{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T18:09:55Z","timestamp":1789063795597,"version":"build-2803163510"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"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":["J Oncol Pharm Pract"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To standardise intravenous antineoplastic administration and reduce administration-phase discrepancies by implementing parameterised smart infusion pumps supported by a clinical pharmacist- governed drug library.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Pump alert logs and structured clinical pharmacist records of administration discrepancies collected during routine care over 12 months following go-live.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Summary<\/jats:title>\n                    <jats:p>Chemotherapy administration is vulnerable to wrong infusion duration\/rate selection and missed drug-specific requirements (e.g., in-line filters and light protection). A multidisciplinary team implemented parameterised smart infusion pumps with a structured library requiring selection of the exact antineoplastic agent prior to infusion. For each agent, validated infusion-time windows were mapped to safe rate ranges and enforced as locked hard limits; mandatory prompts highlighted filter and light-protection requirements where applicable. Clinical pharmacists led drug-library build, validation and change control with oncology\/haematology physicians and nursing leadership, supported by staff training and standardised workflow aids. During the 12-month evaluation period, approximately 17,000 chemotherapy days and 40,000 chemotherapy infusions were assessed. Smart pump safeguards identified and enabled correction of 26 near-miss administration discrepancies before infusion initiation, corresponding to 0.15 discrepancies per 100 chemotherapy days. Parameterisation reduced programming steps and shortened set-up time by approximately 30\u2005s per infusion, corresponding to an estimated net nursing time saving of around one hour per day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A clinical pharmacist-led parameterised smart pump programme strengthened standardisation at the point of administration and supported a proactive medication-safety culture in routine practice. This practice-based report provides transferable operational detail on governance and bedside safeguards for oncology pharmacy services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10781552261486712","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T04:20:00Z","timestamp":1788841200000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing intravenous chemotherapy administration safety using parameterised smart infusion pumps: A one-year practice implementation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9817-8066","authenticated-orcid":false,"given":"Konstantinos","family":"Ioannidis","sequence":"first","affiliation":[{"name":"Hygeia Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Scarlatinis","sequence":"additional","affiliation":[{"name":"Hygeia Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"Nikolaou","sequence":"additional","affiliation":[{"name":"Hygeia Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Blinded for review. Improving intravenous chemotherapy administration safety via smart infusion technology: one-year implementation. Poster presentation at: EAHP Congress; 2026."},{"key":"e_1_3_2_3_2","unstructured":"National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). Medication error definition. Available from: https:\/\/www.nccmerp.org\/about-medication-errors. Accessed March 4 2026."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.2146\/sp150001"},{"key":"e_1_3_2_5_2","unstructured":"The Joint Commission. Sentinel Event Alert 63: Optimizing smart infusion pump safety with dose error reduction software. 2021. Available from: https:\/\/www.jointcommission.org\/resources\/patient-safety-topics\/sentinel-event\/sentinel-event-alert-newsletters\/. (Accessed March 4 2026)."},{"key":"e_1_3_2_6_2","unstructured":"Institute for Safe Medication Practices (ISMP). Guidelines for optimizing safe implementation and use of smart infusion pumps. 2020. Available from: https:\/\/www.ismp.org\/guidelines\/smart-infusion-pumps. (Accessed March 4 2026)."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2011-000089"},{"key":"e_1_3_2_8_2","unstructured":"Oncology Nursing Society. ASCO\/ONS antineoplastic therapy administration safety standards (adult and pediatric). Updated 2024. Available from: https:\/\/www.ons.org\/ascoons-chemotherapy-administration-safety-standards. (Accessed March 4 2026)."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2023-007385"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2018.7149"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000907"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxae323"},{"key":"e_1_3_2_13_2","first-page":"247","article-title":"Evaluating the impact of smart infusion pump interoperability on reducing medication administration errors: a systematic literature review","volume":"18","author":"Borrelli EP","year":"2025","unstructured":"Borrelli EP, Lucaci JD, Wilson NS, et al. Evaluating the impact of smart infusion pump interoperability on reducing medication administration errors: a systematic literature review. Med Devices (Auckl) 2025; 18: 247\u2013260.","journal-title":"Med Devices (Auckl)"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjhci-2025-101723"}],"container-title":["Journal of Oncology Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552261486712","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10781552261486712","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552261486712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T17:55:28Z","timestamp":1789062928000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10781552261486712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":13,"alternative-id":["10.1177\/10781552261486712"],"URL":"https:\/\/doi.org\/10.1177\/10781552261486712","relation":{},"ISSN":["1078-1552","1477-092X"],"issn-type":[{"value":"1078-1552","type":"print"},{"value":"1477-092X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"article-number":"10781552261486712"}}