Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.

ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.

Smart pumps offer both benefits and drawbacks that can affect medication safety. This newsletter article explores missteps related to lack of compliance with setting hard stops to protect patients when using unique intravenous medication concentrations. Recommendations to prevent errors include using standardized dosing concentrations as often as possible, adhering to metric unit dosing requirements, and verifying pump programming settings.

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