume-title":"To Err is Human: Building a Safer Health System","author":"Kohn LT","year":"2000","unstructured":"Kohn LT, Corrigan JM, Donaldson MS, editors. To Err is Human: Building a Safer Health System. National Academy Press, 2000."},{"key":"e_1_3_3_12_2","unstructured":"GS1 Healthcare Japan Council Direct Display Working Group. Barcode Indication on the Body of Medical Devices. 2017."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0174533"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.simpat.2015.02.002"},{"key":"e_1_3_3_15_2","volume-title":"Medical Devices: Managing the Mismatch: An Outcome of the Priority Medical Devices Project","author":"World Health Organization","year":"2010","unstructured":"World Health Organization. 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Report on the results of the Survey of Discharged Patients a survey to evaluate the impact of the introduction of DPC in FY2022. 2022."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1248\/bpb.b22-00850"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.65"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet199"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc6209"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0018578718786943"}],"container-title":["Technology and Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09287329261472778","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09287329261472778","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09287329261472778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T01:46:25Z","timestamp":1786067185000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09287329261472778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":20,"alternative-id":["10.1177\/09287329261472778"],"URL":"https:\/\/doi.org\/10.1177\/09287329261472778","relation":{},"ISSN":["0928-7329","1878-7401"],"issn-type":[{"value":"0928-7329","type":"print"},{"value":"1878-7401","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]},"article-number":"09287329261472778"}}