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Closed-Loop Medication Order & Dispensing with Sarus EHR - Primary image

Closed-Loop Medication Order & Dispensing with Sarus EHR

January 30, 2026EMR & HIS Case Study
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Sarus EHR delivers a fully closed-loop, AI-supported medication order and dispensing workflow that connects clinical services, pharmacy operations and bedside administration in real time. All medication orders are continuously validated by integrated clinical decision support and artificial intelligence systems to prevent medication errors, ensure protocol compliance and improve patient safety. This digital medication workflow is actively used in Istanbul Bahçelievler Hospital, a HIMSS EMRAM and O-EMRAM Level 7 accredited digital hospital, demonstrating the maturity and real-world scalability of the Sarus EHR medication ecosystem.

Electronic Medication Orders with AI-Driven Clinical Validation

Medication requests are created directly from clinical services as electronic medication orders within Sarus EHR.

During order creation, every medication order is automatically analyzed by integrated clinical decision support and AI-based safety engines.

These systems continuously evaluate:

  • drug–drug interactions

  • drug–allergy conflicts

  • contraindications

  • nutrition and clinical context related risks

  • duplicate therapies and dose deviations

AI-supported validation is applied in real time at the moment of prescribing, allowing physicians to receive immediate safety warnings and clinical recommendations before the order is finalized.

Multiple prescribing approaches are supported, including medication name, generic name and ATC classification, enabling standardized and structured medication ordering across the hospital.

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AI-Assisted Pharmacy Order Review and Fulfillment

All electronic medication orders are transmitted to the pharmacy in real time through the Sarus EHR pharmacy workflow.

During pharmacy review and fulfillment, each order is again evaluated by the same integrated clinical decision support and AI engines.

This second validation layer ensures that potential safety risks, substitutions, formulation differences and availability-related changes remain clinically appropriate.

AI-supported checks can therefore be applied both:

  • during the physician order phase, and

  • during the pharmacy fulfillment and preparation phase.

This dual-stage validation model significantly strengthens medication safety and reduces clinical risk.

Patient-Specific Medication Packaging and Barcode Control

After pharmacy verification, medications are prepared and labeled on a patient-specific basis.

Each medication item is assigned a unique barcode and assembled into a complete patient-based medication package for the requesting clinical service.

All preparation, labeling and packaging activities are fully barcode driven and automatically recorded within Sarus EHR, including:

  • who prepared the medication

  • when it was prepared

  • for which patient and order it was issued.

This enables full operational traceability and audit readiness.

Closed-Loop Delivery and Bedside Administration

Prepared patient-specific medication packages are transferred to the clinical services.

At the point of care, nurses administer medications using mobile devices fully integrated with Sarus EHR.

Before administration, Sarus EHR performs real-time bedside verification using barcode scanning to confirm:

  • the correct patient

  • the correct medication

  • the correct dose

  • the correct time

  • and the correct administration route.

Any deviation from the validated medication order is immediately detected and flagged by the system.

Continuous AI-Based Safety Monitoring Across the Entire Workflow

Sarus EHR continuously monitors medication workflows using integrated clinical decision support and AI services throughout the entire lifecycle:

  • order creation

  • pharmacy verification

  • medication preparation

  • delivery to clinical services

  • and bedside administration.

AI-driven monitoring allows clinical teams to identify risks early, prevent adverse events and enforce institutional medication safety policies consistently across all departments.

Clinical Quality Management and Full Traceability

All medication-related activities are recorded in real time and become part of the patient’s longitudinal clinical record.

This closed-loop medication order and dispensing workflow provides:

  • full audit trails

  • real-time operational visibility

  • compliance and performance reporting

  • and measurable clinical quality indicators.

In highly digitalized environments such as Istanbul Bahçelievler Hospital — a HIMSS EMRAM and O-EMRAM Level 7 hospital — Sarus EHR enables standardized medication safety practices and advanced clinical governance across the entire medication lifecycle.

Proven at Scale in Large Digital Hospitals

This AI-supported closed-loop medication order and dispensing workflow is currently operating in large-scale digital hospital environments, including Istanbul Bahçelievler Hospital, and across Sarus EHR international deployments.

By connecting clinical services, pharmacy operations and bedside administration into a single digital ecosystem, Sarus EHR enables safer medication delivery, higher operational efficiency and measurable improvements in patient safety.

Learn More About Sarus EHR

Closed-Loop Medication Order & Dispensing with Sarus EHR | Teknoritma