TABLE 5.

Examples of Errors Considered to Be Preventable With Smart Infusion Device

Preventability With a Smart Infusion Device	Example
Not preventable	Actrapid (soluble insulin) infusion expired but still running (observational data; category C)
Preventable with any pump	Vancomycin 2 g in 250 mL running faster than recommended rates through gravity feed (observational data; category E)
Possibly preventable with a standalone smart infusion device depending on limits set in drug library	Noradrenaline standard prescription chart specified 4 mg in 50 mL; 8 mg in 50 mL administered (observational data; category D)
Possibly preventable with a smart infusion device integrated with an electronic prescribing and barcode administration system	Piperacillin/tazobactam prescription specified a 3-h infusion due to impaired renal function but the nurses gave it via a bolus dose, which is what they would normally do (observational data; category D)